Office Use Only Grant Reference Number Date Received Acknowledged Grants for Women Program Acquittal Report General Information Grant Details Name of Project $ Grant Amount Details Applicant’s Name of organisation Postal address Suburb Postcode Telephone Contact Person responsible for the daily co-ordination of the project – Name Position Telephone Mobile Email Declaration I declare that the Grants for Women funding of $______________ (ex GST) provided by the Department of Local Government and Communities has been spent in accordance with the
Office Use Only Grant Reference Number Date Received Acknowledged Grants for Women Program Acquittal Report General Information Grant Details Name of Project Grant Amount $ Applicant’s Details Name of organisation Postal address Suburb Postcode Telephone Contact Person – responsible for the daily co-ordination of the project Name Position Telephone Mobile Email Declaration I declare that the Grants for Women funding of $______________ (ex GST) provided by the Department of Local Government and Communities has been spent in accordance with the
GrantsAcquittalForm_GrantsforWomen.docx