Details of all the project bank accounts, and COPIES of the most recent bank statements from each account. If your organization has had an audit, please include a copy of the audited financial statement; 2 references from community stakeholders/partners who are not formally part of your organization, or corporate, governmental, NGO or community partner; Copies of quotations to support estimated project cost; Please note that we do not return applications. Make a copy for your records. Signature Printed Name PROJECT NAME__________________________________ DATE____________ Please send your complete application to the U.S. office closest to your project (see coverage area below): Pretoria: North of the N4 Cape Town: Western Cape, Durban: Kwa-Zulu Natal and Johannesburg: South of the N4 Highway (North West Northern Cape and Eastern Eastern Cape (East of the N6) highway (North West, Gauteng Gauteng and Mpumalanga Cape (West of the N6) and Mpumalanga provinces), provinces) and all of Limpopo and all of the Free State Community Grants Community Grants Community Grants Community Grants U.S. Embassy U.S. Consulate General U.S. Consulate General U.S. Consulate General P. O. Box. 9536 Postnet Suite 50, 303 Dr Pixley kaSeme P.O. Box 787197 Pretoria 0001 Private Bag X26 (West) Street, 30 Floor Sandton 2196 Tokai, 7966 Old Mutual Centre Contact Details: Contact Details: Contact Details: Contact Details: Tel: (012) 431-4240/4260/4312 Tel: (021) 702-7387 Tel: (031) 305-7600 Tel: (011) 290-3320 Fax: (012) 342-7050 Fax: (021) 702-7371 Fax: (031) 305-7614 Fax: (011) 884-0496 Selfhelp_Capetown@state.gov grantsdurban@state.gov Communitygrantspretoria Johannesburgcommunity grants @state.gov @state.gov
Details of all the project bank accounts, and COPIES of the most recent bank statements from each account. If your organization has had an audit, please include a copy of the audited financial statement; 2 references from community stakeholders/partners who are not formally part of your organization, or corporate, governmental, NGO or community partner; Copies of quotations to support estimated project cost; Please note that we do not return applications. Make a copy for your records. Signature Printed Name PROJECT NAME__________________________________ DATE____________ Please send your complete application to the U.S. office closest to your project (see coverage area below): Pretoria: North of the N4 Highway (North West Gauteng and Mpumalanga provinces) and all of Limpopo Cape Town: Western Cape, Northern Cape and Eastern Cape (West of the N6) Durban: Kwa-Zulu Natal and Eastern Cape (East of the N6) Johannesburg: South of the N4 highway (North West, Gauteng and Mpumalanga provinces), and all of the Free State Community Grants U.S. Embassy Community Grants U.S. Consulate General Community Grants U.S. Consulate General Community Grants U.S. Consulate General P. O. Box. 9536 Pretoria 0001 Postnet Suite 50, Private Bag X26 Tokai, 7966 303 Dr Pixley kaSeme (West) Street, 30 Floor Old Mutual Centre P.O. Box 787197 Sandton 2196 Contact Details: Contact Details: Contact Details: Contact Details: Tel: (012) 431-4240/4260/4312 Fax: (012) 342-7050 Communitygrantspretoria @state.gov Tel: (021) 702-7387 Fax: (021) 702-7371 Selfhelp_Capetown@state.gov Tel: (031) 305-7600 Fax: (031) 305-7614 grantsdurban@state.gov Tel: (011) 290-3320 Fax: (011) 884-0496 Johannesburgcommunity grants @state.gov