Grant Accountability

*- indicates required field.

What type of grant did you receive? (optional)

General Information

Full name of organisation or group (optional)

Email (optional)

Amount granted (optional)

Date received (optional)

Project Information

Purpose grant was awarded for (optional)

Costs

Please give details of how the money was spent (click the 'add' button for each item)

Description (optional)

Amount (optional)

Please provide a brief description of benefits achieved with these funds (optional)

Authorisation

We declare that all details contained in this report are true and correct to the best of our knowledge and that we have the authority to provide it on behalf of our organisation.

I acknowledge and understand that typing my name in the box below constitutes an electronic signature, the equivalent of a handwritten signature on a hardcopy form. *

Signature *

Position of signatory (optional)

Date (optional)

Attachments

Receipt of payment and/or (optional)

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(pdf, doc, docx or jpg)

An invoice detailing items purchased and/or (optional)

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(pdf, doc, docx or jpg)

A statement from your club's accountant (optional)

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(pdf, doc, docx or jpg)