Grants - Genesis Tekapo Township Fund Grant Accountability - Online form

Please fill out this accountability form within one year of receiving a Genesis Tekapo Township Fund Grant.

The form is to be completed and returned before applying for any further grants.

Name of organisation (Required)
Contact person (Required)
Postal address (Required)
PO Box address
Phone (Required)
Email (Required)

Project name (Required)
Name of applicant (Required)
Location of project (Required)
Brief description of the project (Required)
Start date of project (Required)
Finish date of project (Required)

Amount received from Grant Fund (Required)
Please give details of how money was spent by providing a detailed breakdown of what the money was spent on (Required) Alternatively you can attach this information in the 'Supporting' Details section.
A brief description of the benefits that have been achieved with these funds? (Required)

1. Name Signing authority (Required)
1. Position in organisation / title Signing authority (Required)
1. Date Signing authority (Required)
2. Name Signing authority (Required)
2. Position in organisation / title Signing authority (Required)
2. Date Signing authority (Required)

Supporting documents

Please provide copies of the following documents:

Receipts of purchases made using Genesis Tekapo Township Fund Grant funding, and/or
Bank account statements showing where the money was spent,
Any other supporting documentation

Please upload in either PDF, PNG or JPG formats.


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