The ILC may contact the applicant at any time by email if an email address has been submitted. I understand and agree to the above (please tick ) √ Signature (applicant) Date Name (Please PRINT) Position in organisation Signature of witness Date Name (Please Position in organisation Checklist To ensure your application is complete, use the following checklist to ensure each attachment has been included in this application form. Attachments A Evidence of Support from other Agencies (if applicable) – B Certificate of Incorporation (if applicable) – C Business Plan/Property Management/Strategic Plan or any other Plan that is – relevant to the project (as applicable) D Most recent audited financial statements or relevant financial records for the – previous financial year. E Certificate of – F Evidence of secure land tenure if you do not own the land, eg lease or license – agreement G letter(s) of support from the Indigenous landowners –Signed H - Copies of quotes for each project item Office Use Only Date Received: Registered by: Date Project Ref No. Acknowledgement Date:
The ILC may contact the applicant at any time by email if an email address has been submitted. I understand and agree to the above (please tick √ ) Signature (applicant) Date Name (Please PRINT) Position in organisation Signature of witness Date Name (Please Position in organisation Checklist To ensure your application is complete, use the following checklist to ensure each attachment has been included in this application form. Attachments A – Evidence of Support from other Agencies (if applicable) B – Certificate of Incorporation (if applicable) C – Business Plan/Property Management/Strategic Plan or any other Plan that is relevant to the project (as applicable) D – Most recent audited financial statements or relevant financial records for the previous financial year. E – Certificate of F – Evidence of secure land tenure if you do not own the land, eg lease or license agreement G –Signed letter(s) of support from the Indigenous landowners H - Copies of quotes for each project item Office Use Only Date Received: Registered by: Date Project Ref No. Acknowledgement Date:
Small-Land-Based-Projects-Application-Form_v1-04.docx