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Please read before completing the form

This form is for charitable donation requests only. Please do not use it for requests for grants to be provided to healthcare professionals or healthcare organizations. Please note that any such requests are described in the Research section of the website.

Please complete the form and attach all requested supporting documents before submitting.

Charitable Donation Request Form

1. Applicant Information

1. Applicant Information

Head of organization

Head of organization

External contact person submitting the request:

External contact person submitting the request:

2. Request Details

2. Request Details

Type of Request

Bank account details

(This must be an account in the name of the body making the application and not an individual)

Bank account details

(This must be an account in the name of the body making the application and not an individual)

3. Project General Details

3. Project General Details

Location & venue

Location & venue

Targeted beneficiaries
Is the applicant a Government Official or Government and Politically-Affiliated Entity? If “Yes”, please provide full details.
Will any Government Official or Government and Politically-Affiliated Entity benefit from the sponsorship/donation, directly or indirectly? If “Yes”, please provide full details.
Will any Healthcare Professional and/or Organization benefit from the sponsorship/donation, directly or indirectly? If “Yes”, please provide full details.
Does the applicant or the applicant’s employee have any business or business-related decision pending (e.g., a contract, application, tender, approval, license, permit, etc.) with Getinge? If “Yes”, please provide full details.
Are you aware of any Getinge competitor or supplier sponsoring/donating to the project? If “Yes”, please provide full details.

4. Previous Donation Support

4. Previous Donation Support

Has your organization already applied for or received funding from Getinge before?

5. Remarks

5. Remarks

6. Supporting Documents

6. Supporting Documents

Please attach the following supporting documents to this form:

  • A copy of most up-to-date draft program / project description, agenda / plan or communication material related to the Project
  • A copy or proof that the organization is eligible / qualified to receive donations.
  • A draft budget laying out how the funds will be spent

Please attach the following supporting documents to this form:

  • A copy of most up-to-date draft program / project description, agenda / plan or communication material related to the Project
  • A copy or proof that the organization is eligible / qualified to receive donations.
  • A draft budget laying out how the funds will be spent

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