Please give a breakdown of the Description Expenditure event(s) expenditure Have you received or applied for other sources of public funding? Yes No (Please circle as appropriate ) If yes, please state the source and amount of funding. Incomplete forms will NOT be considered Please ensure that the declaration – below is completed Declaration of Applicant(s) We have read and understood the information and criteria applicable to the Fund and agree to comply in full therewith. I/we certify that all information provided in this application, and all information given in any documentation submitted in support of the application is truthful and accurate. Name 1: ______________________________ Date: _________________ Name 2: ______________________________ Date: _________________ On behalf of: (organisation's name):
Please give a breakdown of the event(s) expenditure Description Expenditure Have you received or applied for other sources of public funding? (Please circle as appropriate ) Yes No If yes, please state the source and amount of funding. Incomplete forms will NOT be considered – Please ensure that the declaration below is completed Declaration of Applicant(s) We have read and understood the information and criteria applicable to the Fund and agree to comply in full therewith. I/we certify that all information provided in this application, and all information given in any documentation submitted in support of the application is truthful and accurate. Name 1: ______________________________ Date: _________________ Name 2: ______________________________ Date: _________________ On behalf of: (organisation's name):
2016%20grant%20guidelines%20and%20application%2009%2007%2015.docx