By typing my name in the box below, I certify that the information on this form is correct.
I understand that if the information is not correct, then the Council may refuse to consider the application, require immediate repayment of any grant, cancel any other entitlement granted and/or enforce its rights.
Every applicant must use grant monies only for the purpose for which they are granted and account for them. If that is not done, any grant monies paid must be repaid to the Council on demand. If the actual cost of purchased equipment is lower than the initial quote, the difference must be repaid to the Council, or to their appointed internal or external auditors, on request. Proof-of-purchase must be forwarded to the Council.
I understand that the personal information collected in this application will be collected for the purpose of assessing grant applications in accordance with Kāpiti Coast District Council’s Privacy Policy and the Privacy Act 2020. Personal information about an individual will be redacted from Committee meeting agendas and reports, which are public. Information collected will not be used for any other purpose, except as required by law. You have the right to ask for a copy of any personal information we hold about you, and to ask for it to be corrected if you think it is wrong. If you would like to ask for a copy of your information, or to have it corrected, please contact us at privacy@kapiticoast.govt.nz or 04 296 4700. If this application includes personal information, I have obtained the consent of all persons concerned to provide it.
Please ensure you have read and understood this statement prior to submitting your application.