2 nr en nt et ed gu aon ry nay oe mgr es a AY ( ANONYMOUS HOPE FUND ANONYMOUS 0° FUND APPLICATION FORM Please print and fill out this application form Sean filled form and return to the following email address: submit@[Link] in 3 POF ar Word format, Note: Please attach as much pro! as possible corresponding to your eaute for the grant. application. Name (First Name, Middle Name, Last Name): Rita Akua Banehene Date of Birth:[ A] ¢ [Ol <](1 19 [8 16) Gender:[__][7] (PLEASE TICK) Nationality: = ee Au Wann Country of Residence __ C ce City/Town of Residence: oa ie al Email: (on. alluan a a see Tel: +a35244342256 Postal Address: VS = 13.6€ = 635 rig? Io type: Etewas THENTTy App ID number: Gua-cootista6-< Marital Status: Single Married |__| Separated [V7] (PLEASE TICK)i Divorced [| Others (ie) How did you hear about us? Word of mouth Social Media 7 (PLEASE TICK) TV/Radio fas: AHF Field Agent Field Agent's NO Hf married, number of Children and Dependents: Idwidren and Adependents Next of Kin:__Abeiam Jonna Kame Relationship of Next of Kin:_ M4. mee cf Hin ie my Segc cild Email Address of Next of Kin (if any): Telephone of Next of Kin:__ 143% 2e0 F295 \5% Postal Address of Next of Kin: ___ GS - 13 6 - 4635 Are you currently employed?| | 7 | (PLEASE TICK) », If currently employed, Name of Employer: Email Address of Employer (if any): Telephone of Employer:fete ema in nA AR We NAR RE RA ee gS Ace Postal Address of Employer: Are you affiliated to any humanitarian organization?|__| Name of Organization: Telephone of Organization: —_—— Postal Address of Organization: —— Website of Organization (if any): Have you benefited any Grant from us in the past? |__| ‘What are you applying for: Business Grant? (PLEASE TICK) Personal Relief Grant |_~ & 2 depending en ~ 2 &st m ‘ © aad Ne an uiog imu a ee ee te a stare Rsk ald 6 «sol a a in A abe. = & “er Via Sdkes| tn Sey oad: L wantWon to fontinue woth lis Key nas’ aco denne stor Hary shu dents Cronuany, aoris). oat g Short of fu Currentl udemnclosed + Theratoe TF need Sern hehe et funds te sgensev na chitd'c Gistotien at lest pt the beninning of his 4ecBury edu tod on (uniyee git kee H Cam Cure: om Mecacite evend dials Ce ale 15 gros old weeuld se comoluke her basic oduitetien on Wty Auguste, 20 an he would ba ei He Sonape J os we fe ect ved‘netomat hn eaten orm aha et at ei ne en vey pd age we Ys tng BUDGET Describe Proposal Budget hy Fires foe Sisk orboent ytas GHk bcco- 06 uso Sue) Hortat Geer fe Ron Ge? 420d: Gudio,eor oe Cusp B4S) Other oxpcatas (feeding gad Gatloneny: Absot Gitd T,000.00(uso He) Tre vert would he uted far ny dou ahter Once you research available grants and decide to apply, you might decide the application process is not a good fit for your skills and that you need some professional help. You would hire an experienced grant writer to research and write your startup business grant proposals. NOTE: No matter how you approach the grant application process, the rewards are there for small business owners, students and those in need of personal relief who put in time and energy to submit a complete and compelling proposal. The organization reserves the right to eliminate any proposal 7 application that doesn’t seem to satisfy its goals in the short or long run The entire application process is totally free of charge, though charges not exceeding (USD 10) may be required if application is filled in any language other than English or French or if you are accessing AHF grants in any of the sensitive regions required to pay application fees.ATTESTATION: | attest that all information provided in this application by me. Ska Akua GBananene (YOUR NAME) Is correct and daes not contain falsehood, or any words with intent to mislead. | also attest to use the funds, if disbursed to me solely for the purposes stated on this application form, and accept penalty if | go contrary. Rept Hn Auaust) 2°23: (Signature of Applicant) (Date) In the presence of Ath August 2023 (Signature of Witness) (Date) Name of Witness:_Abnam Jehan Kisame Telephone of Witness:__+2.33 2.60 $25 \53 Email of Witness: Abriam ihn 2005 GL = Cor