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Please submit a complete but concise application form. 


Note: Before pressing ‘submit’ ensure that all the points have been adequately filled in since only complete applications will be considered;additional information may be uploaded/submitted separately by sending an email to fundatien@kootje.org

The fund to which the application is addressed to

Background information applicant organisation (name, contact details, website). Make sure to enclose a copy of the registration certificate.

Name organisationyour full name
Websiteyour full name
language
Fileupload
cloud_uploadUpload your registration certificate

Applicant’s and/or contact person’s contact details (name, email address, telephone number). Make sure to enclose a copy ID.

Nameyour full name
Phone numberyour full name
Fileupload
cloud_uploadUpload your copy ID

About the project

1. Country, region and location where the project is to be set up.your full name
2. Project description in max. 100 words (objective, target group and planning).more details
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3. Amount requested, the specific purpose that it will be used for and the date for which it will be required.more details
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4. Bank details including IBAN and BIC/SWIFT. Make sure to enclose a copy of the most recent bank transcript of the organisation's account.more details
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Uploadupload
cloud_uploadUpload a copy of the most recent bank transcript
5. The envisaged date on which the project shall be self-reliant and the means by which this will be achieved.more details
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6. Contact details local partner should applicant be a Dutch organisation with a project abroadmore details
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7. Other organisations you applied to (foundations, corporations, public institutions)your full name
8. Type and amount of support expected from the local communitymore details
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9. Financial scheme: how you will cover the costs of the project in its totality.more details
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10. Form of reporting (substantive and financial) during the project to the fund concernedmore details
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Remaining remarksmore details
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