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Community Grants - Social Support 2012 2013 Homepage | City of Port Phillip Grants Homepage

Community Grants - Social Support 2012 2013

Application Form

This is a preview of the Community Grants - Social Support 2012 2013 form. When you’re ready to apply, click Fill Out Now to begin.

Form Navigation

1. Organisation / Group Details

2. Program / Project Details

Which years did you receive funding and how much funding did you receive?

Page 1. Organisation / Group Details

Organisation name*

Address*

Address

Suburb

State

Postcode

Postal address (if different)

Address

Suburb

State

Postcode

Name of contact person*

Title

First Name

Last Name

Telephone*

Fax*

Email address*

Is your organisation or group incorporated?*

Yes No

If NO please supply name and contact information of your auspice organisation otherwise leave blank. (See additional notes in the Information Kit). Note: Cheques are made out to auspice organisations.

Auspice Organisation Name

For auspiced projects only

Auspice Contact person

Title

First Name

Last Name

For auspiced projects only

Auspice Email Address

For auspiced projects only

Auspice Phone Number

For auspiced projects only

Your organisation’s or auspice’s incorporation number*

Your organisation’s or auspice’s ABN*

The ABN provided will be used to look up the following information.

Click Lookup above to check that you have entered the ABN correctly.

Information from the Australian Business Register
Organisation Name
Type of Organisation
Is registered for GST?	No
Is a Charity?	No	Type	Not a charity
Is a Deductible Gift Recipient (DGR)?		No
Tax Concessions	No tax concessions
Registered Address

Is your organisation or auspice registered for GST?*

Yes No

Provide a brief description of what your organisation does*

What is its core business?

* This space must be completed for your application to be processed.

Community Grants - Social Support 2012 2013

Application Form

Form Navigation

1. Organisation / Group Details

2. Program / Project Details

3. Scope & Need

4. Planning & Management

5. Budget

6. Additional Information

7. Application Checklist

8. Declaration

9. Applicant Feedback

Page 1. Organisation / Group Details