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JFKL Small Grant Programme Application Form: Category A & B

This 3 sentence summary provides the key details about the application form for the JFKL Small Grant Programme: The application form requests information for funding such as the project title and details, organization information, objectives, description, budget, and supporting documents. It collects contact information, dates, locations, expected outcomes, and PR plans for proposed projects. The form also includes sections for collaboration details, schedules, and banking information for financial disbursement if a project is selected for a grant.

Uploaded by

Watashiwa Ati
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© © All Rights Reserved
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
31 views

JFKL Small Grant Programme Application Form: Category A & B

This 3 sentence summary provides the key details about the application form for the JFKL Small Grant Programme: The application form requests information for funding such as the project title and details, organization information, objectives, description, budget, and supporting documents. It collects contact information, dates, locations, expected outcomes, and PR plans for proposed projects. The form also includes sections for collaboration details, schedules, and banking information for financial disbursement if a project is selected for a grant.

Uploaded by

Watashiwa Ati
Copyright
© © All Rights Reserved
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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For FY 2019

JFKL Small Grant Programme


Application Form

(Day) (Month (Year)


Date: / ) /

Note: This is the “Application Form.” Applicants should submit all of the supporting
documents listed in the “Programme Guidelines”.

1. Title of the Project:

2. Category of the Project:


Category A & B:

□ Performance □ Exhibition □ Film Screening


□ Conference/Workshop/Master-class □ Publication □ Other

Category C:

□ Conference □ Teacher Training □ Publication of Teaching Resources


□ Support for Resource Centre/ Library □ Other

3. Project Period:
(Day) (Month) (Year) (Day) (Month) (Year)
From / / To / /

4. Project Venue(s):

5. Organisation Information:

Name of Organisation

Name of Section Section (e.g. Faculty, Division etc.):


that conducts
the Project
Legal status
Registration number
Year of registration

Office address

1
Office number Tel: Fax:

Contact Person:
Name
Position
Contact
number
Fax
E-mail
address
Signature
___________________________________________

Project Director Company Stamp


Title
Name
Position
E-mail
address
Signature
___________________________________________

Bursar

Title
Name * If submitted by email,
please scan this page with
Position the original signatures and
E-mail company stamp. The
original copy of the
address application form is required
Signature to be sent to JFKL
thereafter.
___________________________________________
*The Project Director and the Bursar must be two different individuals.

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6. Organisation Background:

* For private organisation, please submit the registration certificate and recent audited financial report.

7. Objectives of the Project:


Please state how your project can contribute to the objective of the grant.

8. Project Description:
Please clarify how you will achieve the expected outcome described below through the proposed
project.

* Please submit the supporting documents with detailed descriptions of the project, as stated in the

3
“Application Instruction”.

9. Major Collaborators / Collaborating Institutions:


Country, Name of Institutions / Roles

* Please submit the supporting documents (i.e. letters from major Collaborators / Collaborating
institutions) if possible, as stated in the “Programme Guideline”.

10. Proposed Schedule:


Please use a separate sheet if the space provided below is not enough.
Date Activities Project Site or Venues

11. Expected outcome:


Please state how the project can contribute to the larger audience/participants and public.

4
12. Public relation (PR) plan for the project:

** Checklist for Ticketing Events

Ticket price / Number of Will you apply for visa for the artist
Participation fees estimated audience and permit for performance?

______ people □ Yes.


Adult RM_______
x ______ □ No, because:
Concessions
performance ________________________________________
RM_______
= ______ total _______

13. Supporting Documents:


(Please attach and check)

 Eligibility check list


 Detailed Project Proposal (including a report of past similar project, if any)
 Information on the applicant’s organisation
 Organisation registration certificate
 Profile or biography of guest/collaborator (artist, researcher, collaborating institution, etc.)
 Agreement with the guest/collaborator (in the form of letter, email or contract
 Quotations as per request in the budget proposal

5
14. Budget Proposal (in Ringgit Malaysia):
Currency:
Budget Proposal Break Down of Cost Sharing
Breakdown Cost Coverage and in kind support
Items Specification Total Applicant’s own Other Funding Grant from
e.g. ＠×day×persons, etc. expenses Sources JFKL

(1) Honorarium

(2) Per diem

Route, Class
（3）Transportation

a.
International
Transportation

b.
Domestic Transportation
(Within Malaysia)

(4) Accommodation

(5) Publicity copies ×RM

(6) Rental Fees for Venue and


Equipment

(7) Report/Printing copies × RM

(8) ) Fee for VISA and permit

(9) Others

　Grand Total

* All budget items for the project, including those covered by applicant and other funding sources, should be included in “Total Project Cost”.

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15. Bank Account:

Bank Name

Branch Name

Address
Account
number /
IBAN for 24
European
Bank Code
BIC / Swift Currency
Code for

Name of the
Account
Holder
Address of the
Account
Holder
* In case the name of the account holder differs from name of the applying organisation, a
letter of attorney which describes the reason of delegation is needed if JFKL decides to
award the grant.

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