Application for Grave Memorial Grant
Please print out, complete and mail
with supporting documentation
| Send to: |
Memorials Officer
ANZAC Day Commemoration Committee (Queensland) Inc.
PO Box 391
ASPLEY Q 4034 |
| Organization/
Applicant |
|
| Address |
|
| Postcode |
|
| Contact person and
position held |
|
| Phone |
|
| Fax |
|
| Description of
grant sought |
|
Amount claimed : $..........
(Grave Memorial Badge is free of charge, Plaques 50% subsidised)
Details of Deceased Veteran:
| Regimental
No. |
Navy/Army/RAAF
|
| Rank |
|
| Full name |
|
| Unit |
|
| Enclosures and Other Information |
Enc # |
| Next of kin approval for project |
|
| Copy of Discharge Certificate or Record of
Service |
|
| Copy of Death Certificate |
|
| Personal Inscription (Headstone/Lawn Cemetery plaque only) |
|
Declaration of any other subsidies applicable
to this project:
|
|
Does the veteran’s spouse receive a War
Widow’s Pension?
|
Yes/No |
|