Brian Murtagh Charitable Trust
Supporting Children & Young Adults in the UK and around the world...

Application Form (Stage 2)

Brian Murtagh Charitable Trust (BMCT) Grant Application Form

  • Please read our Guidance Notes on the website carefully before completing this form to ensure that your charity is eligible and the activities for which you are seeking funding match our terms of reference.
  • Please ensure that all sections of this application form are fully completed and that you include all the relevant documents required for submitting an application (see guidance notes).
  • Please adhere to the word limits where they are stated.
  • Please follow the instructions at the end of the form.
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  • Fields marked with a red asterisk * are mandatory/required fields.
Date Received: Total Requested: BMCT Code:

Submission date: 9th November, 2024 @ 22:35

7. Bank Account Details:

Organisation Details:

Funding Request

Declaration - to be signed when printed

This declaration should be signed by the applicant.

I am an authorised representative of -Name of charity

To the best of my knowledge the information provided on this application form is correct.
If BMCT agrees to make a grant this will be used exclusively for the purposes described. If a significant change occurs that has a direct effect to the purpose of the funding I will inform BMCT immediately.

Thank You