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Application for GM Duncan Bequest and Andrew Greenlees Trust

Your Name
Title
Your Address
Award applied for:
Applicant's Income
*Carers/Disability Allowances do not need be included in the application.
Earned Income
State Pension
Pension Credit
Work Pension
Universal Credit
Working Tax Credit
Child Benefit
Child Tax Credit
Education Maintenance Allowance
Job Seekers Allowance – New Style
Job Seekers Allowance - Income Based
Job Seekers Allowance - Contribution Based
Employment Support Allowance – New Style
Employment Support Allowance – Income Based
Employment Support Allowance – Contribution Based
Income Support
Other Sources
Income of resident members of household other than applicant

The earnings of all resident members of the household must be shown; otherwise the application may be disqualified. Children’s details MUST be included.

Person 1
Person 2
Person 3
Person 4
Person 5
Data Protection Notice

The information you have supplied on this form will be used for the purpose for which you have provided it and any relevant procedures following from this.  A full privacy notice, which provides information about your rights under data protection legislation and details about what will happen to your personal data, can be found on our website at /privacy/gm-duncan-bequest-and-andrew-greenlees-trust or can be obtained by contacting us using the details provided. 

Declaration

I confirm that, as far as I know, the information I have given on this form is correct and complete. 

Please type your name
Customer Survey
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