Sport NZ Grant Accountability

*- indicates required field.

Please complete and attach required documents within one year of funds being allocated.

Receipts of RTF allocations (optional)

Upload

(pdf, doc, docx or jpg)

RTF bank account statements (optional)

Upload

(pdf, doc, docx or jpg)

Any other supporting documentation (optional)

Upload

(pdf, doc, docx or jpg)

Any other supporting documents (optional)

Upload

(pdf, doc, docx or jpg)

General Information

Date (optional)

Name of organisation (optional)

Email (optional)

Amount of travel subsidy (optional)

Estimated cost of travel per year for club/organisation (optional)

Costs

Please give details of how the money was spent by providing a detailed breakdown of what the money was spent on, ie cost of petrol, cars and/or bus hire. Click the 'Add' button for each line.

Description (optional)

Amount (optional)

Distance travelled to local sport competition (optional)

Please provide a brief description of the benefits that have been achieved with these funds. (optional)

In your opinion did the Rural Travel Fund assist your team/organisation in order to increase participation in your local sport competition in rural areas? (optional)

Yes

Please comment (optional)

Authorisation

Please provide signatures for two people

I acknowledge and understand that typing names in the boxes below constitutes electronic signatures, the equivalent of handwritten signatures on a hardcopy form. *

Signature *

Position of signatory (optional)

Date (optional)

Signature *

Position of signatory (optional)

Date (optional)

Sport NZ Grant Accountability

Grant Accountability

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General Information

Costs

Authorisation