business_plan_for_npo_funding_2012-13__above_r200_000

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							              Provincial Administration: Western Cape
              Department of Social Development (DSD)
          APPLICATION FOR NON-PROFIT ORGANISATION FUNDING 2011
                       FOR ABOVE R 200 000 FUNDING
Please note the following:
 This form has been developed to assist you with providing the appropriate information required by the DSD to
    assess your funding application. You are not restricted to the spaces provided.
 Where you are required to provide an attachment it will be indicated in italics in the form.
 For guidance on the application process, please read the last page of this form.

NAME OF YOUR ORGANISATION
ORGANISATION’S DSD REFERENCE NUMBER (where
applicable)
STREET ADDRESS

POSTAL ADDRESS
                            Name
                            Position
CONTACT DETAILS             Telephone No.
                            Facsimile No.
                            E-mail Address
Is this APPLICATION being submitted AS AN
AFFILIATION? (Y/N) If yes, please provide the name of
the affiliated organisation, the contact person’s name,
telephone and email address.
                                                          Children and Families
                                                          Youth
                                                          Persons with Disabilities
Please indicate with a X in the appropriate box/es the
                                                          Older Persons
DSD PROGAMME/S YOU ARE APPLYING FUNDING
                                                          Substance Abuse
FOR:
                                                          HIV/AIDS
                                                          Sustainable Livelihoods
                                                          Institutional Capacity Building
REGION and/or LOCAL OFFICE and/or area/s of
operation where you will be rendering services
                                                          To re-apply for funding for projects/services
                                                          currently funded
                                                          To apply for additional funding to extend
PURPOSE OF THIS APPLICATION to the DSD (you may           projects/services currently funded
X multiple boxes)                                         To apply for scaled down funding of currently
                                                          funded projects/services
                                                          To apply as a new organisation (not currently
                                                          funded by the DSD) for funding of projects/services
TOTAL AMOUNT of funding you are applying for
NAME AND SIGNATURE OF DSD OFFICIAL receiving
the proposal (include job title)
DATE RECEIVED (ddmmyyyy)

Business Plan for Non-Profit Organisation Funding                                                               Page 1
TABLE OF CONTENTS

1     ORGANISATIONAL BACKGROUND                                                    3

2     ORGANISATION AND CAPACITY PROFILES                                           4

3     PROJECT/PROGRAMME BACKGROUND                                                 6

3.1     PLANNED SERVICE DELIVERY PER LEVEL OF INTERVENTION (PLANNING MATRIX)       7


4     BUDGET PLANNING OF ORGANISATIONAL EXPENDITURE AND INCOME                   11

4.1     EXPENDITURE                                                               11

4.2     INCOME                                                                    16


5     FINANCIAL CONTROLS                                                         19

6     MONITORING AND EVALUATION                                                  20

6.1     BALANCED SCORECARD                                                        20


7     FINANCIAL SUSTAINABILITY AND TRANSFORMATION                                21

8     APPLICATION DECLARATION                                                    22

9     APPENDICES                                                                 23

9.1     WRITTEN ASSURANCE IN TERMS OF SECTION 38 0F THE PFMA                      23

9.2     DECLARATION OF INTEREST                                                   25

9.3     BAS FORM                                                                  26

9.4     APPLICATION PROCESS DESCRIPTION                                           27




Business Plan for Non-Profit Organisation Funding                              Page 2
1    ORGANISATIONAL BACKGROUND

Please indicate with an X in the appropriate box         NPO          Section 21       Trust       Affiliation to   In process of
                                                                       company                          NPO              NPO
your organisation type
                                                                                                                     registration



Please attach proof of registration, affiliation or NPO Registration Application. Attached? (Y/N)

Did your organisation receive government funding in the past? If so, when, how much and for what
purpose:




If you are not currently funded by the DSD, please provide a summary of the major projects/services your
organisation delivered in the past year.




Provide your organisation banking details below. Please complete the attached BAS Annexure only if you are not currently
funded by the DSD or if your banking particulars or signatories for financial transactions have changed.
Account name:
Account number:

Account type (e.g. current, saving,
cheque, transmission account):
Full name of the bank:

Name of the branch:

Branch code:

Branch address:


Business Plan for Non-Profit Organisation Funding                                                                          Page 3
2    ORGANISATION AND CAPACITY PROFILES

Please attach an organogram to your application to illustrate the structure of your organisation.

