Application for Assistance
Your Organization
Company Name: *
Address: *
Region: *
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Greater Accra
Eastern
Volta
Central
Ashanti
Western
Brong Ahafo
Northern
Upper West
Upper East
Telephone: *
Name of person who will oversee the project: *
Contact details for this person: *
Is your project a Ghana registered Charity?: *
Yes
No
If Yes, how is the government assisting you?:
From where does your present funding come?: *
Community:
church:
other:
Tution:
Sales / Services: