ANSÖKAN OM STIPENDIUM SK VELIAS MINNESFOND - BROTTNINGSFÖRENING - Förening:__________________________________________________________________ Telefon (dagtid):____________________________________________________________ Adress:___________________________________________________________________ Föreningstillhörighet:________________________________________________________ Motivering: (Bifoga informationsmaterial om sådant finns) _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ Ytterligare upplysningar som kan styrka ansökan: _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ Uppgiftslämnarens namn:____________________________________________________ Telefon (dagtid):___________________________________________________________ Adress:__________________________________________________________________ Föreningstillhörighet:_______________________________________________________ ANSÖKAN SKICKAS SENAST DEN 28 FEBRUARI: UPPLANDS IDROTTSFÖRBUND, Box 23062, 750 23 UPPSALA.
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