Please set out the functions of your Board / Trustees / Volunteer Management Committee:




Only complete the table below regarding your organisation’s governing members of the Board/ Trustees/Volunteer Management Committee, only if you are not currently
funded by the DSD or these particulars have changed from your previous application.

Name and surname                  Position               ID Numbers                   Disabled/ not   Race     Gender           Telephone, Email Address &
                                                                                      Disabled                                  Physical address

Chairperson

Deputy / Vice Chairperson

Treasurer

Secretary

Additional members




Business Plan for Non-Profit Organisation Funding                                                                                                             Page 4
Please complete this schedule of your registered professionals who will be involved in the implementation of your service/project proposed for funding:

          1                    2                3       4              5                      6                  7                          8                         9
Location of office /   Occupation             Race   Gender   Registration no. in   Level of post if   Funding for post (X)    Area(s)/place where staff   Salary per annum
service point /                                               terms of relevant     applicable                                 member is deployed          R
                                                                                                       Funded by      Not
satellite service /                                           Professional Act                                                 (indicate suburb/informal
                                                                                                       Dept.          funded
facility                                                                                                                       settlement, etc.)




Business Plan for Non-Profit Organisation Funding                                                                                                                        Page 5
3    PROJECT/PROGRAMME BACKGROUND

PLEASE COMPLETE THIS SECTION FOR EACH INDIVIDUAL DSD PROGRAMME (make copies of the matrix if you apply
to more than one programme)

The DSD has 8 Programmes, listed on the cover page, which are implemented across 4 levels of intervention. Please
indicate which DSD programme your proposal for funding will deliver to and indicate the level/s of intervention it
will deliver to.

1.      Name of DSD programme: ………………………………………………………………

Levels of           Definition and examples of services within different levels of intervention                       X
intervention

Awareness           To ensure that individuals and communities know their socio-economic rights and
                    responsibilities, for example international and national awareness programs;
                    commemoration of days/weeks/months/years for specific causes; and prevention
                    programs
Early               To identify vulnerable individuals and groups and ensure the provision of a range of
Intervention        developmental and therapeutic programmes and services, for example protective
                    workshops; service centres etc.
Statutory           To ensure the provision of statutory services and ensure compliance with statutory
                    provisions, protocols and minimum standards, for example social work services; child
                    abuse protocol; children’s court services; criminal court services etc.
Reintegration       To ensure the provision of a range of aftercare and community based services that
                    enhance positive life styles, self-reliance and optimal social functioning, for example
                    reintegration programmes for offenders etc.


Describe the purpose of your project and provide details of the process followed to determine the needs to be addressed by
this project (e.g. Conducted research and community profiling)




Business Plan for Non-Profit Organisation Funding                                                                    Page 6
3.1    PLANNED SERVICE DELIVERY PER LEVEL OF INTERVENTION (PLANNING MATRIX)

Please complete the planning matrix below. It is structured according to the four levels of intervention and requires you to describe the type of service, target group,
outputs, outcomes, geographic area and major cost drivers of the project/service you are applying for funding for.

1. Awareness and Prevention
      Type of Services            Target group       Outputs (How the          Outcomes (major               Geographic area                   Cost ( Major Cost Drivers)
                                                     major goals will be       goals/ community
                                                         achieved)                  impacts)
                                                                                                                                       Staff               R




                                                                                                                                       Administration      R




                                                                                                                                       Special project     R
                                                                                                                                       cost



                                                                                                                                       Staff               R



                                                                                                                                       Administration      R




                                                                                                                                       Special project     R
                                                                                                                                       cost




Business Plan for Non-Profit Organisation Funding                                                                                                                           Page 7
2. Early Intervention
    Type of Services              Target group      Outputs (How the       Outcomes (major    Geographic area           Cost ( Major Cost Drivers)
                                                    major goals will be   goals / community
                                                        achieved               impacts)
                                                                                                                Staff               R




                                                                                                                Administration      R




                                                                                                                Special project     R
                                                                                                                cost



                                                                                                                Administration      R




                                                                                                                Special project     R
                                                                                                                cost




Business Plan for Non-Profit Organisation Funding                                                                                                    Page 8
3. Statutory

    Type of Services              Target group      Outputs (How the       Outcomes (major    Geographic area           Cost ( Major Cost Drivers)
                                                    major goals will be   goals / community
                                                        achieved               impacts)
                                                                                                                Staff               R




                                                                                                                Administration      R




                                                                                                                Special project     R
                                                                                                                cost




                                                                                                                Staff               R




                                                                                                                Administration      R




                                                                                                                Special project     R
                                                                                                                cost




Business Plan for Non-Profit Organisation Funding                                                                                                    Page 9
4. Re-integration
    Type of Services              Target group      Outputs (How the      Outcomes (major    Geographic area           Cost ( Major Cost Drivers)
                                                    major goals will be   goals /community
                                                        achieved               impacts)
                                                                                                               Staff               R




                                                                                                               Administration      R




                                                                                                               Special project     R
                                                                                                               cost



                                                                                                               Staff               R




                                                                                                               Administration      R




                                                                                                               Special project     R
                                                                                                               cost




Business Plan for Non-Profit Organisation Funding                                                                                                   Page 10
4       BUDGET PLANNING OF ORGANISATIONAL EXPENDITURE AND INCOME

Please complete the table below on the expenditure and income of your organisation as per the Budget: Planning of Organisational Income and Expenditure below. Add rows as necessary.
For multi-year applications, complete column 4 too.

4.1     EXPENDITURE

                             Column 1                                 Column 2                Column 3                  Column 4                     Motivation / Remarks
                          Item of Expenditure                     Estimated Actual           Budget for                Budget for
                                                                    Expenditure        financial year 2012/13        financial year
                                                                  for financial year                                    2013/14
                                                                       2011/12
                                                                     (01.04.2011-
                                                                     31.03.2012)

1       HUMAN RESOURCE EXPENDITURE
    i   Specify type of all occupational   Current number of    Salaries and wages     Salaries and wages for   Salaries and wages for
        groups in the service plan         personnel            for each               each occupational        each occupational
                                           employed in each     occupational group     group                    group
                                           occupational group




                     SUBTOTAL: ITEM 1




Business Plan for Non-Profit Organisation Funding                                                                                                                              Page 11
                  Column 1                  Column 2                   Column 3                    Column 4             Motivation/Remarks
             Item of Expenditure        Estimated Actual        Budget for financial year   Budget for financial year
                                    Expenditure for financial           2012/13                     2013/14
                                          year 2011/12
                                     (01.04.2011-31.03.2012)
 1      HUMAN RESOURCE EXPENDITURE (continued)

      i. Bonus
     ii. Personnel Training (Not Expenditure
        Item 5)
  iii. Honorarium (Paid to Volunteers)
  iv. Contributions:
       Medical Aid Fund
       Pension Fund
       Workmen's Compensation
       UIF
       other (specify)

     v. Clothing/Uniform
                       SUBTOTAL: ITEM 1


 2     TRANSPORT EXPENDITURE
    i. Petrol (for managerial and/or
       administrative tasks)
   ii. Maintenance of vehicles
  iii. Insurance of vehicles
  iv. Traveling & Accommodation
       (Conferences, workshops,
        consultation/supervision, events, etc.)
     v. Replacements (specify)

  vi. Purchases (specify)

                             SUBTOTAL: ITEM 2




Business Plan for Non-Profit Organisation Funding                                                                                            Page 12
                    Column 1                        Column 2                   Column 3            Column 4        Motivation/Remarks
               Item of Expenditure               Estimated Actual              Budget for           Budget for
                                                    Expenditure          financial year 2012/13   financial year
                                            for financial year 2011/12                               2013/14
                                              (01.04.2011-31.03.2012)
 3       OFFICE/ADMINISTRATIVE EXPENDITURE
    i.   Municipal Services
   ii.   Post & Telecommunication Services
  iii.   Printed Matter & Stationery
  iv.    Advertisements
   v.    Books & Journals
  vi.    Levies/Registration & Affiliation
         fees
 vii.    Insurance
viii.    Maintenance
  ix.    Replacements (specify):

     x. Purchases (specify):



