Application to Establish a Patriotic Fund Individual Person/S As Trustee/S

Application to establish a patriotic fund – individual person/s as trustee/s

Section 33(2) Veterans Act 2005

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Please complete both pages, then sign this form

1.  Proposed name of patriotic fund

2.  Details of trustee/s

(if insufficient space please attach schedule)

Surname of trustee / Given names of trustee
Residential address / Postcode
Telephone number
Surname of trustee / Given names of trustee
Residential address / Postcode
Telephone number
Surname of trustee / Given names of trustee
Residential address / Postcode
Telephone number
Surname of trustee / Given names of trustee
Residential address / Postcode
Telephone number

3.  Please indicate the type of patriotic fund that will be established

Building fund / Welfare fund

4.  Please list the methods to be used for raising funds

5.  The objects and rules of the fund shall be those set out in the attached trust deed

6.  Bank institution details

Name of bank or deposit taking institution where the fund will open an account
Address
Telephone number

7.  Details of administrative officers of the fund (if any)

Name of secretary/
public officer / Daytime telephone number
Residential address
Name of treasurer / Daytime telephone number
Residential address

8.  Signature of trustee/s

We certify that we have been appointed as trustee/s and are authorised to make this application to establish the patriotic fund.

Signature / Date / / /
Signature / Date / / /
Signature / Date / / /
Signature / Date / / /

Consumer Affairs Victoria
GPO Box 4567, Melbourne 3001
Telephone: 1300 55 81 81
www.consumer.vic.gov.au

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