Al Noor Austell Foundation (NPO/ PBO Form)

Al Noor Austell Foundation (NPO/ PBO Form)

Name of Organisation/ Individual*

NPO / PBO Registration Number*

date of submission*

Section 21 Number (if applicable)

Date of establishment of organisation*

Physical address of the organisation*

Postal Address of organisation

website address of organisation

email address of organisation*

Organisation representitive*

Full name Position Landline Number Cell Number Email Address

Auditing company details*

Full name Position Landline Number Cell Number Email Address

Governing Board*

Chairperson Treasurer Board Member 1 Board Member 2 Board Member 3 Board member 4

Mission Statement

What is your organisation's main area of expertise

Summary of services offered / activities*

Amount of funding requested

The following additional documents are required*

NPO / PBO certificate Constitution Annual report Most recent audited financial statement Projected income and expenses for (Budget) Proof of Bank Account

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Application completed by:

Name: Designation: Telephone: Email: Date:

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