Grant Form

Step 1 de 5

Indicate the type of grant applicant

I accept that the application will not be complete if I do not provide a photocopy of the valid census certificate

Studies the grant is being requested for

Personal details of the applicant:

Name

Surname(s)

Age(Years)

National ID

Address

Postcode

City

I accept that the application will not be complete if I do not provide a photocopy of the National ID Document of the applicant and if applicable, of all the members of the family unit. In the case of common law couples, it is necessary to attach the updated document accrediting the common law couple

Contact information for the application

E-mail

Phone no.

Mobile phone

Step 2 de 5

Details of the last academic year undertaken:

Studies

Year

Centre

La Farga Foundation has awarded me a grant for the studies that I am requesting

NoYes

La Farga Foundation has awarded me a grant in the past for other studies

NoYes

I accept that the application will not be complete if I do not provide a photocopy of the results from the last academic year undertaken and/or the last studies completed

Academic information of the year that the grant is being requested for:

Studies

Year

Centre

Credits taken/Hours completed

Total amount of the course

Duration

Year taken

An official qualification is obtained with this course

NoYes

I accept that the application will not be complete if I do not provide a photocopy of the tuition fees that the grant is being requested for which lists the amount or pre-enrolment or letter of intent

Step 3 de 5

Account information:

Account holder

IBAN Code (4)

Bank Code (4)

Office Code (4)

Check digits (2)

Account number (10)

I accept that the application will not be complete if I do not provide a photocopy of the bank account

Step 4 de 5

Eligible members of the family unit:

Number of members

It isn’t necessary to re-enter the details of the person for whom the grant is being requested

Member 2

Familial Relationship

Name

Surname(s)

National ID

Age(Years)

Marital Status

Employment Status

Member 3

Familial Relationship

Name

Surname(s)

National ID

Age(Years)

Marital Status

Employment Status

Member 4

Familial Relationship

Name

Surname(s)

National ID

Age(Years)

Marital Status

Employment Status

Member 5

Familial Relationship

Name

Surname(s)

National ID

Age(Years)

Marital Status

Employment Status

Comments

I accept that the application will not be complete if I do not provide a photocopy of the 2022 income statement of all eligible members of the family unit

I accept that the application will not be complete if I do not provide a sworn statement in which the beneficiary certifies that they are not, nor will they be a beneficiary of any other tuition grant.

I accept that the application will not be complete if I do not provide a photocopy of the family book and/or any document that justifies the parental relationship

Step 5 de 5

Legal Conditions:

In accordance with the provisions of article 5 of Organic Law 15/1999 on personal data protection and article 18 of its Implementing Regulations, approved by Royal Decree 1720/2007, we inform you that, with your acceptance “I have read and accept the conditions”, you give your consent for all the personal data in this form and the attached documentation to be added to an automated file that La Farga Foundation is responsible for, and in order for them to be processed in order to manage your participation in the call for grants of La Farga Foundation. This data will not be disclosed to public or private natural and/or legal persons without your consent or if it is not permitted by law.

You can exercise the rights of access, rectification, cancellation, and opposition by contacting the fax number 938594654, or by postal mail addressed to La Farga Foundation, Colònia Lacambra, no number, 08508 Les Masies de Voltrgà

I have read and accept the conditions

I have read and accept the privacy policy

Foundation Grant