Good Faith Declarationform

Info

The declaration must be filled out, printed, signed and sent by e-mail to sc@scvan-fonden.dk

GOOD FAITH DECLARATION

Below you can fill out the form.

Good Faith Declaration Further to my, or the organisation I represent, being granted financial support from the S. C. Van Fonden, I inform and declare as follows:

Reference number of the grant *

Name *

CPR/CVR number *

E-mail address *

Granted financial support *

Preferred disbursement date *

Preferred disbursement month *

Preferred disbursement year *

Bank’s name *

Sorting code/reg. number *

Account number *

Afkrydsningsfelter *

I shall forthwith notify the S. C. Van Fonden, should the project be changed, delayed, or cancelled, should means be availed from other sources, by which the grant from the S. C. Van Fonden is rendered superfluous.

Afkrydsningsfelter *

I understand that the failure to do so may constitute a breach of law.

Afkrydsningsfelter *

Concerning culture projects: I understand that S.C. Van Fond must be credited with logo in communicating my project. Logos may be found on our website.

Afkrydsningsfelter *

I agree that S. C. Van Fonden may keep the personal information of this document for five years.