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Application For Mandatory & Discretionary Relief


Applicant Details

Your Name:

Your Address:

Telephone Number:

Your E-mail Address:


Business Details

Name of Charity / Club:

Head Office Address:

Telephone Number:

E-mail Address:

What is the Nature of Your Organisation: (What are the Objectives?)

Address You Are Claiming Relief For:

NNDR Reference Number:

Purpose for which the Address is Used:


Other Information Required
Are the premises Licensed?

Yes No

Is the Organisation a Registered Charity Under the Charities Act 1960:

Yes

Please State Registration Number or CSASC Registration Number:

 

No

Please Give Ground For Exemption:

If the Organisation is a Club, Please give the Following Information:

Classes of Membership and Numbers of Each:

Class
No of Members
Current Subscription
Restrictions to Membership (if any):

How is Membership Determined (e.g. By Committee Vote):

Do You Actively Encourage Membership from Particular Groups of the Community (e.g. Young People):

Yes

Please Give Details:

No

Are the Club Facilities Available to Non Members:

Yes

Please Give Details:

No

Do You Provide Any Education or Training:

Yes

Please Give Details:

No

Are You Affiliated to Any Local or National Organisation:

Yes

Please Give Details:

No

Do you Receive Any Financial Assistance From Any Other Organisation:

Yes

Please Give Details:

No

Please indicate which type of relief you are applying for:

Mandatory (Available Only to Registered Charities)

Discretionary (Available to Charities and Other Non Profit Making Organisations)