Application
for Grant Funding under the Ambassador’s
Fund Program
Please submit all
applications via email (MS Word or PDF documents) at applications@sgafp.org.pk or by
post to:
Deputy Chief of Party
Small Grants and Ambassador’s
Fund Program
House No. 10, Street 30, Sector
F-7/1
Islamabad, Pakistan
T: +92 51 2656433-35
Note:
a)
Before filling this application form, please
ensure that your organization is eligible for accessing funds under the
Ambassador’s Fund Program and the activities/project you are proposing is in
line with USAID’s thematic areas/sectoral priorities;
b)
Provide complete information including supporting documents
like Bill of Quantities (BOQs) & cost estimates (where applicable), NOCs
& Letter of Commitments (if required) from concerned line departments and
other stakeholders. Incomplete
applications will not be processed further;
c)
The space given under each category of the
application is indicative. Applicants are encouraged to use as much space as
needed.
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Does this application involve
any construction related activity? Yes/No
1. Date of Application: ____________________________________________
Section A: The Organization
2. Contact information
a.
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Name of
organization:
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b.
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Type of the
organization (CBO/NGO/
Private
sector/Others – specify)
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c.
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Name of the
head of organization
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d.
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Postal Address:
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e.
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Office phone number:
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f.
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Cell Number
(organization head):
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g.
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Fax:
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h.
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Email:
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i.
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Website:
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j.
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Key Contact
person – Name & Designation:
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k.
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Contact number
of Key Contact Person:
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3. Registration Details of the Applicant Organization:
Please attach copy of valid
registration certificate
Registration Date:
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Validity of Registration (date):
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