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Website: www.ccc.govt.nz         Email: communitygrants@ccc.govt.nz         Phone: (03) 941 8999

Community Organisation Registration Form

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(As per legal name or name on bank account)



















(Maximum of three sentences)

(List the types of projects and activities undertaken including those not funded by Council)

(List any government departments your organisation has approved provider status with e.g CYFS, Ministry of Justice)

(e.g. Canterbury Youth Workers Collective, Sports Canterbury, Museum Aotearoa, Volunteering Canterbury  )

dd/mm/yyyy



dd/mm/yyyy

$
(including savings and investments)

$
(e.g. capital purchases, salaries, building maintenance)

List the year, amount, purpose and fund e.g 2013/14 - $7,000 (Wages) SCF


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Website: www.ccc.govt.nz      Email: communitygrants@ccc.govt.nz      Phone: (03) 941 8999

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