Please set out why you are seeking financial assistance from Berkswell Charities CIO (Charitable Incorporated Organisation) and the donation sought?

1. Copy photographic identification 2. Evidence of income from all sources to include at the very least your last 3 months' pay slips, last 3 months bank statements and if self-employed your last set of accounts and tax return. Evidence of any savings in the United Kingdom or elsewhere 3. Evidence of any property owned in the United Kingdom or elsewhere 4. Evidence of any other assets 5. Evidence of any debts you may have 6. Evidence of your monthly outgoings 7. Evidence why financial assistance is sought from Berkswell Charities

Please ensure that the following documents are submitted with this application. Failure to supply sufficient documentary evidence in support will jeopardise your application and delay a decision. Can we have a drop/attach facility for people to attach the documents we ask for. Maybe at the end of the text we could say if you have not already submitted these documents earlier in this application form please attach them now. 1. Evidence of your regulatory body for example, the Charity Commission including where applicable, your Charity Commission Number 2. A copy of your constitution 3. Copies of your last three years’ accounts 4. A copy of your reserves policy 5. Details of any debts 6. Evidence of tenure: freehold or leasehold 7. Evidence of fixed assets 8. Detailed information in respect to the project to be funded supported by drawings, planning consents, evidence of due diligence being undertaken in respect to contractors 9. Information about the make-up of the Board, paid employees, and volunteers

Data Protection Statement: It is part of the Trustees’ responsibilities to ensure that applicants for donations are suitably qualified under the terms of the charity’s governing document. Trustees, therefore, need to investigate the personal circumstances of applicants. The Charity complies with the regulations for data security under the General Data Protection Regulations (GDPR). The data we collect has been classified as Sensitive Data under Article 9 of GDPR. We have strong procedures and policies in place to protect the collection and storage of this data. The personal data supplied on this form and other information will be held on file.

To process, monitor, analyse and report on the applications the Charities receive, they may need to record data as appropriate. The law says you must get your consent to do this. The Trustees, their legal advisors and auditors will treat everything you tell us confidentially. Berkswell Charities, therefore, requires your signature to proceed and consider your application. By signing and submitting this application you are: Giving consent to Berkswell Charities to record personal data and personal data contained in this application and use it for the purposes indicated. Confirming that you have received Berkswell Charities Privacy Notice and understand and agree with the contents. Declaring that you will use any award made for the purpose requested in this application and shall provide documentary evidence of this to the Trustees and in the event, you fail to do so the monies shall be returned to Berkswell Charities. Declaring that the information contained in this form reflects a true and accurate disclosure of all assets, liabilities, and facts. Any failure to disclose relevant information to the Trustees shall result in any Donation that may be made being recouped.