School Technology Support - Ankamuthi Trusts

BENEFICIARY INFORMATION:

Application Date

Date of Birth

Full Name(Required)

Suffix

Junior

Senior

ADDRESS:

Address(Required)

Email(Required)

Phone(Required)

EDUCATION DETAILS:

School / Institution(Required)

Child’s Name(Required)

Child's Gender(Required)

Son

Daughter

Year / Grade(Required)

Date of Birth(Required)

FUNDS REQUESTED:

Supplier Name

Item(s) purchased

Laptop

Tablet

Software

Printer

Total funds requested

(capped at $500 per biological child)

REIMBURSEMENT OR PAYMENT DIRECT TO SUPPLIER?

Have you already paid the educational cost / fee?

Yes, provide receipt / bank statement / remittance showing the funds have been paid.

Attach receipt(Required)

Max. file size: 128 MB.

Attach Quote/ invoice detailing items purchased, amount charged, supplier contact details, payment details and ABN.(Required)

Max. file size: 128 MB.

Attach Confirmation of enrolment from the primary school or high school(Required)

Max. file size: 128 MB.

Attach Letter from the school confirming what technology required for school for the child(Required)

Max. file size: 128 MB.

Attach Birth certificate of child confirming you are the parent(Required)

Max. file size: 128 MB.

I am not eligible for benefits from any other funding source in relation to this account (e.g., another Trust, insurance company, government agency or employer).
Payment has not been claimed by another Registered Ankamuthi Beneficiary.
I understand that my application will be processed by the Trustee (Mutual Trust) within FIVE (5) business days once all required supporting documentation has been received.

Beneficiary Signature(Required)

NOTE: Please keep a record of your receipts as you may be asked to account for how these funds were spent as per the Ankamuthi Charitable Trust Deed.

Ankamuthi Trusts

Ankamuthi Trusts

School Technology Support Policy

Acknowledgement

TERMS & CONDITIONS

PRIVACY

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