RSL QUEENSLAND CHARITABLE OBJECTS FUND (COF) APPLICATION FORM 2018/19. Request for use of Charitable Objects Funding:

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RSL QUEENSLAND CHARITABLE OBJECTS FUND (COF) APPLICATION FORM 2018/19 Request for use of Charitable Objects Funding: Please ensure that you have read the Charitable Objects Fund Guidelines prior to applying for funding. The decision tree attached may assist you in considering whether to apply for funding. Applicant entity - Sub Branch/District name: Contact Person Name: Phone: Email: ABN: Registered for GST? Yes / No Basis of Application: Related to provision of Veteran Welfare? Yes/ No Related to significant Commemorative Activity? Yes/ No Related to the Objects of the League? Yes/ No Please provide a description of the basis of the application and proposed use of funds and also outline how this expenditure meets the criteria set out in the Charitable Objects Fund Guidelines, sufficient to allow the District Committee to make an assessment and decision. Provide information below, or attach if necessary Funding Requested: Estimated date of activity/ expenditure: RSL QLD Charitable Objects Fund (COF) Application Form Page 1

Components of Expenditure Provide a summary below or attach further details 1. 2. 3. 4. 5. Cost Component Cost Supplier Total Cost Less Funding provided from other sources (Specify sources) Charitable Objects Funding applied for Other Funding Sought/ Obtained: This may include Sub Branch fundraising, co-contributions from veterans, donations, community groups, grants and/or DVA. Provide information below, or attach if necessary RSL QLD Charitable Objects Fund (COF) Application Form Page 2

In-Kind Support If In-Kind support is to be obtained, please provide information below, or attach if necessary 1. Nature of In Kind support Supplier/Provider 2. 3. Pending Applications: Please provide details of any other related projects for which funding or grants are pending and the extent of the grant sought. Additional information to provide with the Application: Letter of support from Sub Branch or District Latest Sub Branch financial statements Copy of latest Sub Branch bank statements Quotations from suppliers regarding the proposed expenditure Written confirmation from other parties as to any contribution to be provided Bank Account details for depositing funds: BSB/ Account Number/ Name RSL QLD Charitable Objects Fund (COF) Application Form Page 3

APPLICANT STATEMENT: I have read and understand the RSL QLD Charitable Objects Fund Guidelines. This application is made in accordance with the RSL QLD Charitable Objects Fund Guidelines, with the funding provided to: Enable the provision of welfare support to the veteran community; and/or To fund activities directly aligned to the Objects of the League, including significant commemorative activity I understand that the funds provided have been raised by RSL QLD for charitable purposes and must be: used responsibly in the provision of charitable services and activities; used for the purpose for which they advanced; and must be fully and completely acquitted and accounted for. I certify that all the information provided is current and correct, and I give permission to RSL QLD, the respective RSL District or its Agent to contact any persons or organisation in regard to this Application. I confirm that I do not have any Conflict of Interest in applying for this funding. Confirmed? Yes/ No Signed for and on behalf of the RSL Sub Branch or District Branch By Sub Branch or District President or Deputy President Name (Print) Signature Date By Applicant Contact Name (Print) Signature Date Please forward the Application and additional information to your RSL District Office for consideration. RSL QLD Charitable Objects Fund (COF) Application Form Page 4

DISTRICT OFFICE USE: ADMINISTRATIVE DETAILS District/Sub Branch: Applicant Contact: (Name) Phone Office: Mobile: Email: Tick as completed Approved by District Committee District Minutes attached Remittance made to Sub Branch Date Paid Supplier invoices/ documentation obtained from Sub Branch Information included in District Summary acquittal worksheet RSL QLD Charitable Objects Fund (COF) Application Form Page 5

Step 1: Decision Tree: Should we apply for funding from the RSL QLD Will the funding: Charitable Objects Fund? Enable the provision of welfare support to the veteran community; and/or Fund activities directly aligned to the Objects of the League, including significant commemorative activity; and Meet the criteria as set out in the Charitable Objects Fund Guidelines? If NO reconsider the application purpose If YES, proceed to: Step 2: Have we exhausted funding available from all other sources? If YES, proceed to: Step 3: Can we provide sufficient justification and documentation to show that the proposed activity and/or expenditure will meet the criteria set out in the Charitable Objects Fund Guidelines? If YES, proceed to: Step 4: Will the Sub Branch Committee support this application? If YES, proceed to apply for the Charitable Objects Funding, via the District Office RSL QLD Charitable Objects Fund (COF) Application Form Page 6