Art and Culture Grant Application form

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Account Number/ Nomore ya Letlole: _____________________________________ b) Name of Account holder /Leina la motlhokomedi wa Letlole: ___________________________________________ 7. PROJECT DESCRIPTION / TLHALOSO YA TIROKGOLO YA MAIKAELELO a) Full Project description- what the organisation intends to do and how it plans to carry out the project/ Tlhaloso e e tletseng ya tirokgolo- Se mokgatlho wa lona o ikaelelang go se dira le ka fa o ikaelelang go tsamaisa tirokgolo e. _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ b) What are the aims of the project? / Maikemisetso le maikaelelo a tirokgolo ke eng? _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ c) Who will benefit other than yourselves from the project? /Kwa ntle ga mokgatlho, a gona le bangwe gape ba ba tla a solegelwang molemo ke tirokgolo e? _______________________________________________________________________ _______________________________________________________________________ 8. Where will the project take place? / Tirokgolo e ya go direlwa kae? _______________________________________________________________________ 9. When will project begin and when will it complete? / Tirokgolo e tla simolola leng ebile e tla fela leng? _______________________________________________________________________ 10. Have you received any grants from the DCY in the past? /A o kile wa fiwa madi go tswa mo lephateng le? ____________________________________________________ If the answer is Yes, give details of funds received in excess of P5 000.00 in the last 4
three years: Fa o kile wa fiwa madi, fa tshedimoso ya madi a okileng wa a fiwa go simolola ka P5 000.00 mo ngwageng tse tharo tse di fetileng. GRANT RECEIVED FROM/ MADI A AMOGETSWE GO TSWA MO GO AMOUNT/ SELEKANYO SA ONE DATE/ LETSATSI EXPENDITURE REPORT SUBMITTED YES / NO/ PEGO YA TIRISO YA MADI E SETSE E ISITSWE EE/NNYAA REPORT INCLUDED WITH THIS FORM YES / NO/ PEGO E TLA LE FOMO E, EE/NNYAA IF YOU HAVE NOT SENT IN A REPORT ON THE USE OF A PREVIOUS GRANT, YOUR APPLICATION WILL NOT BE PROCESSED/ FA O NE O ISE O ROMELE PEGO YA GORE O DIRISITSE MADI JANG, KOPO YA GAGO GAE NA GO SEKASEKWA 11. OTHER FUNDING /MADI A MANGWE GO TSWA GO SELE: Have you applied for funding or support in kind for this project from Government or from anyone else? Please indicate if this is just applied for, or if you have already received it/ A o kopile madi kana thuso nngwe fela mo pusong kana gongwe go sele? Tswee - tswee tlhalosa gore a ke gone o dirang kopo kana o setse o filwe madi a go nna jalo. _____________________________________________________________________________ _____________________________________________________________________________ 12. PLEASE GIVE A BREAKDOWN OF ALL EXPECTED INCOME AND EXPENDITURE RELATING TO THE PROJECT/ KA TSWEE- TSWEE SUPA KA FA TIROKGOLO E TLILENG GO DIRA MADI KA TENG LE GORE A TLILE GO DIRISIWA KA MOKGWA O FE : _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ If you have difficulty in completing any part of the form, seek advice locally e.g. The Culture and Youth Office, The Village Extension Teams, before you submit your application/ Fa o na le bothata jwa go tlatsa fomo e, kopa thuso mo go ba ofisi ya Tsa Ngwao le Banana kana mo babereking ba puso ba ba kwa metsaneng e e gaufi le wena. 5
Page 1 and 2: GRANT APPLICATION FORM FOMO YA IKOP
Page 3: c) Where is it currently operating?
Page 7 and 8: 14. CHECKLIST/ ELA TLHOKO GORE: Hav

Art and Culture Grant Application form

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