Donation Application Form - Capitec Foundation Trust
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6Donation Application Form
T +27 21 809 5900 F +27 21 880 2179
1 Quantum Street, Techno Park, Stellenbosch 7600
PO Box 12451, Die Boord, Stellenbosch 7613
Follow the steps below to complete your application
Name of the project/organisation applying for a donation:
Contact person who represents the project/organisation:
Contact numbers of person above:
Cell:
Fax:
Home:
Email:
Work:
Official use: (not to be completed by the applicant)
Date Received:
Reference Number:
Guidelines for completing this form
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Please answer all applicable questions. If a question is not applicable or relevant, please write “N/A”.
Please print clearly and use black ink. Incomplete forms will not be considered.
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Copies of all supporting documents (as set out below) must be submitted with this application form.
If you wish to give any additional information (not covered in this form), please do so on a separate sheet.
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Copies of the following supporting documents must be submitted. Mark each document included with an “X”
1. Project plan
2. List of the current board of directors and their professional affiliations
4. Copy of latest bank statement
5. Copy of registration certificate as non-profit organisation
6. Copy of latest audited financial statements, if (Pty) Ltd
7. SARS tax exemption – 18A cerificate
8. Copy of VAT registration certificate
9. Copy of SARS tax clearance certificate
Board of Trustees: C Fischer (Chairman), LJ Rose, L Moodley
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Registration Number: IT2097/2014
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