1. Title of project -------------------------------------------------------------------------------------------------------------------------------------
2. Project objectives --------------------------------------------------------------------------------------------------------------------------------
3. Summary of project work and expected output (up to one page
of text) ----------------------------------------------------
4. Name of applying organization --------------------------------------------------------------------------------------------------------------
5. Director ----------------------------------------------------------------------------------------------------------------------------------------------
6. Contact information: ----------------------------------------------------------------------------------------------------------------------------
-
street address -------------------------------------------------------------------------------------------------------------------------------
- tel., fax, e-mail and name of contact person -------------------------------------------------------------------------------------
7. Geographical
coverage of the project (national, regional - specify) ------------------------------------------------------------
8. Duration and phases of work ----------------------------------------------------------------------------------------------------------------
9. Cost assessment and preliminary budget in US$ or euro ------------------------------------------------------------------------
