You can also view a colour PDF version of Tool 9: Verification of proposed partner form
| VERIFICATION OF PROPOSED PARTNER FORM |
| Basic information |
| Name of partner |
|
| Working name (if applicable) |
|
| Principal address |
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| Website |
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| Main contact |
| Name |
|
| Telephone & email |
|
| Trustees |
| Name |
|
| Address |
|
| Name |
|
| Address |
|
| Name |
|
| Address |
|
| Senior management staff |
| Name |
|
| Position |
|
| Name |
|
| Position |
|
| Name |
|
| Position |
|
| Name |
|
| Position |
|
| Legal status and formation of partner organisation |
| Legal status (eg company, unincorporated association) |
|
| Type of governing document (attach copy) |
|
| Date established |
|
| Country |
|
| Charity registration (if applicable) |
|
| Relevant policy documents (attach) |
|
| Working language(s) |
|
| Brief description of partner’s objects & activities |
|
| Bank details |
| Name of bank |
|
| Sorting code |
|
| Partnerships with other organisations (if any) |
|
| Proposed partnership work |
| Outline of project |
|
| Technical and other skills necessary |
|
| Estimated overall cost |
|
| Estimated time scale |
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| External and other risks identified |
|
| Assurance |
| Summary of other due diligence checks carried out |
|
| Confirmed partner is complying with other regulatory requirements, where applicable (eg - accounts lodged on time; registration with relevant regulatory bodies) |
|
| Partner’s accounts examined |
| Year ending |
|
| Comments |
|
| Year ending |
|
| Comments |
|
| Year ending |
|
| Comments |
|
| Proscribed organisation & designated entity checks made |
| Date |
|
| Outcome (attach) |
|
| Partnership agreement signed (attached) |
| Date signed |
|
| Position of partner signatory |
|
| References taken up (attached) |
|
| Other ‘open source’ checks (details attached) |
|
| Overall conclusion as to suitability, including assessment of capacity to deliver project |
|
| Board approval given |
| Signature and date |
|
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