Basic Expedition Information

I confirm that I have taken into account the advice and instructions contained in the Notes for Guidance:

Participating Units:

Type of applying or sponsoring Unit:

Unit making Application (if different):

Regional RFCA of applying or sponsoring Unit:

Expedition name:

Activities (select all that apply):
---- Canoeing Caving Diving Gliding, Hang Gliding Mountaineering, Rock Climbing Parachuting, Parapenting Sailing Skiing Trekking, Exploring Other, Multi

Country & area:

Depart date:

Return date:

If applying less than 2 months before Depart Date, please explain the exceptional circumstances:

People Going

Number of people on expedition eligible for grant -

Reservists RN, RM, Army, RAuxAF, RAFVR(T):

University (URNU, UOTC, UAS, DTUS):

Reservists - Full Time (FTRS, ADC):

Cadets (CCF, Sea Cadets, ACF, ATC) under 16:

Cadets 16 to 18:

Cadets over 18:

Civilian Cadet Instructors:

Cadet Force Adult Volunteers (CFAV):

CCF only: how many eligible participants are -

Sea:

Army:

Air:

How many Adults are Armed Forces Veterans? (Include eligible Civilian Cadet Instructors and non-eligible Civilians):

As a result of taking part in this expedition - How many Cadets will gain a DofE qualification:

How many participants are dependants of members of the Armed Forces (serving or retired):

How many participants will gain an AT qualification:

Number of others on expedition (not eligible for grant) -

Civilians:

Regulars:

Total eligible:

Total not eligible:

Description of expedition:

Method of travel / Itinerary:

Accommodation:

Anything difficult or unusual. (Include any Environmental or Social action aspects):

Benefits to unit and participants:

Key success indicators/outcomes. How will you demonstrate and promote these for benefit of your unit & Ulysses Trust?:

Details of the expedition social media usernames & accounts:

Website address and login details (if available):

Is the Expedition part of the JSAT/ATG (A) Training Year?: Yes No

Does the expedition have a DEFRA Licence?: Yes No

Expenditure

Income Section below

Cost per head:

Cost per day:

Cost of expedition for everyone:

Give a detailed breakdown of the expedition's expenditure (in £GBP):

Travel:

Accommodation:

Food:

Other costs:

Other costs detail:

Balance:

Income

Enter the expedition's income (in £GBP):

Personal contributions:

Unit or MOD funds:

Charitable funds (inc Nuffield Trust):

Grants from Ulysses Trust:

Grants from Ulysses Trust (not included in income total):

Other income (including other grant applications):

Other income detail:

Income total:

Balance sought from Ulysses Trust:

NB: Balance sought should be the same as the grant from Ulysses Trust in Income section

Expedition Leader

Title, forename & surname:

Daytime phone:

Daytime email:

Alternative contact (role & name):

Alternative contact phone:

Alternative contact email:

Expedition leader's civilian employment (title & employer):

Expedition leader's role & rank in MOD:

Bank Details

Bank account name:

Bank address:

Account number:

Sort code: