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					                                                                                                  ACT Co-ordinating Office                                                                        Appendix 1a


                                                                             Name of implementing member


                                    Appeal Reference Number:                                This will be supplied by ACT Co-ordinating Office
                                    Appeal Name:

                                                                                                Type            No.             Unit Cost   Budget       Actual       Variance       Variance
                                                                                                Unit           Units              USD        USD          USD           USD             %

                                    INCOME - Through ACT Geneva
                                        List by donor name and fill in amount                                                                        0




                                    INCOME - Cash and In Kind Donations Received Directly                                                            0
                                        List by donor name and fill in amount



                                    INCOME PLEDGED (both through ACT Geneva and directly)                                                            0
                                        List by donor name and fill in amount these must be firm
                                                                                               commitments




                                    TOTAL INCOME                                                                                                     0            0              0   #DIV/0!

                                    EXPENDITURE
                                    DIRECT ASSISTANCE
                                        Crisis Phase (if applicable)
                                        Food Relief Assistance
                                        (List by type of item)                                                                                       0                     0.00      #DIV/0!
                                                                                                                                                     0                     0.00      #DIV/0!
                                                                                                                                                     0                     0.00      #DIV/0!
                                           Non Food Relief Assistance
                                           (List by type of item)                                                                                    0                     0.00      #DIV/0!
                                                                           Note: it is not necessary to list individually all                        0                     0.00      #DIV/0!
                                                                           items needed for building e.g nails, bags of                              0                     0.00      #DIV/0!
                                                                           cement etc.Items needed may be given in an
                                           Temporary Shelter               appendix
                                           (List by type of item)                                                                                    0                     0.00      #DIV/0!
                                                                                                                                                     0                     0.00      #DIV/0!
                                                                                                                                                     0                     0.00      #DIV/0!

                                           Direct Programme Related Costs
                                           Salaries & benefits for staff (e.g nutritionist, engineers, logistician)
                                           (List by type of item)                                                                                    0                     0.00      #DIV/0!
                                                                                                                                                     0                     0.00      #DIV/0!
                                                                                                                                                     0                     0.00      #DIV/0!
                                                                                                                                                     0                     0.00      #DIV/0!

                                                               Sub Total                                                                             0            0              0   #DIV/0!


                                           Post Crisis Phase (if applicable)
                                           Rehabilitation - food Security, livelihood,
                                           (List items)                                                                                              0                     0.00      #DIV/0!
                                                                                                                                                     0                     0.00      #DIV/0!
                                                                                                                                                     0                     0.00      #DIV/0!
                                           Reconstruction
                                           (List items)                                                                                              0                     0.00      #DIV/0!
                                                                                                                                                     0                     0.00      #DIV/0!
                                                                                                                                                     0                     0.00      #DIV/0!
                                                                                                                                                     0                     0.00      #DIV/0!
                                           Direct Programme Related Costs
                                           Salaries & benefits for staff (e.g nutritionist, engineers, logistician)
                                           (List by type of item)                                                                                    0                     0.00      #DIV/0!


                                                               Sub Total                                                                             0            0              0   #DIV/0!

                                                  TOTAL DIRECT ASSISTANCE                                                                            0            0              0   #DIV/0!

                                    TRANSPORT, WAREHOUSING & HANDLING
                                        Transport
                                        Hire/ Rental of Vehicles                                                                                     0                     0.00      #DIV/0!
                                        Fuel                                                                                                         0                     0.00      #DIV/0!
                                        Warehousing
                                        Rental of warehouse                                                                                          0                     0.00      #DIV/0!
                                        Wages for Security/ Guards                                                                                   0                     0.00      #DIV/0!
                                        Handling                                                                                                     0                     0.00      #DIV/0!
                                        Wages for labourers                                                                                          0                     0.00      #DIV/0!
                                        Wages for Drivers                                                                                            0                     0.00      #DIV/0!
                                                                                                                                                     0                     0.00      #DIV/0!

                                           TOTAL TRANSPORT, WAREHOUSING & HANDLING                                                                   0            0              0   #DIV/0!




File:g\Appeals\Africa\2000\beb491cf-0f48-4c53-8c80-512665496fff.xls                                                                                                                             7/28/2011 5:12 AM
                                                                                                ACT Co-ordinating Office                                                                                    Appendix 1a


                                    CAPITAL ASSETS ( over US$500)
                                        Computers and accessories                                                                                        0                           0.00       #DIV/0!
                                        Printers                                                                                                         0                           0.00       #DIV/0!
                                        Office Furniture    These are vehicles to be                                                                     0                           0.00       #DIV/0!
                                        Vehicles            purchased from appeal funds                                                                  0                           0.00       #DIV/0!

                                           TOTAL CAPITAL ASSETS                                                                                          0               0               0      #DIV/0!

                                                                                                                                           These are expenses which cannot be allocated
                                    INDIRECT COSTS: PERSONNEL, ADMINISTRATION, OPERATIONS & SUPPORT                                        to a particular activity but are necessary for the
                                                                                                                                           whole implementation and accountability
                                         Staff salaries
                                         Salaries e. g for Programme Director)                                                                           0
                                         Salaries e. g for Finance Director)                                                                             0                           0.00       #DIV/0!
                                         Salaries for …..)                                                                                               0                           0.00       #DIV/0!
                                         Staff benefits
                                         Housing Allowances                                                                                              0                           0.00       #DIV/0!
                                         etc                                                                                                             0                           0.00       #DIV/0!
                                         Staff Travel
                                         Per Diems                                                                                                       0                           0.00       #DIV/0!
                                         Office Operations
                                         Office rent                                                                                                     0                           0.00       #DIV/0!
                                         Office Utilities                                                                                                0                           0.00       #DIV/0!
                                         Office stationery                                                                                               0                           0.00       #DIV/0!
                                         Communications
                                         Telephone and fax                                                                                               0                           0.00       #DIV/0!
                                         Other
                                         Insurance                                                                                                       0                           0.00       #DIV/0!

                                          TOTAL PERSONNEL, ADMIN & SUPPORT                                                                               0               0               0      #DIV/0!

                                    AUDIT & MONITORING
                                        Audit of ACT Funds                                 Estimate                                                      0                           0.00       #DIV/0!
                                        Monitoring & Evaluation                            Estimate                                                      0                           0.00       #DIV/0!

                                                  TOTAL AUDIT & MONITORING                                                                               0               0               0      #DIV/0!


                                    TOTAL EXPENDITURE                                                                                                    0               0               0      #DIV/0!

                                    BALANCE OF FUNDS                                                                                                     0               0               0      #DIV/0!

                                    PROPOSED DISPOSITION OF CAPITAL ASSETS at Completion date

                                                  ITEM - (List each over US$500)                          Actual                 Disposition
                                                                                                           Cost




                                    PLEASE NOTE:
                                        For appeal proposal, delete the actual and variance columns.
                                           For reporting purposes, provide the data for actual income and expenditure in the relevant column.
                                           The variance (both in monetary value and persentage) will automatically be calculated as formuals have been inserted.
                                           Enter period for which the reporting is being done.
                                           Call-outs are given to provide clarification. Delete when preparing the budget




File:g\Appeals\Africa\2000\beb491cf-0f48-4c53-8c80-512665496fff.xls                                                                                                                                       7/28/2011 5:12 AM

				
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