Title............First Name(s) .....................................................Surname .....................................................

Address ...............................................................................
 
                 .........................................................................................................

            ..............................................................................

            ................................................................................     Post Code ........................

Tel. No.(day/evening) ...................................................mobile..........................................

email.......................................................

Any other Contact information...........................................................................................
 
 
 

3.  What is your Project Proposal?

 
 
 
 

4.  Where will this Project take place.

 
 

5.  What is your estimate of the costs for the Project?

Please include quotes/estimates from the relevant tradespersons.
 
 
 
 
 

6.  What is the expected timescale of the project.

Start Date: .....................................        Completion Date: .........................................
 
 

7.  Is there any other information that you would like to give?

 
 
 
 

Declaration I confirm that the information in this application is to the best of my knowledge and belief  accurate. If this application is successful, I understand that the applicant will be bound to use the grant for the purposes specified in the application. Name: ................................................................................... Signature: .............................................................................. Date:............................................................

Please make a copy of this form for your own records and then return to:

Tom Dean
Cockburnspath & Cove Community Council
14, Hoprig Park
Cockburnspath
TD13 5YY

Tel: 01368 830 429

Note to applicant: In order to process the application in the minimum time, please provide as much
information about the proposal as possible, including quotes and estimates from relevant tradespersons 
where available.