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