Fillable Wisbech Town Council pplication Grant a (Wisbech Town Council)

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Wisbech Town Council pplication Grant a (Wisbech Town Council)

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The Wisbech Town Council pplication Grant a (Wisbech Town Council) form is 2 pages long and contains:

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Country of origin: UK
File type: PDF

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Wisbech Town Council
Name of Organisation ................................................................................................................
Contact name ........................................... Position ...................................................................
Address .......................................................................................................................................
....................................................................................................................................................
Tel. No ................................................... E-mail .........................................................................
Information about the organisation - what are its aims; who benefits from its work; how many
volunteers are involved; how often does it provide its service etc.
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£......................................
£......................................
Amount requested from Wisbech Town Council
Is the grant is required for a specific project:
Total amount required for project
What will the grant be used for? (e.g. running costs, equipment etc. )
....................................................................................................................................................
....................................................................................................................................................
....................................................................................................................................................
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If successful, please give bank details for payment (to be made by BACS):
Account name: ……………………………………………………………………………………………………………………..
SORT CODE Account number …………..………………………………………………………..
Signature of applicant ................................................ Date ................................
Please feel free to give any additional information in support of your application on a separate
sheet or with publicity material.
No
Yes
Grant a
pplication
Wisbech Town Council
Wisbech Town Council, Council Chamber, 1 North Brink, Wisbech, Cambridgeshire PE13 1JR
Tel: 01945 461333 email info@wisbechtowncouncil gov.uk Website: www.wisbechtowncouncil.gov.uk
Office hours 9.30am – 3pm Monday to Friday inclusive
General Data Protection Regulations Privacy Notice
To be s
igned and returned with your Grant Application: Consent to hold Contact
Information
• I agree that I have read and understand the Wisbech Town Council Privacy Notice.
• I agree by signing below that Wisbech Town Council may process my personal
information for providing information and corresponding with me.
• I agree that Wisbech Town Council can keep my contact information data for an
undisclosed time or until I request its removal.
• I have the right to request modification on the information that Wisbech Town Council
keep on record.
• I have the right to withdraw my consent and request that my details are removed
from the Wisbech Town Council database.
Name
Address
Telephone No.
Email Address
Signature
Date
For off
ice use only:
Date
Data
received
Date consent
received and
approved for data
to be held
Data
received as
Phone,
email, hard
copy or other
Data
approved to
be shared
with the
below
Removal of
consent
received
Date data
disposed of
and method
of disposal
actioned
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Wisbech Town Council pplication Grant a (Wisbech Town Council)

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Completed 7 February 2021

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