                         SUBTOTAL: ITEM 3


 4     GROUNDS & BUILDINGS
    i. Capital and Interest Redemption
       (Private)
   ii. Capital and Interest Redemption
       (State)
  iii. Maintenance
       other (specify)

  iv. Insurance
      other (specify)

                         SUBTOTAL: ITEM 4




Business Plan for Non-Profit Organisation Funding                                                                                       Page 13
                    Column 1                        Column 2             Column 3         Column 4        Motivation/Remarks
               Item of Expenditure              Estimated Actual          Budget for       Budget for
                                                  Expenditure           financial year   financial year
                                                for financial year         2012/13          2013/14
                                                     2011/12
                                              (01.04.2011-31.03.2012)
 5       PROGRAMME/PROJECT EXPENDITURE
    i.   Fees in respect of training
   ii.   Cost of material/equipment
         needed for training
  iii.   Transport to implement
         program/activities
  iv.    Hiring of venues to implement
         program/activities
   v.    Equipment for activities
  vi.    Refreshments offered
         implementing program/activities
 vii.    Food and Groceries
viii.    Consumable equipment to
         implement program/activities
  ix.    Accommodation
   x.    Education & Recreation
  xi.    Domestic fuel/laundry and
         cleaning services **
  xii.   Linen **
 xiii.   Toiletries **
 xiv.    Medical **
  xv.    Other (refer to activities in
         implementation plan)
 xvi.    Purchases (specify)

xvii.    Replacements (specify)

                        SUBTOTAL: ITEM 5




Business Plan for Non-Profit Organisation Funding                                                                              Page 14
                  Column 1                          Column 2               Column 3         Column 4       Motivation/Remarks

             Item of Expenditure                 Estimated Actual          Budget for       Budget for
                                                    Expenditure          financial year   Financial year
                                            for financial year 2011/12      2012/13          2013/14
                                              (01.04.2011-31.03.2012)
 6       BANK AND OTHER COSTS
    i.   Audit Costs
   ii.   Bank Costs
  iii.   Fund-Raising
  iv.    Other (specify)

                         SUBTOTAL: ITEM 6
 7       SUNDRIES
    i.   Research
   ii.   Public Relations and Marketing
  iii.   VAT
  iv.    other (specify)

                         SUBTOTAL: ITEM 7
 8       EXPENDITURE: PROVISION FOR SPECIAL FUNDS
    i.
   ii.
  iii.
  iv.
                         SUBTOTAL: ITEM 8
                GRAND TOTAL: ITEMS 1 – 8




Business Plan for Non-Profit Organisation Funding                                                                               Page 15
4.2        INCOME


                   Column 1                         Column 2             Column 3         Column 4       Motivation/Remarks

                Item of Income                  Estimated Actual         Budget for       Budget for
                                                  Expenditure          financial year   Financial year
                                                for financial year        2012/13           2013/14
                                                     2011/12
                                             (01.04.2011-31.03.2012)
9          PROVISION FOR SPECIAL FUNDS
      i.
     ii.
    iii.
    iv.
                         SUBTOTAL: ITEM 9


10         FEES FOR SERVICES
    i.     Board and Lodging
   ii.     Community Services
  iii.     Consultation
  iv.      Counselling/Treatment
   v.      Fees for Day Care
  vi.      Membership
 vii.      Registration Fees
viii.      Training
  ix.      other (specify)

                      SUBTOTAL: ITEM 10

11       OTHER FORMS OF INCOME
      i. Bequests (cash)
     ii. Donations
    iii. Fund-raising

Business Plan for Non-Profit Organisation Funding                                                                             Page 16
                  Column 1                          Column 2             Column 3         Column 4       Motivation/Remarks

               Item of Income                   Estimated Actual         Budget for       Budget for
                                                  Expenditure          financial year   Financial year
                                                for financial year        2012/13          2013/14
                                                     2011/12
                                             (01.04.2011-31.03.2012)
  iv. Grants
   v. Income from investments
  vi. Income from fixed property
      bequeathed to organization
 vii. Products sold
viii. Rent
  ix. Social Relief
   x. VAT (reclaimed)
  xi. In natura (value of products etc.
      donated to organisation))
 xii. Interest gained from investing
      pensions/grants of residents
      (optional)
xiii. Other (specify)

