Sem 2, 2021 - New Clubs Emergency Funds Request Form

Support for Clubs who have been unable to establish a bank account due to Covid-19. When you are accessing the 2021 New Clubs Emergency Funds payment, the total amount will be deducted from Club Funding.

Name of Club

Name of Person Completing Form

First Name

Last Name

Position within Club

Email of Person Completing Form

Bank: Name of Account

Bank: BSB Number

Bank: Account Number

Description of Expenditure

Example: $50 digital e-card

I declare the above details are true to the very best of my knowledge, in all respects.

Have you sent receipts to sydney.saunda@nd.edu.au?

Sem 2, 2021 - New Clubs Emergency Funds Request Form

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