Donation Application Form - Capitec Foundation Trust Page 4

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6. Description of project/organisation (continues)
Has the project/organisation ever been formally evaluated by government, any external person, donor, funder, or any other development
organisation? (if yes, give details)
List the products/services supplied by the project/organisation.
Assets: current value
Description
Estimated rand value:
Total
7. Financials
Does the project/organisation have an active bank account?
Yes
No
Type of Account:
Cheque
Savings
Other
If Other Type of Account:
When Was the Bank Account opened?:
Name of Accountholder:
Name of Bank:
Branch Name:
Branch Number:
Account Number:
Attach a copy of a cancelled cheque
Names of account signatories (initials and surname)
Signature
8. Breakdown of funding required
Training discription
Estimated rand value:
Total
Board of Trustees: C Fischer (Chairman), LJ Rose, L Moodley
Page 4 of 6
Registration Number: IT2097/2014

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