                SUBTOTAL: ITEMS 11
12 STATE AND OTHER ALLOCATIONS
  i. National Departments (specify)


  ii. Provincial Departments


 iii. Local Government
      (Municipality)

 iv. Lotto

Business Plan for Non-Profit Organisation Funding                                                                             Page 17
                  Column 1                          Column 2             Column 3         Column 4       Motivation/Remarks

                Item of Income                  Estimated Actual         Budget for       Budget for
                                                  Expenditure          financial year   Financial year
                                                for financial year        2012/13          2013/14
                                                     2011/12
                                             (01.04.2011-31.03.2012)
   v. Community Chest
  vi. International Funding
 vii. Other funders/donors (specify)
                 SUBTOTAL: ITEMS 13

13    ALLOCATION DEPT SOCIAL DEVELOPMENT
   i. Subsidy per annum
  ii. Special Programme funding
      (specify)
                 SUBTOTAL: ITEMS 13

            TOTAL EXPENDITURE (1-8)
               TOTAL INCOME (9-13)
                SURPLUS/SHORTAGE




Business Plan for Non-Profit Organisation Funding                                                                             Page 18
5    FINANCIAL CONTROLS

                                                                                             Make an X where
System of control
                                                                                               appropriate

All funds received are promptly deposited into the organization’s bank account, properly
recorded, reconciled and all records kept under adequate security

A central point of contact is designated for all incoming mail

Bank statements are reconciled to General Ledger on a monthly basis and reviewed by
management

Segregation of duties within the account reconciliation, journal posting, and
management review and approval processes

Funds are disbursed only upon authorisation of management for the purpose for which
funds are granted and all disbursements are properly recorded

There is policy on minimum petty cash to be held on a daily basis and all petty cash is
kept in a secure and safe place

Policies and procedures governing accounts payable and purchasing processes exist

Wire transfers are executed through a password-protected internet process

Expense reimbursements are only issued to employees with clearly defined needs

There are policies and procedures governing payroll processes detailing timelines,
responsibilities, and actions.

There is up to date asset register with all fixed assets recorded/updated on a monthly
basis

Managerial approval is required in advance for the acquisition, disposal, and write-off of
assets.

Procedures and systems approved for the storage, use and maintenance of all its assets
and equipment

Procedures and mechanisms exist to prevent abuse, theft and loss of assets and
equipment.

Password protected accounting software system exists and access to information and
editable fields are limited to appropriate personnel




Business Plan for Non-Profit Organisation Funding                                                              Page 19
6     MONITORING AND EVALUATION

6.1   BALANCED SCORECARD

         FINANCIAL PERSPECTIVE                              CUSTOMER PERSPECTIVE                     ORGANISATIONAL (INTERNAL               INNOVATION AND LEARNING
                                                                                                       BUSINESS PERSPECTIVE)                      PERSPECTIVE
Explain how your organization plans to              Explain how your organisation plans to      Explain which policies, legislation,   Explain how your organisation will keep
monitor compliance with financial                   get feedback from customers and ensure      procedures and guidelines your         pace with the latest developments and
requirements as stipulated in the                   that they are satisfied with the services   organisation will be adhering to       demand for service thus ensuring
TPA/Written Contract with the DSD.                  provided?                                   ensuring excellence in provision of    adaptation to change and
                                                                                                services                               improvements?




Business Plan for Non-Profit Organisation Funding                                                                                                                     Page 20
7    FINANCIAL SUSTAINABILITY AND TRANSFORMATION

Describe the ways in which the organization plans to sustain itself financially after funding from the department stops.




Explain how the organization plans to share resources and transfer skills to emerging organisations




Business Plan for Non-Profit Organisation Funding                                                                          Page 21
8    APPLICATION DECLARATION

We, the undersigned, being the persons responsible in the application organisation for action, certify that the
information given in this application is correct and that, should we be awarded funding by the DSD, we will comply with
the DSD reporting requirements as set out in the TPA/contract.

Board/Trustees/Volunteer Management
Committee chairperson’s name:

Signature:


Date:




Board/Trustees/Volunteer Management
Committee treasurer’s name:

Signature:


Date:


OPTIONAL FEEDBACK SECTION
In seeking to improve service delivery to you, our NGO partners, and ultimately the beneficiaries of social welfare and
community development services, we would appreciate it if you could complete this short feedback form:

Please indicate with an X in the          Very easy to complete             Very useful in terms of presenting your
appropriate box whether your                                                organisation’s proposal to the DSD
organisation found this form:             Easy to complete                  Useful in terms of presenting your
                                                                            organisation’s proposal to the DSD
                                          Difficult to complete             Less useful in terms of presenting your
                                                                            organisation’s proposal to the DSD
                                          Very difficult to complete        Not useful in terms of presenting your
                                                                            organisation’s proposal to the DSD
If your organisation has previously       Easier to complete                More difficult to complete
applied for government funding, could
you please indicate with an X in the      More useful in terms of           Less useful in terms of presenting your
appropriate block whether this form is:   presenting your organisation’s    organisation’s proposal to the DSD
                                          proposal to the DSD
Please provide any suggestions you
may have on how we could improve
this form:



Thank you very much for your honest feedback.


Business Plan for Non-Profit Organisation Funding                                                                     Page 22
9     APPENDICES

9.1    WRITTEN ASSURANCE IN TERMS OF SECTION 38 0F THE PFMA

Written Assurance in terms of Section 38(1) (j) of the Public Finance Management Act, 1999
In terms of Section 38(1) (j) of the Public Finance Management Act, 1999 the Department of Social Development requires written
assurance that your organization implements effective, efficient and transparent financial management and internal control
systems.
Part 1: should be completed by those organisations that implement effective, efficient and transparent financial
         management and internal control systems.

Part 2: should be completed by those organisations that do not implement effective, efficient and transparent financial
         management and internal control systems.

                                                             Part 1:

I, the undersigned                                                                                        (print name)
in my capacity as                                                                                         (position)
of
hereby declare that                                                                                       (organization)


Implements effective, efficient and transparent financial management and internal control systems.

Signed at                                                                                                 (place)


On this                            day of                              month                            year



                     signature

Confirmed by 2 witnesses:




                     signature                                                 print name of witness


                     signature                                                 print name of witness




Business Plan for Non-Profit Organisation Funding                                                                            Page 23
                                                           Part 2

Conditions and remedial measures to comply with Section 38(1)(j) of the Public Finance Management Act, 1999 (Act 1
         of 1999 as amended by Act 29 of 1999)

In instances where written assurance cannot be obtained that effective, efficient and transparent financial management
and internal control systems are implemented, the following conditions and remedial measures will apply:

    The management committee will arrange to attend and subject itself to training in business management and
     financial control systems.
    The management committee will implement and adhere to the financial control system prescribed by the
     Department.
    The management committee will subject itself to monitoring and inspection of financial records on a regular basis as
     conducted by officials of the Department or its representatives.
    The management committee will submit audited as well as financial expenditure reports and progress reports on
     training and implementation of prescribed financial systems when requested by the Department.


I, the undersigned                                                                                  (print name)
in my capacity as                                                                                   (position)
of                                                                                                  (organization)
hereby declare that                                                                                 (organization)


will adhere to the conditions as stipulated above in order to ensure effective, efficient and transparent financial
management and internal control systems.

Signed at                                                                                            (place)


on this                            day of                           month                           year



                     signature

Confirmed by 2 witnesses:




                     signature                                              print name of witness


                     signature                                              print name of witness




Business Plan for Non-Profit Organisation Funding                                                                     Page 24
9.2     DECLARATION OF INTEREST

This declaration is to be signed by all persons, management or staff involved in

     approving or buying equipment, food, or any other items,
     signing cheques,
     accessing Internet banking,
     drawing cash for daily expenditure (petty cash),
     receiving donations, equipment, food or other items,
     handing out food or other items

The DSD wants to advise organizations that in terms of financial and auditing practices, it is advisable that persons
involved or responsible for any of the above should not be from the same family.

