Create See Here Report Form

Fields with * are required.

1. Page 1

Name of recipient/company *

Email for acknowledgement *

Application Number *

Applicant Unique Identifier Number *

Name of award recipient *

Amount of Culture Ireland award (Euro) *

Irish Tax ID or Charity Number *

Date/s event took place *

Event Location *

Name/s and organisation/s of visitors *

Describe response to event/production *

Outline activities/meetings which took place during visit, including productions seen *

Please give details of any proposed follow-up, including plans / timescale for presenting work seen or other likely opportunities for your company *

Please summarise what you feel the value of your visit was for you/your company *

Please include any other comments *

I confirm that funding was applied in accordance with the grant rules *

I confirm that invoices have not and will not be used in support of other reimbursements *

Signature *

Position *