Application Form

Part A: Project Details [cite: 4]
Community Development [cite: 6]
Education & Youth Empowerment [cite: 8]
Healthcare [cite: 8]
Gauteng [cite: 10]
Mpumalanga [cite: 11]
Limpopo [cite: 11]
Free State [cite: 13]
Eastern Cape [cite: 14]
eSwatini [cite: 14]
KZN [cite: 16]
Northern Cape [cite: 17, 22]
Western Cape [cite: 19, 23]
North West [cite: 20, 24]
Part B: Applicant's Details [cite: 25]

Required Attachments

Important: File uploads via this form may not be reliable. To ensure we receive your documents, please also manually email the files listed below to arishna@foundationltk.org.

  • CIPC registration as NPO/NGO. [cite: 27]
  • Certified ID copies of directors (not older than 3 months). [cite: 27]
  • Valid Tax Clearance Certificate (Tax Pin). [cite: 27]
  • Audited Financial Statements (last 3 years). [cite: 27]
  • Photos of the Operation/Facilities. [cite: 27]
  • Proof of authority to sign (e.g., Company Resolution). [cite: 48]
Part C: Required Support [cite: 31]
No. Description of Product/Service QTY Unit Cost Frequency/Year Total Cost/Year
Part D: Previous Funding [cite: 37]
No. Name of Funder Year Funds Received Amount Received
Part E: Legal Declaration [cite: 41]
Yes
No
Yes
No
Part F: Applicant Declaration [cite: 43]