aj:,~~~~r~~fi~~~... · please indicate which area the proposed project/event will take place: (see...
TRANSCRIPT
Closing Date: \b Qckkr 2Cc.4
Corporate Community Investme~ ~oosion Unit.. . I ,. t ~ I"i \i" .- .......Commumty Services ;n: i2 :\:~;~ F HI is !..f
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~tf London Borough iiU" t 7 ,- IHf
~ of Hounslow U S£P" L~j
AREA COMMITTEE FUND APPLICATION FORM 2009f291~~--~ ~- .
Guidance notes
Please answer all questions as fully as possible, as applications are judged solely on the infonnationyou provide.
ORGANISATION DETAILS
Name ~d address °Y'°~ ~oup/organisation (& contact nam~& address if different):~d,r/'#c/ ~ £>(--~!t'k> l~kcW ej/!7 - '
Sri~G' S.S .;JfLt:Lw~/ ~N~I(c/.~~NI"d:b' rIV3-3u)t~~/'I~/hIkeI!:J - ¥~#ipy~ R~~PA.J ~~3'1- ~Q)-;~ Ify-e .~Jw 'rHq?fw. . -- .. - Thl: ~:l..o Sf) 7?.-~:%r
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Date organisation started: 1185-:tMf WM/4 'rLJ/h,/Jn'>14~~~ )E~ ed W'W~:J..
Is your organisation a registered charity?
Do you have a constitution?
):estNo
Yes/~
PROJECT DESCRIPTION
Pleasespecifyone criteriacategoryunderwhjchappli.cationsubmitted.(Referto the enclosed
list of qualifyingcriteria): .(/Jar t>;-ff~/5~ ~M aw ~a/ dii #fJ~foAq Nfu~.{ tt ;'(.L~ ~V/~ ~ adv/~~~~~7~~fL4u-d~~~A~~ ~
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Please indicate which area the proposed project/event will take place: (Seethe attached mapfor the
<;);rnrYJirfeeBoundaries). Tick the appropriate boxA" -- West Area Committee 0 D - Isleworth & Brentford Area Committee 0B - Central Hounslow Area Committee g/ E - ChiswickArea Committee 0C - Heston& CranfordAreaConmlittee0
Please give a full description ?fthe proposed event/project: ~ ~ ~ '-U:
(continue on a separate sheet If necessary) .e..,;-~ ~'c:.Jz ~ ~- -~
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Please state the de~led timetable for planning the P!oposed project/event:~ CVtL--2
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Afe there any particular sections\of~e ~omm~ty who will benefit? wW w -e ~ et0 r tJ/ ~1~~ vi ~fv~ ik V.~&~ .
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Who (other than the contact name) will work on the proposed project?
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-If'~ c'..4:lf!j;;tlff-:a-f JlM't-~, ).1NhwnAA . /eL.;.£]1f'-I'1~ /1re.~ ~. IWl{ 7.JAJ..FIN~~IAL INFORMATION J
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INCOME
Do you have any other sources of income to fund this project?
If Yes, please give details:
Yes~
Income Source 7)RWa/~ 'L-~ M~ £~. jIncomeSource£.uC.h.1'~ ~ £
Income Source Mj Uj;,./du~ r ~ £
wiw 1t'-If5(~b-U/t ~/~~ ~t/tti/t!WtJt/Jr;)..rfNit ~ .~
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EXPENDITURE
What will be the total cost of this project?
£ I 3 (j)? ;::;. '.
Please give a breakdown of the costs for this project.
ITEM COST
£100)
i- 7~~ ~
1 ftJO --~r~
Z OD ,.-,
(eg. Printing
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How do you intend to conti~ue to fund the project after the Council's,.grant ends? .'--
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tL-5 j 11-Ml?~ tJ- ~ w-JL ~ ~J ;lhy~ ~~ ~I rWV--~.e .
Do you currently receive any funding from Hounslow Council? Ye~~
If yes, please describe wh~t is for
Amount £ f:&7J::::=---4 . Department~ 'l--t<~!lo..I'A:f ~'" Rf.
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Amount of funding requested from the Area Committee Fund (maximum £ 500:00)
£ .)crv~'
Date /1. Ct- ~'1.
clI)/f] f-! 7JHfI rrr
Position
Please return this form to:
Corporate Community Investment & Cohesion UnitCommunity ServicesLondon Borough of HounslowCivic CentreLampton RoadHounslow TW3 4DN
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