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Applicant Details:

Parent/Guardian Name:
Address

Child/Youth Details:

Child Name:

Funding Details:

Purpose of Funding (Tick applicable boxes):
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Letter from the school/institution
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Quotations or bills
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Any other supporting documentation:
Please give a brief description of your family background/makeup and why it would be a hardship for the family to pay the expenses applied for. (You do not have to go into a great deal of detail however, we are a Trust and we have to assure our donors that there is a genuine reason that we are allocating funds):