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William Lomis Cox Memorial Fund Scholarship 2024

This is a preview of the WL Cox Memorial Scholarship - 2024 Application Form form. When you’re ready to apply, click Fill Out Now to begin.

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1. Applicant Details(Not Applicable)
2. Parent(s) / Caregiver(s)(Not Applicable)
3. Education and Academic Information(Not Applicable)
4. Financial Information(Not Applicable)
5. Supporting Documents(Not Applicable)
6. Submitting your application(Not Applicable)

Applicant Details

* indicates a required field.

Applicant *

First name	Last name

Applicant Primary Address *

Address line 1

Address line 2

Suburb	Town/City	Postcode

Must be a New Zealand postcode.

Applicant Primary Phone Number *

Applicant Email Address *

Must be an email address.

Date of Birth *

Must be a date.

Upload certified copy of your Birth Certificate *

Attach a file:

Please provide a copy of your birth certificate. A certified copy is a photocopy that has been stamped or endorsed by a person who confirms that the copy is a true copy of the original document. This person could be one of the following: • Justice of the Peace • Solicitor of the High Court • Notary Public (there may be a cost) • Deputy Registrar at a court (not all courts will be able to certify copies) • Trustee from a Public Trust office

Is this your first year applying for a Scholarship from this Trust *

Response required.

Yes

Clear

If no, what previous years did you make an application and if so was a Scholarship awarded? *

William Lomis Cox Memorial Fund Scholarship 2024

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Applicant Details

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Grants Information: