This is an agreement between H&F Giving and

Organisation Name *

Key Contact Name and Address of your Organisation

First Name *

Last Name *

Street(s) *

City *

Postcode *

For the grant amount of *

For the Ukrainian Support activity of *

I understand this grant may only be used for the activity. Any changes must be discussed and agreed in writing with Flora Taylor (Executive Director – Maternity Cover).*
Yes

I understand that when implementing this project, our organisation will check that requests are reasonable; and distribute funds in a way that’s effective and reduces risk of fraud. *
Yes

I understand that if H&F Giving discovers that false information has been supplied or if money has been misspent in any way, it reserves the right to reclaim or cancel the grant. *
Yes

I understand that the funding is to be spent by 20 January 2023 and a report to be submitted to H&F Giving by 25 January 2023 about the impact of this grant. *
Yes

Our organisation will keep records of all expenditure for H&F Giving. *
Yes

I understand that my organisation must acknowledge the funder (@hfgiving) such as by tagging on social media, and, where appropriate, use the logo (available on request) on any print or website public communications. This includes sharing any positive media. *
Yes

I understand that by accepting this grant, our organisation must not do anything which might bring H&F Giving into disrepute, and that H&F Giving reserves the right to reclaim or cancel a grant in such circumstances. *
Yes

Organisation Bank Details

Name and Address of Bank *

Account Name *

Account Number *

Sort Code *

Form Submission
Signed (Full Name)
Signed *

Contact Telephone (in case of queries only) *

Email *

I confirm I am the authorised person at the organisation to sign and submit*
Yes

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