crf'-i ldemocraticservices.hounslow.gov.uk/documents/s63897/cranford l… · map for the...
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Name and address of your group/organisation (& contact name & address ifdifferent): _ _. {(::-crf'-i rdc-T'C f< AN' FOR D L f)}) I/;;-$ C; f<....c.yUP A- ~ . /-,[/1 c-;~f.1
(~ ~£R t~eL t:' y AV£NU~C QAN~DP-s:> Ml'vJl)l ~-l4 ~LA. Tel: o~zog89709b
Date organisation started: .r-r~~L'l ,Nf~12T7~
Is your organisation a registered charity?
Do you have a constitution?If applying for the first time, enclose copy constitution
Y;ۤ; No~
Yes/ ~~
Please specify only one criteria category under which application submitted, (Referto the enclosed list of qualifying criteria): rp1<-D:3g-c-I A- J-.-J D evL?1JJ$F6>R bi;:J?£~ 'I t9UN 0;. (/e-DPLB ~.-rc--.
/ -
Proposed date(s) of the project/event: L.AS T
J7PTyynB~1Z ;Le II
I Please indicate which area the proposed project/event will take place: (See the attached I (H 175 jt9N ~ C--~ A-N FDAS> ;&iL./3)1- Cz:rrnf1')r77oz;!
map for the Committee Boundaries). Tick the appropriate boxA - West Afea-eortilt1itt~e 0 0 - Islewert:h-&i3rerlffDretArea CommitteeB - Gentral HOUH&lew-Ar:ea..QQmmitte~ 0 E~swick1\lea CornmitreeCHeston & Cranford Area Committee [;Y-Approximately how many people will benefit from this project:
?;0
Please give a full description of the proposed event/project:(continue' on a separate sheet if necessary)
."--10
/J?e-
Sa-A-
~C~*N(S£ :Y~'tc)LD l-A''P) FS "70.~"' i~ g-~-
How do you know there is a need for this project? '0 U R. 1j-:) c;...-r .H L::;;"-
~lZ"c;:;u ~A' R yY) £PJ/'H ~ A L )'V11:7'&'T /1l- L 7)1 ~J11Em f3 ~_ L -A~ J e'S iZ"")<.f'12- -C5SE!:2J/h In fJ... DES 1 f!... L-
70 GO bUt AkD EAI)b °JH0YH-e:DU/f3J 'f~T~ f'Hel2.2
Please state the detailed timetable for planning the proposed project/event:"TJ1e -tR.l P tv 1L l 5;;4 ROT /,Lt/;-r l:T ynb"f>..J..! (N <7<..
., f( ~ /?-y ._/ It~" __17'1rrt? 1--I?" P ~). A I !.~s T/N A~i 'Drt+~ J-f. C. 0 M t-:: 4C ~ " J) f;::- .t~YZ::-)--t/».cJ4
Are there any particular sections of the community who will benefit?;11e (9 i~17£f2-- 1-/1» j ;:::-5 J<::J<- oM -) J-1 &
frl g)11 ~ t;~(J(f,.
I Will you market this project?
Who (other than the contact name) will work on the proposed project?[:;Xf7C-U-JlVe L~PJr TT2h-M~m~~
Do you have any other sources of income to fund this project?
If Yes, please give details:
}~No
Income Source £------------- ----------Income Source £ _
Income Source £ _
What will be the total cost of this project?£ 7 '-ID <;:Z- o{:/
Please give a detailed breakdown of the costs for this project.
ITEM
(eg. Printing/'" () ,~kD fr t-H H{/,-[.:..
&- cAZ L tJ)./ GJi
COST£100)
50 ~ :::z-- 6Db 1 '7 S-=-
Do you currently receive any funding from Hounslow councilor external sources?~No
,--£ j DD ;:;::2':-
Signed /J ·d~', gaVI.ofh ~
Print Name ---BtvttliR _llT k:Ytue 'Position C;PC- /?.tiL).,ryft zo~ 7
Date _
t!Jq N..P/-i /J LJ ~ 1
Please return this form to:Community Partnerships UnitCommunity ServicesLondon Borough of HounslowCivic CentreLampton RoadHounslow TW3 4DN