NGO funding by ROo94K

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									Application for funding – TFG(The Foschini Group) CSI

Date application submitted:
Person submitting this application:

SECTION 1: ORGANISATION INFORMATION
Name of Organisation
Telephone Number
Fax Number
Website


Physical Address



Postal Address


Primary Contact Person
Position/Role at Organisation
Telephone Number
Email Address
Alternative Contact Person
Position/Role at Organisation
Telephone Number
Email Address
Organisation Vision and Vision
Please explain the future your organisation is working to create and the work your organisation does on a day-
to-day basis to achieve this.
(Max. 200 words)




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SECTION 2: PROJECT DETAILS

Project Name
Project Location
List the communities/villages OR
town township/city of your project
Country
Project Duration
How long will your project run for?
Proposed Start Date
Who will be in charge of implementing the project? Please, list people responsible for technical implementation
as well as financial administration.
Provide details of qualifications or experience that demonstrate his/her/their experience and expertise
Person                   Position                Responsibility         Experience/Qualifications




What service providers and/or partners will you use to implement your project?
State whether they are accredited or generally regarded as using best practices. If accredited, please provide
details of the accrediting agency.
Service Provider                    Role/Function                     Accreditation




What is your organisation’s track record of implementing similar projects?
Detail how many similar projects you have implemented, how many people this involved and what did your
organisation achieve.
(Max. 300 words)




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SECTION 3: PROJECT IMPLEMENTATION
In the table below, please provide details of each of goals of your project, the specific activities that you
will implement to achieve those goals and the estimated timeline for each of these activities. Add more
rows if necessary.

 Programme goal        List of activities – how?                         Estimated timeline




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SECTION 4: MONITORING AND EVALUATION

Monitoring and evaluation
In light of these goals, what steps will you take to monitor and evaluate the progress and impact of your project?
Programme goal
NB: These must be the same as         Indicators                                 Source of information
the goals listed above




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SECTION 5: PROJECT BUDGET

Budget breakdown
Provide a line-by-line budget breakdown for the project using the Excel Budget Template provided. Show
exactly what the funds you are requesting will be used for. Please be as specific and detailed as possible.
Capital goods
If your budget includes any capital goods (like buildings, materials or equipment), please list these, attach
quotations and describe how you intend to secure, insure and maintain them.




SECTION 6: SUPPORTING INFORMATION

Financial Information
Name of Bank
Branch and Branch Code
Type of Account
Account Name
Account Number
Signatories
Auditor’s Name
Auditor’s Tel Number


Checklist for Required Supporting Information
Please supply the following relevant information or documents with your application
    Formal constituting document such as an Association Agreement, Constitution or other.
    NPO (Non-profit organisation) Registration Certificate
    National Tax Authority NPO Registration Letter
    Most recent audited financial statements and annual report
    Most recent report submitted to the Directorate of NPOs and the national tax authority in fulfilment of the
    requirements of registration as an NPO.
    A blank cancelled cheque or certified copy of your bank details from the bank
    Copy of a telephone account or utility bill
    A list of your organisation’s board/ committee members and their contact information




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