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Individuals<br />

I confirm that, as far as I know, the information in this application is true<br />

and correct.<br />

Your signature<br />

Name<br />

(Use CAPITAL LETTERS)<br />

/ Year<br />

Day / Month<br />

Date / /<br />

Please send your application to the grants management unit in the<br />

regional office for the area where you are based. The addresses for<br />

our regional offices are in the document How to contact us, which<br />

is included in the application pack.<br />

<br />

the<br />

Organisations<br />

I confirm that the organisation named on this application has given me<br />

authority to sign this application on their behalf.<br />

I confirm that the activity in the application falls within the powers of the<br />

organisation’s constitution or memorandum and articles of association.<br />

and<br />

I confirm that, as far as I know, the information in this application is true<br />

correct.<br />

Your signature<br />

Name<br />

(Use CAPITAL LETTERS)<br />

/ Year<br />

Day / Month<br />

Date / /<br />

Please send your application to the grants management unit in the<br />

regional office for the area where you are based. The addresses for<br />

our regional offices are in the document How to contact us, which<br />

is included in the application pack.

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