Application Form
Application Form Please review the 2015-2016 Call for Proposals document carefully before completing your application
1. Organization contact
Date:
Organization name* Address (Street, City, Postal code, State/Province, Country) Website Telephone number (including country and city code) * Do not use acronyms. In case there is more than one organization applying, only include the name of the organization that will be responsible for project management and contractual obligations.
2. Contact person Secondary contact person
Primary contact person Ms.
Mr.
Ms.
Mr.
First Name
First Name
Last Name
Last Name
Job Title
Job Title
Telephone number
Telephone number
E-mail
E-mail
3. Type of organization UN CASA partner(s) International organization
(Sub-)regional organization
Non-Governmental Organization Does the organization have legal status?
Academia / Research Yes
No
When was the organization legally established?
In which country?
4. Other information about the organization What is the organization's mandate?
What is the annual organizational budget? (USD) Is the organization in a state of bankruptcy or under the supervision of an administrator?
Yes
No page 1/4
5. Project implementation Title of project Duration of project Project start date**
1 year
2 years Project end date
** 1-year project: Jan 1, 2016 - Dec 31, 2016; 2-year project: Jan 1, 2016 - Dec 31, 2017 Implementing partners / participating agencies
6. Project focus Region and countries of implementation (to be identified)
Thematic focus
Supporting ratification, accession to and implementation of the Arms Trade Treaty Supporting implementation of the PoA, focusing on present PoA priorities, including those identified in BMS5 Addressing synergies between the PoA and the ATT
Expected impact of the project (value added of the project)
Assessment of key risks and how they will be managed (to be detailed in Annex 7)
How will you coordinate with national /regional and local government (to be supported by Annex 9)
page 2/4
Gender or other considerations (if any)
Synergies with other existing initiatives
Are you aware of any similar initiative implemented by any other organization?
Yes
No
If yes, explain:
Project budget Item
Description
Quantity
Unit
Unit Price
Amount
1 2 3 4 5 6 7 8 9
(Sub-total) (Programme Support Costs ( up to 7%))
%
(Grand Total) page 3/4
Budget narrative (Provide detailed explanation regarding each item, including formulas for calculation)
1
2
3
4
5
6
7
8
9
Other comments (add a blank sheet if necessary)
page 4/4
1. Organization contact
Date:
Organization name* Address (Street, City, Postal code, State/Province, Country) Website Telephone number (including country and city code) * Do not use acronyms. In case there is more than one organization applying, only include the name of the organization that will be responsible for project management and contractual obligations.
2. Contact person Secondary contact person
Primary contact person Ms.
Mr.
Ms.
Mr.
First Name
First Name
Last Name
Last Name
Job Title
Job Title
Telephone number
Telephone number
3. Type of organization UN CASA partner(s) International organization
(Sub-)regional organization
Non-Governmental Organization Does the organization have legal status?
Academia / Research Yes
No
When was the organization legally established?
In which country?
4. Other information about the organization What is the organization's mandate?
What is the annual organizational budget? (USD) Is the organization in a state of bankruptcy or under the supervision of an administrator?
Yes
No page 1/4
5. Project implementation Title of project Duration of project Project start date**
1 year
2 years Project end date
** 1-year project: Jan 1, 2016 - Dec 31, 2016; 2-year project: Jan 1, 2016 - Dec 31, 2017 Implementing partners / participating agencies
6. Project focus Region and countries of implementation (to be identified)
Thematic focus
Supporting ratification, accession to and implementation of the Arms Trade Treaty Supporting implementation of the PoA, focusing on present PoA priorities, including those identified in BMS5 Addressing synergies between the PoA and the ATT
Expected impact of the project (value added of the project)
Assessment of key risks and how they will be managed (to be detailed in Annex 7)
How will you coordinate with national /regional and local government (to be supported by Annex 9)
page 2/4
Gender or other considerations (if any)
Synergies with other existing initiatives
Are you aware of any similar initiative implemented by any other organization?
Yes
No
If yes, explain:
Project budget Item
Description
Quantity
Unit
Unit Price
Amount
1 2 3 4 5 6 7 8 9
(Sub-total) (Programme Support Costs ( up to 7%))
%
(Grand Total) page 3/4
Budget narrative (Provide detailed explanation regarding each item, including formulas for calculation)
1
2
3
4
5
6
7
8
9
Other comments (add a blank sheet if necessary)
page 4/4
