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Signature Form

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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 (Print Name After Signature)



Please mail or email a scan of this document to:
American Indonesian Cultural and Education Foundation
521 5th Avenue, Suite 1700
New York, NY 10175

Email:
info@aicef.org
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American-Indonesian Cultural & Educational Foundation c/o AICC 
521 5th Avenue, Suite 1700, New York, NY 10175 
©2019 American-Indonesian Cultural & Educational Foundation Inc., All Rights Reserved 
  • Home
  • About
    • AICEF
    • Activities
  • Grants
    • Overseas Travel Grant/ Application Information
    • Cultural Grant/Application Information
    • 2019 Overseas Travel Grant Recipients
    • 2020 Overseas Travel Grant Recipients
    • 2021 Overseas Travel Grant Recipients
    • 2019 Cultural Grant Recipients
    • 2021 Cultural Grant Recipients
    • 2022 Overseas Travel Grant Recipients
    • 2022 Cultural Grant Recipients
  • Donate
  • Contact
  • AICEF Prize
    • 2022 Winners
    • 2021 Winners