GRANT APPLICATION FORM
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Reference Number |
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NAME
ADDRESS
Tel: Email:
IF APPLICATION IS MADE ON BEHALF OF A GROUP, GIVE ITS NAME AND YOUR OFFICE IN IT
TITLE OF PROJECT
DIRECTOR OF PROJECT (if not the applicant)
Fill in one or more of sections A, B and C, according to the nature of the work - continue on a separate sheet if necessary
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A. DETAILS OF FIELDWORK, EXCAVATION AND/OR DOCUMENTARY RESEARCH
STARTING DATE DURATION OF PROJECT
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B. DETAILS OF PROCESSING WORK
STARTING DATE DURATION OF WORK
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PLANS FOR PUBLICATION ARISING FROM A OR B
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C. DETAILS OF PROPOSED PUBLICATION
AUTHOR(S)
TITLE
LENGTH ILLUSTRATIONS
SUMMARY - enclosed/forthcoming (delete as appropriate)
REASONS
STARTING DATE DURATION OF WORK
continued overleaf
EXPENDITURE FOR WHICH A GRANT IS SOUGHT (give details of the total cost of the project , including VAT, and the amount requested from the Society below):
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Cost (including VAT) |
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Preliminaries |
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Equipment |
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Fees |
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Specialist Reports |
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Other |
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Publication |
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Total Cost |
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Grant Requested |
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FUNDS SOUGHT FROM OTHER SOURCES
NAMES AND ADDRESSES OF TWO REFEREES WHO HAVE KNOWLEDGE OF YOUR WORK
A PROJECT DESIGN SHOULD BE ATTACHED ON A SEPARATE SHEET WITH ANY OTHER INFORMATION YOU WISH TO GIVE TO SUPPORT YOUR APPLICATION
Date Signed
If you require help completing this form, please write to the Secretary at the address below
Please return the completed application form to:
Secretary, Research Committee
Castle Arch
Tel: 01483 532454
Email: info@surreyarchaeology.org.uk
Company registration no: 1160052
Registered charity no: 272098
Revised July 2009
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Authority |
Accept/Reject |
Amount Awarded |
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Date Awarded |
Expiry Date |
Conditions |
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