Page 1

*

Group Details:

Required - Required.

Name of group or organisation:

NIC / HMRC number:

Telephone number:

Email address:

Website:

*

Registered address including postcode

Required - Required.

*

Date group was established

Required - Required.

*

*

Number of members

Required - Required.

*

Is the group insured?

Required - Required.

Yes

No

*

Is the group constituted?

Required - Required.

Yes

No

*

Is the group part of a larger organisation?
If yes please include full name and website in the box below.

Required - Required.

Yes

No

Full Name and Website

This is required

*

Date of most recent AGM

Required - Required.

*

*

Number of committee members

Required - Required.

*

Group Age Demographic

Required - Required.

*

Groups aims and objectives
(Max 300 words)

Required - Required.