Acceptance Form - FANS Members Small Grant

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Acceptance Form – FANS Members Small Grant

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These details will not be saved anywhere or used for any purpose other than sending this one-off email

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.

All financial information submitted via this form will be deleted 30 days after payments are released.

FANS Member Name:(Required)

Address:(Required)

Parent/Guardian Name:(Required)

Parent/Guardian Email Address:

Parent/Guardian Phone Number:(Required)

Please provide the bank / building society details for the account you would like Active Kent & Medway (Kent County Council) to transfer the funds.

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

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 account holders 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:(Required)
I confirm that I have authorisation from the grant recipient to give the personal information above and it is true and correct.

At Active Kent & Medway, we’re committed to protecting and respecting your privacy and personal data. You can access our privacy notice on our website using the following address https://activekent.org/about-us/privacy-policy/small-grant-for-fans-members-privacy-notice/