4.2 Cultural Activity form

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Community Programs
Membership
Rep Corps
IMMS
Venue Hire
Media
Contact Us

Community Programs

Program 4: Cultural Support

4.2 Cultural Activity

This program provides up to $800 per financial year for IBN members to participate in Cultural Activities of their choice.

Applicant details

Full name of applicant(Required)

Date of Birth(Required)

DD slash MM slash YYYY

Gender(Required)

Male

Female

Language Group(Required)

Yinhawangka

Banyjima

Nyiyaparli

Current home address(Required)

Postcode

Phone

Email address

My address or other personal details have changed.

Please complete an ‘Update personal details’ form and attach it to your application.

Type of cultural activity

Items for purchase (NO CASH PAYMENTS)

For details on what expenses IBN will cover, please see the IBN 2022-23 Community Programs Handbook, or the IBN website www.ibngroup.com.au (Required)

List(Required)

Description of item

Name of supplier

Amount

Food and fuel – please tick your preferred payment method

Food voucher

Food card

Fuel voucher

Fuel card

Comments

Required Documents (please attach)

Supplier quotes or invoices including payment details
IBN ‘Update Personal Details’ form (if applicable).

Upload Documents

Drop files here or

Max. file size: 50 MB.

Declaration (Required)

I declare that the information I have provided in this form is true and correct and the benefits requested are for my own use.

Declaration(Required)

I agree that IBN may share my information with other organisations for application assessment purposes.

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CONTACT IBN

FREECALL: 1800 014 401 admin@ibngroup.com.au www.ibngroup.com.au

IBN Group acknowledges the the Yinhawangka, Banyjima and Nyiyaparli people as the traditional people in and around the Hamersley Ranges and custodians of the land.

Aboriginal and Torres Strait Islander peoples should be aware that this website and associated links may contain images, voices or names of people who have passed away.

IBN Group respects the community’s cultural protocols, and we acknowledge that images of IBN members, IBN children and IBN staff are featured throughout the website. If any image featured on our website needs to be removed for cultural purposes, please contact our Communications Officer on 9140 0900 or communications@ibngroup.com.au

Community Programs

Program 4: Cultural Support

4.2 Cultural Activity

Keep in touch

CONTACT IBN

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