Basic Data

Project Title .........................................................................

Implementing Organisation ....................................................

Address ...............................................................................

............................................................................................

Telephone ............................................................................

E-mail contact .......................................................................

Who will be responsible for overseeing the project?

Name ...................................................................................

Title .....................................................................................

Qualifiactions/Experience .......................................................

Telephone ............................................................................

E-mail contact .......................................................................

Is this person located at the project site? ............................... If not, where is this person located?....................................................................................

District that the project operates in .........................................................

Location of Project - nearest trading centre ..............................................

Distance from nearest large town .......................... kms

when was the organisation founded? ....................................

Does the organisation have a board of directors? Yes_________ No _________

If yes, how many times has the board met in the past year? ________________

What is the organisation registered as?

• Local NGO
• International NGO
• Community Based Organisation (CBO)
• Commercial Company
• School
• Nothing
• Other ......................................................

Is the organisation a membership organisation? Yes __________ No ________

If yes, how many members are there ? .......................................................

How does someone qualify for membership ...................................................

..................................................................................................................

If there is a membership fee, what is the fee ? ..............................................

How often is the fee paid ?

• Annually
• Monthly
• Weekly
• Other .............................................

What resources does your organisation currently have ?

• Land (with title deeds)
• Building
• Equipment
• Furniture
• Livestock
• Bank account
• None of the above

What is the organisation's annual budget ? ................................................

How has money been raised for past activities ? .............................................

....................................................................................................................................................................................................................................

How does this project fit into local plans for future development ? ....................

....................................................................................................................................................................................................................................

Project Summary

Please tick the type of project that you are requesting funds for ?

• Small, community project, impacting local people.
• Small organisation, focusing on training a larger group.
• Larger organisation, aiming to influence local government policy decisions.
• Other

Which of these Priority areas does your project fit into ?

• Consolidating peace building efforts and preventing and resolving conflict in Uganda.
• Promoting human rights and good governance.
• Combating corruption in Uganda.
• Promoting a sustainable, low carbon economy and boosting awareness of climate change and its implications of Uganda.
• Reducing the threat of international terrorism against Britain and British interests
• Offering high quality support for British nationals in Uganda.
• Disrupting illegal immigration
• Other

What is the PURPOSE of this project ? ( immediate or direct benefit that the project will achieve ) .......................................................................................................

......................................................................................................................................................................................................................................................................................................................................................

What are the OUTPUTS of the project ? ( the quantitative or qualitative deliverables ) .......

......................................................................................................................................................................................................................................................................................................................................................

What INDICATORS will prove that the project has been successfully implemented ?.................................................................................................................................................................................................................................................................................................................................

What exactly are you requesting funds for ?      ..............................................

....................................................................................................................................................................................................................................

What experience does the organisation have in this area ? ..............................

....................................................................................................................................................................................................................................

How will your organisation ensure that the benefits of this project are sustained ?..................................................................................................

....................................................................................................................................................................................................................................

What is the Total cost of the project ?*..........................................................

How much are you requesting from the Bilateral Programme ? *......................

(*Please attach detailed breakdown of the expected costs)

Have you applied for funding for the same project idea to other donors ?

Yes ______________ No _____________

What was the outcome ? .............................................................................

.................................................................................................................

Will any other group be providing support for this project ? Yes______ No_____

If so, list the organisation and describe the nature of support.

......................................................................................................................................................................................................................................................................................................................................................

What will the organisation and / or its members contribute to the project ?

......................................................................................................................................................................................................................................................................................................................................................

Have you received funds from the British High Commission or any other Embassy in the last 3 years ? Yes________ No _________ if Yes, please give details

Project Title ............................................................. Year ..........................

British High Commission / Other Embassy ......................................................

Good/materials received ..............................................................................

Amount ......................................................................................................

What publicity / media activity are you expecting ? .........................................

.................................................................................................................

Do you wish to avoid publicity because this project is of a confidential nature ?

Yes ____________ No _____________

List 3 references who can vouch for the financial integrity, reliability and usefulness of your group:

Name		Name		Name
Job		Job		Job
Relationship to the project		Relationship to the project		Relationship to the project
Contact Tel.		Contact Tel.		Contact Tel.

 

 

 

 

 

I ........................................................................... declare that all the information given above is true, to the best of my knowledge.

 

Signature ............................................................  Date ..............................

This form should be submitted with a covering letter and a short outline proposal.

Attachments enclosed:                  ü

Covering letter
Outline proposal (no more than 3 pages)
Detailed breakdown of expected costs of proposal
Local community commitment letter
Other donors / government commitment letter
Map to project site

 

 

 

 

 

 

 

Completed forms should be sent to:

Bilateral Fund Officer

British High Commission

Plot 4 Windsor Loop

P. O. Box 7070

Kampala

Fax: (256) 414 257304