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Apply For Funding
Media Centre
Socio-economic Development Funding Online Application
TAKE NOTE: All the fields for this application must be completed in order to be considered.
Details of Your Organisation:
Organisation Name
Upload a history/background of your organisation on an official letterhead
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When and where was your organisation established?
Contact Details:
Street Address
Postal Address
Telephone Number
Fax Number
Email Address
Website Address
Contact Person
Banking Details:
Bank Name
Bank Branch
Branch Code
Account Type
Choose...
Saving Account
Checking Account
Money Market
Account Number
Name cheque to be made out to
Management/committee of your organisation:
List names, designations and contact numbers
Registration of organisation:
Select relevant options
Non-Profit Organisation – registered with the NPO Directorate
Public Benefit Organisation – registered with SARS for tax exemption
Section 21 Company – registered in terms of the Companies Act
Trust – registered with the Master of the High Court
None of the above
Upload proof of organisation registration including registration number
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Have you had funding from Lewis Group before?
If YES, how much and when?
Project Information
Name of project
Overall aim of the project
Who are the intended beneficiaries of this project
Racial breakdown of beneficiaries:
% Black
% Coloured
% Asian
% White
Gender breakdown of beneficiaries by number:
Male
Female
Number of beneficiaries donation will impact:
Black
Coloured
Asian
White
How will this project make a difference and how will it be measured?
Name of town or city closest to your project
In which region/province is your project
How many direct beneficiaries will this project benefit
How many indirect beneficiaries will this project benefit
Funding requested
Monetary
Products
Funding amount required
Upload a 1 page document describing a breakdown of how the funding will be allocated. Include the split between administrative expenses and the funding which will ultimately reach the intended recipient
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Amount/Details of products requested
How will the project be monitored and evaluated?
General Information
Please outline what is being done towards the sustainability of your organisation and/or projects
Are there any branding opportunities for the lewis Group
Which other donors have funded your projects in the past
General information to support your request
Additional supporting file
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Type the above number:
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