NLSA - Community Publishing Grant Application Form

Fisrt name:

Surname:

ID Number:

Email:

Cell No.

Landline No.

Province:

Municipality:

Physical address:

Title of the intended publication:

Genre:

If a group is applying for the grant, please describe the nature of the group:

Please list the names of each group member and state their involvement:

Synopsis of the intended publication (maximum of 200 words)

Language of proposed publication

What is the audience targeted by the publication, i.e. who do you expect to buy or read it?

Format of publication (A4 or A5; portrait or landscape): A4 A5 Portrait Landscape

Number of pages of the manuscript:

Have you published a book before?: Yes No If yes, please give details of the book

Have you submitted an application to the National Library of South Africa for a publishing grant before? Yes No

If yes, was the application rejected? Yes No

If yes, are the submitted the same title? Yes No

How did you get to know about the Community Publishing Grant?

Give a brief plan on how you will market and sell your book. Please include an estimate of how long you think this will take:

Upload manuscript (PDF Format not more than 2mb)

I confirm that the information supplied by me in the completion of this form is true and accurate.