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Grant Application Form
Part A: Fund Application Details
Application Date
Name of Organisation
Name of Authorised Person For Fund Application Signing
NRIC
Designation
Part B: Partner Details
We are a non-profit organisation, which is:
A society registered under the Societies Act 1966
A company limited by guarantee
We are a private limited company
Others, please specify:
Address
Postcode
Email
Contact Number
Malaysia +60
Brunei +673
Cambodia +855
Indonesia +62
Laos +856
Myanmar +95
Singapore +65
Thailand +66
Vietnam +84
Part C: Please Declare All Senior Management Of Your Company
Chief Executive Officer / Managing Director or equivalent
Chief Financial Officer or equivalent
Chief Operation Officer or equivalent
Part D: Project Details
Funding Purpose
Please specify your focus area:
Education
Environment
Health
Others, please specify:
Project Name
Amount Required (RM)
Project Duration
Start Date
Estimated Completion Date
Target Group
Children
Environment
Indigenous community
Persons with disabilities
Senior citizens
Women
Others, please specify:
Age of Target Group
Below 18
18 - 35
Above 35
Other Sponsors
Have you already received / are you seeking to secure additional funding from other sponsor(s) for the project aforementioned?
Yes
No
Thank You!
Your submission has been successfully sent. We will get back to you soon.
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