Closing Date: \b Qckkr 2Cc.4

Corporate Community Investme~ ~oosion Unit.. . I ,. t ~ I"i \i" .- .......Commumty Services ;n: i2 :\:~;~ F HI is !..f

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~tf London Borough iiU" t 7 ,- IHf

~ of Hounslow U S£P" L~j

AREA COMMITTEE FUND APPLICATION FORM 2009f291~~--~ ~- .

Guidance notes

Please answer all questions as fully as possible, as applications are judged solely on the infonnationyou provide.

ORGANISATION DETAILS

Name ~d address °Y'°~ ~oup/organisation (& contact nam~& address if different):~d,r/'#c/ ~ £>(--~!t'k> l~kcW ej/!7 - '

Sri~G' S.S .;JfLt:Lw~/ ~N~I(c/.~~NI"d:b' rIV3-3u)t~~/'I~/hIkeI!:J - ¥~#ipy~ R~~PA.J ~~3'1- ~Q)-;~ Ify-e .~Jw 'rHq?fw. . -- .. - Thl: ~:l..o Sf) 7?.-~:%r

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Date organisation started: 1185-:tMf WM/4 'rLJ/h,/Jn'>14~~~ )E~ ed W'W~:J..

Is your organisation a registered charity?

Do you have a constitution?

):estNo

Yes/~

PROJECT DESCRIPTION

Pleasespecifyone criteriacategoryunderwhjchappli.cationsubmitted.(Referto the enclosed

list of qualifyingcriteria): .(/Jar t>;-ff~/5~ ~M aw ~a/ dii #fJ~foAq Nfu~.{ tt ;'(.L~ ~V/~ ~ adv/~~~~~7~~fL4u-d~~~A~~ ~

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Please indicate which area the proposed project/event will take place: (Seethe attached mapfor the

<;);rnrYJirfeeBoundaries). Tick the appropriate boxA" -- West Area Committee 0 D - Isleworth & Brentford Area Committee 0B - Central Hounslow Area Committee g/ E - ChiswickArea Committee 0C - Heston& CranfordAreaConmlittee0

Please give a full description ?fthe proposed event/project: ~ ~ ~ '-U:

(continue on a separate sheet If necessary) .e..,;-~ ~'c:.Jz ~ ~- -~

Z~iftlj;:1tL;~~'l;~~~0'j{vJ~~ ~o/ ~4- ~!uirvtUL- ~ of~ ~ ~ r~v/'f~ f~ ~U ~~~/fiJ ~~~fh-, ~ -~;; ~kY-,. &~ ~~<.M- (LU~ 0 ~&J¥-t.~~ 7V~k~ I:!~hb -A~ /L- ~h h~~4-l r:. .~ /lcv :r~.cf-:LJ W.Wc:iVv) <€We- VJ~ Jiy;tj~

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Please state the de~led timetable for planning the P!oposed project/event:~ CVtL--2

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Afe there any particular sections\of~e ~omm~ty who will benefit? wW w -e ~ et0 r tJ/ ~1~~ vi ~fv~ ik V.~&~ .

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Who (other than the contact name) will work on the proposed project?

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-If'~ c'..4:lf!j;;tlff-:a-f JlM't-~, ).1NhwnAA . /eL.;.£]1f'-I'1~ /1re.~ ~. IWl{ 7.JAJ..FIN~~IAL INFORMATION J

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INCOME

Do you have any other sources of income to fund this project?

If Yes, please give details:

Yes~

Income Source 7)RWa/~ 'L-~ M~ £~. jIncomeSource£.uC.h.1'~ ~ £

Income Source Mj Uj;,./du~ r ~ £

wiw 1t'-If5(~b-U/t ~/~~ ~t/tti/t!WtJt/Jr;)..rfNit ~ .~

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EXPENDITURE

What will be the total cost of this project?

£ I 3 (j)? ;::;. '.

Please give a breakdown of the costs for this project.

ITEM COST

£100)

i- 7~~ ~

1 ftJO --~r~

Z OD ,.-,

(eg. Printing

1'eJ~l~J<) /L~Li~rd-/~~ ~ I--Kr~J..<1AAJvvl-y ,.- .

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How do you intend to conti~ue to fund the project after the Council's,.grant ends? .'--

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tL-5 j 11-Ml?~ tJ- ~ w-JL ~ ~J ;lhy~ ~~ ~I rWV--~.e .

Do you currently receive any funding from Hounslow Council? Ye~~

If yes, please describe wh~t is for

Amount £ f:&7J::::=---4 . Department~ 'l--t<~!lo..I'A:f ~'" Rf.

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Amount of funding requested from the Area Committee Fund (maximum £ 500:00)

£ .)crv~'

Date /1. Ct- ~'1.

clI)/f] f-! 7JHfI rrr

Position

Please return this form to:

Corporate Community Investment & Cohesion UnitCommunity ServicesLondon Borough of HounslowCivic CentreLampton RoadHounslow TW3 4DN

4