Acceptance Form - Active Kent & Medway Funding

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Acceptance Form – Active Kent & Medway Funding

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PLEASE COMPLETE ALL SECTIONS OF THIS FORM

Please note in order to submit this form you will be required to upload a recent bank statement within the accounts section below.

Organisation Information

Organisation Name:(Required)

Organisation Address:(Required)

Contact Name:(Required)

Position in Organisation:(Required)
i.e. Chairperson, Treasurer, Safeguarding Lead.....

Contact Email Address:

Contact Phone Number:(Required)

Project Information

Project Name:(Required)

Please confirm the funding amount as stated on your funding award email:(Required)

Anticipated project commencement date:(Required)

Anticipated project completion date (or date by which the funding will be spent):(Required)

Financial Information

Please provide the bank / building society details for the account you would like Active Kent & Medway (Kent County Council) to transfer the funds. Please note funds will be transferred to the club or organisation who submitted the application, not to an individuals account.

Bank / Building Society Account Name:(Required)

Bank / Building Society Sort Code:(Required)

Bank / Building Society Account Number:(Required)

Roll Number (Building Societies Only):

Please submit a recent bank statement showing the club/organisation name, address and bank details (dated from within the last three months):(Required)
Please note we do not require a list of transactions.
Max. file size: 5 MB.

Declaration

Please tick the checkboxes below to confirm you accept the funding award and have read and agree to the grants Conditions of Funding.(Required)
I/We accept the funding offer for the project(s) specified above and agree to fulfil the conditions of the grant and I confirm that, to the best of my knowledge, the information in this form is true and correct and that I have the authority to submit the form on behalf of the organisation named.
I/We confirm that we have read and agree to the grants Conditions of Funding.

Active Kent & Medway is committed to protecting your privacy. For details on how your data is managed, contact activekent@kent.gov.uk or review our privacy notice: https://activekent.org/about-us/privacy-notice/

Lucy Rout

Funding and Projects Officer

Tel: 03000 414734
Email: lucy.rout@kent.gov.uk
"I love walking my dog in the beautiful Kent countryside; visiting places I've never been before and making memories with my family."