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SIDA ENVIRONMEMTAL FUND
Application
for support
I.
Applicant of Organisation/Group
Name of
Organisation/Group………………………………………………………
Address……………………………………………………………………………..
Telephone
number…………………………..Fax
number…………………………
Bank
account
information…………………………………………………………..
Description
of Organisation/Group (objectives, authorities and
duties)…………..
Organisation/Groupcapacity
·
Personnel
capacity……………………………………………………………...
·
Financial capacity (e.g. annual budget provided by the
Government, annual revenue, annual turnover
etc)…………………………………………………...
Manager
of the Organisation/Group
·
Name:
…………………………………………………………………………..
·
Position:
………………………………………………………………………..
·
Address & telephone number:
…………………………………………………
·
General information (responsibility,
experience…)……………………………
II.
Co-implementing organisation
Name(s)
of
organistion……………………………………………………………
Address……………………………………………………………………………..
Telephone
number…………………………..Fax
number…………………………
Description
of organization ( personnel capacity, objective, duty,
professional
capacity)………………………………………………………………
III.
Description of project
Project
title:…………………………………………………………………………
Location:……………………………………………………………………………
Time
development:…………………………………………………………………
Note:
SEF only support for project which has maximum duration is 12
months
Background
and justification ( general information of
location)…………………..
Analysis
and solution
Project
objective:
Detail
target of project:
Project
activities:
·
Activity 1: (Name of activities, expected outcome, indicator, activity
interpretation, expenditure…)
·
Activity 2:
·
Activity 3,4....:
Activities
summary
|
No
|
Activity
|
Expected
outcome
|
Beneficiary
|
Time/location
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Responsible
person
|
Expenditure
|
|
1
|
|
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|
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|
|
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2
|
|
|
|
|
|
|
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…
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Expected
result:
Sustainable
and expected follow – up:
Project
budget:
Estimated
budget
Unit:
VND
|
No
|
Activity
|
Quantity
|
Price/unit
|
Expense
|
SEF
resource
|
Other
resource/ contribution of community
|
|
1
|
Training to promote awareness
|
|
|
|
|
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2
|
Mass Media or Communication
|
|
|
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3
|
Forum, seminar, dialogue, visiting…
|
|
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4
|
Group development
|
|
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5
|
Building model
|
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6
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Project supervision & management
|
|
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7
|
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8
|
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9
|
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|
10
|
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|
|
|
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Total
expense
|
|
|
|
Total
budget required support in words:….
Total
contributed budget in words: …
Total
project budget in words:…
Budget
summary
|
No
|
Items
|
Expense
|
Reference number
|
SEF resource
|
Other resource/contribution of
community
|
|
1
|
Expert
|
|
|
|
|
|
2
|
Management, supervision
|
|
|
|
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3
|
Training, seminar, visiting
|
|
|
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4
|
Mass Media or Communication
|
|
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5
|
Group development
|
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6
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Materials
|
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7
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Other
|
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Total expense
|
|
|
|
|
Total
budget required support in words:….
Total
contributed budget in words: …
Total
project budget in words:…
·
Sign
and seal of representative of organization/group
·
Sign,
seal and confirm of local government
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