GRANT APPLICATION FORM
1. TITLE PAGE OF THE PROJECT
The subject of the Joint Contest in which the
application is submitted
Direction (nomination) of the Joint Contest
Name of the project
Name of the organization that submitted the
application (in accordance with the regulations
on the state list);
Name of the region (Region, City, district)
Full information about the applicant (legal and
real address of the applicant, telephone, fax, site
address)
The head of the organization (Name, Surname)
and the position and contact details (address,
email e-mail address, telephone code must of
course be indicated);
Accounting of the organization (Name, Surname)
contact details (address, email e - mail address,
phone code must of course be displayed);
Number of positions in the approved staff table of
the organization
Project implementation period (start date end
date);
The requested amount (in sum);
The amount of funds involved (in sum).
2. CONTENT OF THE PROJECT
Statement of the problem (the existing social
problem, its scope, significance, the target group
and the need to implement the project, in a
volume of not more than one sheet);
The objectives of the project; (3 main goals that
the project will achieve)
Main tasks of the project; (5 main tasks will be
described, which will be solved as a result of the
implementation of the project)
Form and nature of project implementation
(methods of project implementation, in quantity
and quality indicators)
Expected results from the implementation of the
project; (quantity and quality indicators and
impact of the achieved result)
The applicant's experience in this field is
recorded: (the activities of the applicant, its
achievements are fully explained);
Partners and their tasks; (the specific tasks of the
claimant and his partners will be outlined in the
action plan indicated)
Contribution of the organization and Partners
(funds involved, resources, material and
intangible contributions of the organization and
partners.)
3. TOTAL BUDGET OF THE PROJECT
additional funding sources available including (sum)
Attracted funds
Number and Amount
Cost item name Share of
price requested Personal share
partners
I. Salary and equivalent payments
1.1. Project manager
1.2. Coach
1.3. Accountant
1.4. Consultants
others.
Summary:
II. Costs for conducting events
Expenses for the purchase of
2.1. stationery * *(transcript must be
attached)
Reproduction or publication of
educational propaganda materials* *
2.2. * (if the cost is from the savings
account, transcript should be
attached)
Others.
Summary:
III. . Other expenses
Communication service and Internet
Utilities
Cost of service trips
banking expenses and others
Summary
4. CALENDAR PLAN OF THE PROJECT
Event Date
1.
2.
5. APPLICANT'S RESUME
(additional information about the organization)
1. Full name of the organization in
accordance with the Charter (in Uzb and
Russian).
2. Top management body of the organization
3. The main charter activity of the
organization.
4. Main charter objectives and objectives of
the organization
5. Information on the state registration (attach
a copy of the certificate.)
6. Information on being listed as media
(attach a copy of the certificate of
registration from the press and Information
Agency of Uzbekistan)
7. Social partners in the implementation of
the project
8. Bank details: account number, Banking
Department, MFO, INN, OKONX, bank
address and phone number. (attach a copy
of the supporting documents)
9. Implemented projects.
6. SELF-CONTROL AND SELF-EVALUATION
(SELF-AUDIT)
1. Evaluation of the project until
implementation
2. Will the project be able to achieve the set
goal
3. Prove that the project is effective, and costs
are justified
7. FINAL PART OF THE PROJECT
Date
Signature of the head of the organization who
submitted the application
Organization seal
*Please note: if your organization has received a grant, you are committed to the
following reporting structure:
You are required to submit interim and final financial and narrative reports, as
well as reports on the use of equipment (if the equipment has been received from
UNDP or paid for by the Provider through the grant);
The final report must be submitted to the UNDP no later than one month after the
end date of the project;
Interim financial and narrative reports should be submitted after the end of each
stage of the project.
I certify that the information I have given in this form is correct and that I am
authorized to act on behalf of my organization.
Signature of the head of the NGO: ___________________________
The date: ______________________________________________
