Requests for Support Form

Project Submission Form

This protocol concerns the submission of projects and use of donations.

Section 1: Applying Organisation
Organisation
Name of the organisation / Company name*
Please fill in
Tax status*
Department / Service*
Please fill in
Address*

Address 1

Address 2

Town/CityState/Province/Canton

Postal/Zip CodeCountry
Web link
Give the URL
Bank*
Specify the bank name
IBAN*
Enter the IBAN (2 letters followed by a maximum of 31 letters or numbers) - complete with xxxxxxxx if necessary
Identity of the applicant / project manager
First Name, Last Name*

First NameLast Name
Title*
Please fill in
Phone Number*

Country codeArea CodeNumber
Email Address*
example@example.com
Contact Person
Same as the applicant?
If "No", please fill in below
First Name, Last Name*

First Name Last Name
Title*
Please fill in
Phone Number*

Country CodeArea CodeNumber
Email Address*
example@example.com
Sources that led to contact CARIGEST SA*

0/300

Section 2: Project
Project Title*
Designation of the project's charitable area*

Research to identify the mechanisms of diseases (particularly degenerative, tumoral, infectious, or mental).The development of new diagnostic and therapeutic strategies for the treatment of these conditions.Helping people with health problems due to these diseases, by taking charge of activities to improve their living conditions.Supervision and support of activities for the elderly or the disabled.Training and development of particularly motivated young people.Encouragement of organisations with particular abilities in the field of music, with the aim of creating, scheduling and hosting high-level concerts, as well as training and encouraging young talent on the professional path.Very specific campaigns to monitor and preserve the environment.
Current situation and specific needs*

0/350
Project definition and objective*

0/1100
Conditions for implementation and anticipated project duration*

0/350
Anticipated project start date*

DayMonthYear
Date
Anticipated period of use (start)*

DayMonthYear
Date
Anticipated period of use (end)*

DayMonthYear
Date

Section 3: Financing
Total project cost*
Figures only
Currency*
Please Select
List of budget Items*

0/350
Sources of funding already obtained (amounts and names of partners)*

0/600
Financing still to be obtained and applications in progress (amounts and names of partners)*

0/350
Total amount requested from CARIGEST SA*
Figures Only
Currency*
Please select
Anticipated use of the amount requested*

0/300
Comments

0/500

Section 4: Organisation and references
Previous success stories*

0/600
Collaborations carried out*

0/600
Recent publications*

0/600
Your charters, certifications and/or ZEWO label or other attesting to best practices (information in a few lines, full documents to be attached)

0/300
Your conditions for accepting a donation if applicable (information in a few lines, full documents to be attached)

0/300

Section 6: Finalisation and transmission of attachments
Uploading attachments

Please use the SwissTransfer platform and paste the sharing link in the field below.
SwissTransfer link
Paste your share link here
When you click on "Send" you submit the completed form and give us access to the uploaded attachments.

You will receive a copy of the form in PDF format by email to be printed, signed and returned to us, without the attachments, by post to:

CARIGEST SA, Case Postale 321, Rue de l'Athénée 24, 1211 Geneva 12, Switzerland
Privacy Policy*
Location*
Location
Date*

DayMonthYear
Date
Signature (sign the paper version)
Should be Empty:

Project Submission Form