Sdn Partnership Funding Application Form

SDN PARTNERSHIP FUNDING APPLICATION FORM

Please submit completed application form to .

1 Name of Organisation
2 ACRA/UEN/ROS/COC number (if applicable)
3 Contact Person
Name:
Designation:
Contact Number:
Email Address:
4 Title of Event
5 Details of Event
Date:
Start Time:
End Time:
Venue:
Expected no. of participants (actual funding amount will be pro-rated according to the actual attendance unless stated otherwise):
Cost of event to participants, if any (The amount will be deducted from the total budget):
Outline of event /programme (Please include i) the programme and facilitation details and ii) how the event/workshop meets the desired outcomes and guidelines):
6 Budget Breakdown
S/No. / Item / Quantity / Unit Cost (w GST) / Total Cost
(w GST)
1
2
3
4
5
6
7
8
9
10
Total (including GST)
7 Sponsorships/Donations
Are there any other sponsorships, donations or funding for this event?
☐ Yes
☐ No
If you answered Yes, please list down:
______
8 Marketing and Publicity Plan
Please state how the event would be marketed and publicised to the targeted group.
9 Required documents
(A)Do ensure that the application form is sent together with the following documents:
☐ ACRA/UEN/ROS/COC form (if applicable)
☐ Original copy of the Direct Credit Authorisation form (for first time applicants)
(B)Applicant will be able to provide the following document at least 5 working days before the event:

• Attendance list with participants’ full name, NRIC, contact number, D.O.B. and email address
• Publicity materials (if applicable)

(C)Applicant agrees to submit the following documents within 8 weeks after the end of the event:

• Event Report (includes attendance list, photos, participants’ feedback, etc)
• Stamped and signed ‘Certified true copies’ or the originals of all invoices/receipts required for disbursement

SDN reserves the right to withdraw or suspend funding in full or in part, or recover the disbursed funding in the event of the following:
(a) Wrong and/or misleading information is provided in the application form and/or supporting documents;
(b) Illegal or negligent acts that occur during any point of the funded programme or social interaction event, which have the potential to adversely affect the reputation of the Social Development Network, Ministry of Social and Family Development, any government bodies, public institutions, national leaders or any organisation/person;
(c) Proposed programme or social interaction event is changed significantly without prior written approval from MSF (SDN), and/or funding is used for purposes other than the approved events or activities; and
(d) Funding is used for purposes other than the approved programme or social interaction event.
10 Declaration & Undertaking by Organisation
I sincerely declare, to the best of my knowledge that the information stated and attached hereto at the time of making this declaration is true, and I undertake to abide by the requirements stated on this funding application form as well as on SDN Partnership Funding website.
Signature and Company Stamp: / Name:
Designation:
Date: