Grant and Loan Request

2013/2014

Please complete the entire form. Do not leave any section blank please note if a section is Not Applicable. Feel free to use and attach extra pages if they will make your application clearer. Return the completed application to the Development Bank. We share data with the Events Approval Team to make our life and yours simpler in the long run. It is required that you have a profile with them before you apply to us.

1. An introduction to your organization

Name of organization Contact details of the person youve assigned to work with us
Copy from EAT form

2. Your grant/loan
You are applying for either a grant or a loan. A loan is a borrowing scheme that must be paid back. Use this for activities that will bring in money but require some money to start up. A grant is money we give to you without the expectation that youll pay us back. Small events that raise awareness are good candidates for one.

How much money are you requesting?

Copy from EAT form Please adjust the amount if necessary

What is this grant or loan for?

Note if funds are required urgently

Copy from EAT form Please add more detail (delete if N/A)

Who and what will benefit from this money and how?

Copy from EAT form Please add more detail (delete if N/A)

By when are the funds required? Grant or loan?

Copy from EAT form

3. Paying back your loan

Well only read this section if you are applying for a loan.
When will repayment start? How do you plan to repay the money cash credit card bank transfer? How will your repayment be structured? Indicate how many payments youll split the total up into.

4. Estimating your expenditures

Use this space to give us a more detailed idea of how you plan to spend this money.
Number of items

Item

Cost per item

Total cost

TOTAL

Additional Information Requested by NDB: 1) Costs above do not include: 2) Add as necessary

5. The agreement
Remember that by filling out this form, you agree to the conditions set by the Development Bank. This means: Providing proof for your spending by 1) submitting copies of receipts (after spending the loan/grant) 2) filling out the NDB section of the post-event report (at the end of the year) If you apply for a loan, paying it back on time!

Person who completed this form Signature Name Date The adult mentoring your group Signature Name Date A Development Bank member Signature Name Date

Thank you, and good luck we hope youll accomplish things you couldnt do before.

If you have any questions, please do not hesitate to email your NDB contact person. The NIST Development Bank developmentbank@nist.ac.th