Roger
C
onnellan Award Acquittal
Full Name and Title:
2.Email Address:
example@example.com
3.Telephone:
4.Date of Award:
/
Month
/
Day
Year
Date
5.Course Results (attach if applicable) :
Public Acknowledgements (please attach screenshots or copies):
7.Summary of Activities:
8.Tell us how this grant has assisted you (this may be used to promote the work of the Trust)
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I have attached all invoices/receipts/licenses
I have attached a photo of myself
I confirm that the grant has been used for the purpose for which it was given, and any unspent funds have been refunded to the Connellan Airways Trust at the time of acquittal.
Signed:
Date
/
Month
/
Day
Year
Date
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