Maximum funding amount: Grant reference no. $ Funding term: to Recipient: Recipient’s OEH representative: Phone: Mobile: Email: Date prepared: Estimated cost Grant amount to Activities Projected Projected be claimed commencement completion date (Government + date for each for each activity Recipient (Government activity (dd/mm/yy) contributions) contributions (dd/mm/yy) only) GST exclusive GST exclusive $ $ Notes The recipient must submit an and , in the format provided by OEH, by 15 May 2017. The recipient must submit an , in the format provided by OEH, by 30 September 2017. Project manager name: Date:
Maximum funding amount: $ Grant reference no. Funding term: to Recipient: Recipient’s OEH representative: Phone: Mobile: Email: Date prepared: Activities Projected commencement date for each activity (dd/mm/yy) Projected completion date for each activity (dd/mm/yy) Estimated cost (Government + Recipient contributions) GST exclusive Grant amount to be claimed (Government contributions only) GST exclusive $ $ Notes The recipient must submit an and , in the format provided by OEH, by 15 May 2017. The recipient must submit an , in the format provided by OEH, by 30 September 2017. Project manager name: Date: