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2020-01-21T20:26:59+01:00
Grant Application Form
Details of your Organisation
Organisation Name
Address
Street Address
City
County
Post Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Email
Phone
Name of Contact
Name of Chair of Organisation
Aims and Purposes of your Organisation
How is your organisation constituted? (Company, trust etc.)
How is your organisation funded?
Number of full time staff
Number of part time staff
Number of volunteers
Number of committee or board members
Details of your Project
Proposed Project
Image of Project
Accepted file types: jpg, png, pdf, jpeg, Max. file size: 512 MB.
Date of Commencement
DD slash MM slash YYYY
Duration
Description
Financing the Project
Total Cost
Amount Requested
Is your Organisation VAT Registered
Yes
No
Financing the Balance
Own Resources
Secured
Pending
Trusts (pleases specify):
Secured
Pending
Statutory Authorities (pleases specify):
Secured
Pending
Other Sources (pleases specify):
Secured
Pending
What are your objectives for the project?
How will you evaluate the success of the project?
Who will benefit from the project?
Any other relevant information
Sustainability
Will the project require revenue funding following completion? If so, quantify annual amount and provide a breakdown and specify how that amount will be financed.
Financial History
In addition to providing a certified copy of your latest audited accounts, please complete the following:
Year End
DD slash MM slash YYYY
Year End
DD slash MM slash YYYY
Year End
DD slash MM slash YYYY
Total Revenue Income
Total Revenue Income
Total Revenue Income
Total Revenue Expenditure
Total Revenue Expenditure
Total Revenue Expenditure
Total Income Specifically for Capital Purposes
Total Income Specifically for Capital Purposes
Total Income Specifically for Capital Purposes
Total Capital Expenditure
Total Capital Expenditure
Total Capital Expenditure
Net Assets at End of Year
Net Assets at End of Year
Net Assets at End of Year
Investments at Year End
Investments at Year End
Investments at Year End
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