Child Protection 5. 6. Declarations and signatures by person completing the application: I/we declare that The information on this form is accurate I/we have the power to accept a grant under your conditions and repay the grant if I/we do not keep to the conditions I understand that if this application is successful the grant will be subject to terms and conditions. These will be issued with the grant offer. 7. Authorisation: This form must be signed by the person making the application, and be an original signature Name………………………………………………………………………… Date Signed………………………………………… ……../……./……. Please send completed application forms to: Debbie Maule Western Vale ICC, Station Rd, Llantwit Major CF61 1ST Tel: 01446 793030 Closing Date: 12 noon Friday 25th May 2018 N.B. applications received after this time and date will not be accepted Office use only Date Application returned Form signed Approved/Rejected Appraised by:
5. Child Protection 6. Declarations and signatures by person completing the application: I/we declare that The information on this form is accurate I/we have the power to accept a grant under your conditions and repay the grant if I/we do not keep to the conditions I understand that if this application is successful the grant will be subject to terms and conditions. These will be issued with the grant offer. 7. Authorisation: This form must be signed by the person making the application, and be an original signature Name………………………………………………………………………… Signed………………………………………… Date ……../……./……. Please send completed application forms to: Debbie Maule Western Vale ICC, Station Rd, Llantwit Major CF61 1ST Tel: 01446 793030 Closing Date: 12 noon Friday 25th May 2018 N.B. applications received after this time and date will not be accepted Office use only Date Application returned Form signed Approved/Rejected Appraised by:
Sus-grant-CM-application-form-2018-19.docx