NGO Information Form

Section 4:  Project Info

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Please make sure to fill in all required fields

(marked with a * and a light-blue background)


Please State:

Your Full Name:*

NGO Full Name:*

Your Contact Email:*


Project Information


NOTE:  To add several Projects, please submit this form separately for each of them.
After you click the "Submit Form" button you will be given an option to go back to this form to fill out information for another Project.


 

Official Project Number:

Official Project Name:*

Project Activity Type:*

Please select all that apply to this Project.

 Research  Training  Implementation

Project Description:*

Please briefly describe what this Project is about, its goals and objectives:

Project 1 Sectors & Sub-sectors:
Please select all Sectors and Sub-sectors that apply to this Project.
First, select a Sector from the list on the right by clicking on its check box.
Then select relevant Sub-Sectors from the list on the left.
NOTE: At least one Sector and Sub-sector MUST be selected.

Select Sectors:

Click in a check box to select Sector.

Select Sub-sectors:

Sub-sectors will appear when you select a Sector from the list on the right.

 Agriculture, Forestry & Fisheries (AFF)

 Community Development (CD)

 Income Generation & Economic Development (IG&ED)

 Education (ED)

 Emergency & Humanitarian Relief (EHR)

 Health Care (HC)

 Human Resources Development (HRD)

Natural Resources & Ecology (NR&E)

 Data Collection & Analysis (DC&A)

 Social Development (SD)


If you believe your Project does not fit into any of the above Sectors or Sub-sectors,
please provide your own below:

 

Project 1 Provinces & Districts:
Please select all Provinces and Districts that apply to this Project.
First, select a Province from the list on the right by clicking on its check box.
Then select province's Districts in the districts list on the left.
NOTE: At least one Province and District MUST be selected.

Select Provinces:

Click in a check box to select Province.

Select Districts:

Districts will appear when you select a Province from the list on the right.

 Nation-wide (All Provinces and All Districts)

 Attapeu Province

 Bokeo Province

 Borikhamxay Province  

 Champasack Province

 Huaphan Province

 Khammuane Province

 Luangnamtha Province

 Luangprabang Province

 Oudomxay Province

 Phongsaly Province

 Saravane Province

 Savannakhet Province

 Xaysomboun Special Region

 Vientiane Province

 Vientiane Municipality

 Xayaboury Province

 Sekong Province

 Xiengkhuan Province

Project Operational Budget:

 US$

Project Donors:

List main Donors/Contributors to this Project (give both FULL NAMES and ACRONYMS)

Donor 1:

Donor 2:

Donor 3:

Donor 4:

Donor 5:

Project Partners:

List your main Lao (or International) Partners/Counterparts in this Project

Partner 1:

Partner 2:

Partner 3:

Partner 4:

Partner 5:

Project Start Date:*

Expected Completion Date:*

Current Project Phase:

Current Phase Start Date:

Current Phase End Date:

Project Manager:

Name:

Email:

Tel. #:

 

Additional Project Information:

Other information about this Project that you think will be useful


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