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)

Designation

Name of Organisation

Contact Number

E-mail Address

Mailing Address

Name of Payee for Grant Cheque

By providing the information set out in this form, I/we agree and consent to Lions Community Service Foundation (Singapore), as well as its representatives and agents (collectively, “LCSF”) collecting, using, disclosing and sharing amongst themselves my/our personal data provided above as well as in the records of LCSF from time to time, and disclosing such personal data to LCSF’s authorised service providers, and relevant third parties for purposes reasonably required by LCSF for donation-related and communication purposes. Such purposes are set out in a Data Protection Policy, which is accessible at https://lcsf.org.sg/privacy-policy-2/ or available on request and which I/we confirm I/we have read and understood.