JBC Matrix Points Allocation Form

Entity Information

Centre/Group Name:
Director/Core Staff Member Name:

Transfer points

If you would like to transfer points to another JBI Affiliated Group or Centre of Excellence for an eligible JBC Matrix Activity please provide the following details:
Centre/Group Name :
Activity:
** Please note that if a Centre of Excellence has already received funding from JBI for an activity, either direct or in the form of reimbursement for travel to a Committee of Directors meeting, then transfer of points for that activity would not be eligible.

Division of points

If you wish to divide points amongst two or more JBI Entities for an eligible JBC Matrix Activity that has been conducted collaboratively, please provide the following details:
Activity:
Centre/Group Name 1: / Points:
Centre/Group Name 2: / Points:
Centre/Group Name 3: / Points:

Allocate points to a nominated partner

If you are an Affiliated Group that is aligned with a Centre of Excellence either formally or informally and would like to nominate your partner to receive points for all activities conducted by your Group please provide the following information:
Centre/Group Name :
Start Date for allocation:
End Date for allocation:
** Please note that if you wish to apply to become a JBI Centre of Excellence you will need to notify JBI of a change to this agreement in order to accrue points for your Group and meet the Centre of Excellence eligibility requirements (as outlined in the JBC Handbook).

Agreement

All parties must sign this agreement for points allocation to be accepted by JBI.
SIGNED for and on behalf of [ENTITY NAME] by an officer duly authorised to sign on its behalf: / )
)
)
) / ......
Name:
Position:
Date:
SIGNED for and on behalf of [ENTITY NAME] by an officer duly authorised to sign on its behalf: / )
)
)
) / ......
Name:
Position:
Date:
SIGNED for and on behalf of [ENTITY NAME] by an officer duly authorised to sign on its behalf: / )
)
)
) / ......
Name:
Position:
Date:

Office Use Only

Status of points allocation: / ☐ / Accepted / ☐ / Declined