Cooperation Fund for the Water Sector Pilot and Demonstration by lba17669

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									                       Cooperation Fund for the Water Sector
                         Pilot and Demonstration Activity
                                  Request Form

Activity Title:
Proponent:
Request Date:
Country:                                      Region:
Activity Proposed Start Date:                 Activity Proposed Duration:
Cost Estimate:
Implementing Organization Contact:

1. Background and Rationale:



2. Objectives:



3. Scope and location of Work / Description of Activities:



4. Implementation Schedule, Institutional Management Arrangements, and Proponent
   Qualifications:



5. Expected Results (outputs/outcomes/effects/impacts):



6. Measurable Performance Indicators:



7. Stakeholders Participation:



8. Scope for Replication/Use in Other Countries:
9. Cost Estimate:

                       Inputs / Expenditure category                              Total Costs
                                                                                   (in US $)
1. Office Equipment and Supplies:
Summarize specifications, e.g. communications devices, audio-visual,
computing, and other office equipment.



2. Specialists/Consultants’ Services:
Summarize specifications, i.e. type of expertise to be engaged (e.g. irrigation
expert, water resources engineer, etc.), other consultants-related costs such
as travel, per diems, etc.



3. Training, workshops, conferences:
Summarize specifications, e.g. resource persons, costs of trainers and
facilitators, venue rental, travel, food and accommodation for participants.



4. Project Management:
Summarize specifications, i.e. rental of office space and associated costs.



5. Contingency (5% max)



Total PDA grant financed

								
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