I, the undersigned, hereby make the following declaration:

      initials & surname          designation / post / involvement                 signature                   date




I will not use my discretion, official or non-official powers, or position within or outside the organization, to benefit
myself, or any other person known to me or the organization, or any legal person, to obtain an unlawful or unauthorized
advantage during the requisitioning, consideration, acceptance, or allocation of tenders, quotations or any other




Business Plan for Non-Profit Organisation Funding                                                                     Page 25
                                                                                                                    System User Only
                                                                                                          BAS Ref No.
9.3      BAS FORM
                                                                                                          Captured by

                                                                                                          Date Captured
                  PROVINCIAL ADMINSTRATION WESTERN CAPE
                                                                                                          Authorised By

                                                                                                          Date Authorised
                       BAS ENTITY MAINTENANCE BANK DETAILS



                                                                   Bank Details
        Name
        Address

        Contact Persons
        Contact No.


      I/We hereby request and authorise you to pay any amounts which any accrue to me/us to the credit of my/our account with the mentioned
      bank.

      I/We understand that the credit transfers hereby authorised will be processed by computer through a system know as the "ACB ELECTRONIC
      BANK TRANSFER SERVICE", and I/We also understand that no additional advice of payment will be provided by my/our bank, but details of
      each payment will be provided by my/our bank, but details of each payment will be printed on my/our ban statement or any accompanying
      voucher. (This does not apply where it is not customary for banks to furnish statements)

      I/We understand that a payment advice will be supplied by the Department in the normal way, and that it will indicate the date on which
      funds will be available in my/our account. This authority may be cancelled by me/us by giving thirty days notice by prepaid registered post.


                                                                                             /             /
            Initials and Surname                Authorised Signature                                Date dd/mm/ccyy


        Name of Bank
        Name of Branch
        Branch Code
        Account Number
        Type of Account                  Current Account                         Savings Account                  Transmission Account
                                         Other (Specify)




                                                                                                         FOR OFFICE USE ONLY
            DATE STAMP                                                                                 APPROVED BY HEAD OFFICE
            OF BANK                                                                              Print Name
            BANK
                                                                                                 Signature
            ACCOUNT
            PARTICULARS
            CERTIFIED AS                                                                         Date
            CORRECT




Business Plan for Non-Profit Organisation Funding                                                                                            Page 26
9.4    APPLICATION PROCESS DESCRIPTION

9.4.1 STEP 1: Complete Application
From the time we call for proposals in the newspapers, you will have 6 weeks to submit your application. Complete this format,
including the written assurances. The BAS form only needs to be completed if you are not currently funded by the DSD or if your
banking details have changed and proof of affiliation, only if you are applying as an affiliation. Please also attach a copy of your NPO
certified registration or your NPO Registration Application, your organisation structure and submit your application form to the
relevant DSD Regional Office.


9.4.2 STEP 2: Application Evaluation
We will acknowledge receipt of your application within 15 working days. Your application will be assessed by the DSD
programme/programmes you have applied to from a compliance, a qualitative and a DSD strategic alignment perspective. We might
also request that we visit your organisation on site as part of the assessment process.


If your organisation is compliant, meets our minimum norms and standards, is strategically aligned to the DSD objectives and is in
terms of other applications received, one of the preferred organisations to deliver the services, subject to budget availability, the
programme/programmes will recommend to the Head of the DSD, that you be funded in accordance with the DSD guidelines for
funding. This process takes approximately 4 months to complete.


9.4.3 STEP 3: Application Contracting and Funding Disbursement
If your application has been successful we will contact you to agree on a Third Party Agreement, which will become the formal
contract between your organisation and the DSD for the delivery of the services as specified in the contract. The contract will also
specify the amount of funding the DSD is committing to your organisation, how and when that funding will be disbursed and set out
the obligations of your organisation and the DSD.


If your application is unsuccessful, we will advise you in writing, providing reasons for why your application has been unsuccessful
and informing you of your right to have your application Reviewed and the Review process.


Contracting takes approximately a month and no disbursements will be made until the DSD has received a signed copy of the
contract from your organisation. The DSD strives to fund approved organisations in terms of the contract signed, from 1 April 2012.
Due to volumes variability, this is however not always possible.


9.4.4 STEP 4: Performance Management of Service Delivery
Post the disbursement of the funds to your organisation as per the signed contract, we require regular feedback on the contracted
service/project (STEP 3). During this phase of the process we will call for reports in accordance with the contract and may visit your
organisation to observe and discus progress as well as recommend remedial action, where necessary.



Business Plan for Non-Profit Organisation Funding                                                                               Page 27

						
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