Project name

    Total project cost

    Fund raised or to be raised for this project

    Grant required from LCSF

    Name & Number of Beneficiaries from this project

    Project objectives and how these objectives will be achieved

    Project Duration

    Date of completion

    Name of Lions Club/Clubs supporting this project (or) Name of organisation/individual

    Submitted By (Your Name)


    Name of Organisation

    Contact Number

    E-mail Address

    Mailing Address

    Name of Payee for Grant Cheque