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We welcome you as a partner in our joint fight against tobacco.

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* This Field is required Information for: Are you associated with any non-profit NGO/ CSO / Trust / TC Funding Organisation : Please click if you associated with any non-profit NGO/ CSO / Trust / Tobacco Control Funding Organisation
Information for: Name of the NGO/ CSO/ Non-Profit /Institution you represent : Please provide the name of the NGO/ CSO/ Non-Profit /Institution you represent and for/through which you are applying for membership of Tobacco Free India Coalition
Information for: Provide details about your non-profit NGO/ CSO / Trust / TC Funding Organisation : Please provide all additional details about your non-profit NGO/ CSO / Trust / TC Funding Organisation which will help other members know about your organisation
* This Field is required Information for: Are you (and your organisation) willing to take the responsibility of representing your State/ District/ City/ Village/ Community level and also coordinate all the activities. : Please mention if you (and your organisation) are willing to take the responsibility of representing your State/ District/ City/ Village/ Community/ Institutional level and also coordinate all the activities. Kindly note that there is no remuneration/ financial assistance associated with the assignment.
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* This Field is required Information for: By filling this form are you also applying for a membership of your organisation in 'Tobacco Free India Coalition.' Kindly apply only if you have the authority to apply and agree to abide by the terms and conditions applying to the membership. : Is this also an application for your NGO/ Institution as a member of Tobacco Free india Coalition
* This Field is required Information for: Further details about the organisation : If this is a membership request for your organisation, please provide further details to assist us. (Provide the name, address of the contact person and any further details, which you would like to provide)
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Information for: If you answered yes to the previous question (about any relation with any tobacco company in any form), please provide complete details : Please provide complete details for the last 5 years about  your any association with any tobacco company and/or its subsidary/associate/dealer/supplier.
* This Field is required Information for: Do you (or any of your family members) hold share of any tobacco company and/or its subsidary/ associate/ dealer/ supplier/ trader : Provide complete details if you (or any member of your family members) hold share of any tobacco company and/or its subsidary/ associate/ dealer/ supplier/ trader
Information for: Provide Name of two references working in tobacco control :: Reference1 : Please provide complete name, address, telephone number (mobile) and E-Mail i.d. Providing complete details will help us approve your application faster. (Reference I)
Information for: Provide Name of two references working in tobacco control :: Reference 2 : Please provide complete name, address, telephone number (mobile) and E-Mail i.d. Providing complete details will help us approve your application faster. (Reference II)
 
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You are likely to receive information about the approval process with another 10 days.
Tobacco Facts

Q. What are the economic impacts of tobacco use?

A. The epidemic poses a long-term economic threat to countries and may slow their development. Tobacco negatively affects the welfare of users and costs the world hundreds of billions of dollars each year in lost productivity. If the epidemic worsens, the economic losses in highly populated developing countries will be severe. Many of these countries are manufacturing centres for the global economy and the growing number of tobacco-related deaths - half of which occur during prime productive years - will impose a heavy burden on these economies.

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