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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

Country, region and location where the project is to be set up.your full name
Brief project description (objective, target group and planning).more details
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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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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
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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Contact details local partner should applicant be a Dutch organisation with a project abroadmore details
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Other organisations you applied to (foundations, corporations, public institutions)your full name
Type and amount of support expected from the local communitymore details
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Financial scheme: how you will cover the costs of the project in its totality.more details
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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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