Office Use Only
Grant Status
*
Please select
Complete
Incomplete
Approved
Declined
Type of Grant
Please select
Cultural
Registration/Licence Fees
Travel/Accommodation
Other Purposes
Meeting Date
-
Day
-
Month
Year
Date
Date Paid
-
Day
-
Month
Year
Date
Amount Approved
Reason Declined
DOCUMENT CHECKLIST
Do you have this information
*
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Group Information
Name of Group
Main Contact Details
*
First Name
Last Name
Committee Members
*
E-mail
*
Phone Day
-
Area Code
Phone Number
Mobile
*
-
Area Code
Phone Number
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Bank Account Details
This grant is to be paid to the group's account. Please make sure you enter the correct account number to avoid delays in payment
Group Bank Account Name
*
Bank account must be in the name of the group/organisation
Bank Account No.
*
Enter like this 00-0000-0000000-00.
Upload Group Bank Account Verification
*
BROWSE TO FILE
Cancel
of
Grant Purpose
Type of Grant Application?
*
Please select
Event (must be held in the BOP)
Other Purposes
Type of Grant?
*
Please select
Accommodation
Purchase of Uniforms
Registration Fees
Travel
Hosting an Event
Purchase of Equipment
Reason for Grant
Name of your Activity/Event
*
e.g. Kapahaka Tournament
Representation Level?
*
Please select
Community
National (NZ)
Regional
Activity/Event Start Date
*
-
Day
-
Month
Year
Date
Activity/Event End Date
*
-
Day
-
Month
Year
Date
Venue/Location
*
What are the costs?
*
Please enter the amount like $3,500
Upload Letter of Selection & Costs from Governing Agency
*
BROWSE TO FILE
Letter must be printed on organisation's letterhead
Cancel
of
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Declaration
Applicant Name
*
Type Name
Date Signed
*
-
Day
-
Month
Year
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