Application For Non-Profit Organisation Funding

Application For Non-Profit Organisation Funding - 2011 Page 5

Signatories

Please indicate the names of persons that will be entitled to enter into written agreements on behalf of your

organisation.

Name and Surname

ID No

Position Portfolio

Telephone number, email

address and physical address

Only if you are not currently funded by the DSD or if your bank details have changed from your previous application,

please complete Schedule 5: Bas Form.

Provide the name of the firm or person responsible for the compilation of your organisation’s Financial Statements and

their contact details.

___________________________________________________________________________________

Please attach:



a copy of your organisation’s certified financial statements. (The appointed accounting officer is responsible for

preparing the financial statements of an organization and expressing an opinion on the financial statements.)



the past 3 month’s Bank Statements of your organisation.

Area Profile

Please complete below the table of area/s that your organisation will provide services in.

Magisterial District

City/Town/Community/Village

What are the area characteristics where your organisation will provide services (employment, facilities, taxi services etc)

___________________________________________________________________________________

Business Plan for Non-Profit Organisation Funding

Page 5

Application For Non-Profit Organisation Funding - 2011 Page 5