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I hereby verify that all the information submitted on the Grant Application and Financial Form is true to the best of my knowledge and belief and that there has been no material omission. I hereby agree to notify the Foundation in writing of any changes in facts or circumstances concerning my application or this financial statement.
____________________________
Date
____________________________
Signature of Applicant
Please mail or email a scan of this document to:
American Indonesian Cultural and Education Foundation
380 Lexington Avenue, Suite 4400
New York, NY 10168
Email: info@aicef.org
I hereby verify that all the information submitted on the Grant Application and Financial Form is true to the best of my knowledge and belief and that there has been no material omission. I hereby agree to notify the Foundation in writing of any changes in facts or circumstances concerning my application or this financial statement.
____________________________
Date
____________________________
Signature of Applicant
Please mail or email a scan of this document to:
American Indonesian Cultural and Education Foundation
380 Lexington Avenue, Suite 4400
New York, NY 10168
Email: info@aicef.org