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A1 *Charity Name
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A2 *Full Legal Name of Charity
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A3a *Charity/CIO Registration No.
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A3b *Year of registration
      
A4
*Are you a national charity?

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A5 *Main geographical area of activity
      
A6
*Please explain your charity's background plus its aims and objectives

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B1 *Contact name
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B2 *Position in charity
      
B3 Administrative address of charity *Address1:     ?
  Address2:    
  Town:    
  County:    
  *Postcode:    
B4 Operational address of charity Address1:     ?
  Address2:    
  Town:    
  County:    
  Postcode:    
B5 *Telephone number
        
B6 *Your email address
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B7 Website address
      
B8 *Cheque payable to
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C1 *Project Title
Maximum 100 characters including spaces
      
C2 *Project Summary
Maximum 1000 characters including spaces
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C3
*What is the timescale of the project and how do you plan to deliver it

Maximum 2000 characters including spaces
      
C4
*What are the specific benefits of the project

Maximum 2000 characters including spaces
      
C5 *Why is there a need and how have you identified it
Maximum 2000 characters including spaces
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C6 *How many needy Westminster residents do you anticipate benefiting from this project
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C7 *How many homeless persons in Westminster will benefit
(If you do not deal specifically with homeless persons, please put N/A)
      
C8 *Who else is doing this in Westminster and how do you differ from them
Maximum 2000 characters including spaces
      
C9 *How will you monitor and evaluate the project
Maximum 2000 characters
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D1 *Please itemise the costs for this project
Item Amount
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D2 *Total
      
D3 What funding have you received for this project to date
Received from Amount
Government/local authority
National Lottery/community fund
Donations from business
Your own fundraising activities
Fees, rents, sales and charges
Loans
Your own resources
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D3a Please list confirmed grants from trusts for this project
Trust Amount
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D4 *Total received
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D5 *Total shortfall on the project
      
D6 *What is the total amount you would like from us
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D7
Outstanding applications

Names of Trusts Outcome date Amount
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D8
*If you do not receive all that you have applied for, how will you raise the shortfall

      
E1
*Total Income for the year

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E2
*Total Expenditure for the year

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E3
*Surplus for the year

Enter 0 here if you have entered a deficit figure.
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E4
*Deficit for the year

Enter 0 here if you have entered a surplus figure.
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E5 *Net Current Assets
Enter 0 here if you have entered a Net Current Liabilities figure.
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E6 *Net Current Liabilities
Enter 0 here if you have entered a Net Current Assets figure.
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E7 *Current Free Reserves
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E8 *Please explain fully your charity's Reserves Policy
Maximum 3000 characters including spaces
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F1 Please upload your latest audited annual accounts here
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F2 Please upload any supporting document here
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F3 Please upload any additional supporting document here
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