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The Ernest Bailey Charity - Application for Financial Assistance

Contact details

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Please enter the name of your organisation
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Please include the organisation aims and objectives
Please enter your first name
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Please enter your house name and/or number
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Please enter name of village or town
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About the organisation or individual

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What funds are you applying for?

Please indicate the purpose for which the grant will be used
Please indicate when the project will start
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Project costs

Detailed estimates / breakdown of costs should be provided if possible.
Please provide a breakdown of project costs / estimates
Please enter how much has been raised to date
Please enter balance amount
Please enter your grant amount request
Please provide details of other possible sources of finance
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Impact of grant aid

The personal information that you provide to us (Derbyshire Dales District Council) will only be used for the purpose of delivering the service you have requested. Further information on how we process your personal information can be found on our website.


Town Hall, Bank Road
Matlock, Derbyshire DE4 3NN
01629 761 392
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