Author: Andrew

Nominees’ address:

Purpose for which help is needed:

Applicants Name

 

Nominee/Organisations Name:                            Registered Charity No:   

Nominees Age Range

Force Area :   

Position		

Contact No:  

Office Use Only
App No. 

Committee Members Present:

Total applied for         £ 

Committee comments

Office Use Only                         Meeting Date                                                                            Qualifiers met?       Yes       No               

2727

Quote 1 (attached)		

Quote 2 (attached)

Quote 3 (attached)

								

Total Awarded      £ 

Cheque No: 

Made payable to: 

Nominee informed of decision

How did you hear about the Charitable Trust?   

Date of Application:   

Signed:

Application Form

Completed forms to be returned to
Colette Knox at Merseyside Police Federation Charitable Trust, Malvern House, 13 Green Lane, L13 7DT                                                                                                                                                                 Email MPFCT@merseyside.polfed.org     Lotus Notes: FAO Colette via Federation Office      Fax: 0151 228 0973