Application for Grave Memorial Grant

Please print out, complete and mail with supporting documentation

Send to: Memorials Officer
ANZAC Day Commemoration Committee (Queensland) Inc.
PO Box 391
ASPLEY Q 4034
Organization/ Applicant  
Address


Postcode  
Contact person and position held  
Phone  
Fax  
Description of grant sought  

Amount claimed : $..........
(Grave Memorial Badge is free of charge, Plaques 50% subsidised)

Details of Deceased Veteran:

Regimental No.

Navy/Army/RAAF

Rank  
Full name  
Unit  

Enclosures and Other Information Enc #
Next of kin approval for project  
Copy of Discharge Certificate or Record of Service  
Copy of Death Certificate  
Personal Inscription (Headstone/Lawn Cemetery plaque only)

Declaration of any other subsidies applicable to this project:

Does the veteran’s spouse receive a War Widow’s Pension?

Yes/No

Signature:

Date:

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