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We're experiencing issues with some devices that may prevent the submit button from working.

Workaround: Email your application to [email protected] and we'll submit it for you.

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HCI Grant Application Form

Organization Information

Organization Name: This field is required

Type of Organization: This field is required

Registration Number (if applicable): This field is required

Country of Incorporation: This field is required

Address of the Organization: This field is required

Website URL/Social Media This field is required

Contact Email: This field is required

Contact Phone: This field is required

Project Details

Project Title: This field is required

Project Description: This field is required

Type of Assistance Requested: This field is required

Amount Requested (USD):

Custom Amount (USD): This field is required

Method of Disbursement: This field is required

Name of Bank: This field is required

Bank/Mobile Money Account Number: This field is required

Name of Account Holder: This field is required

Upload any document that indicates your organization is registered/licensed to operate in your country.

Supporting Documents (Proof of Registration)-PDF, Max Size 4MB: File size must be under 4MB and in .pdf

We now require all our applicants to submit the documents below. They may include proposals, Identity documents of directors, projects, portfolios, business plans, Recommendation letters, Banks statements, financial statements etc. This documents support your case. A well documented application has a 90% chance of approval.

Additional Document 1:(pdf)

Additional Document 2:(pdf)

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