CONCEPT PAPER FORMAT

(The total length of the concept paper must not exceed 3 pages) 1. Basic Information of NGO a. b. c. d. e. f. g. Name of the Organization: Law under which registered: Year of Registration: Geographical Area/Jurisdiction of NGO (U/C, Tehsil, District, Province or National) Complete Postal Address: Office Phone Email: Human Development Organization Doaba (HDOD) Social Welfare Act 2000 Khyber Pakhtunkhwa, FATA 37, Street 4, Defence Officers Colony, Peshawar Cantt +92 91 5254550 hdodpk@yahoo.com

2. The Proposed Project a) Project Title: __________________________________________________________ b) Sector (Please check one) Education (Formal) Disaster Management (DM) Primary Health Care (PHC) Note:

Environment Livelihood

Water, Sanitation and Hygiene (WASH) Women Development will be the crosscutting theme for all sectors.

c) Project Location / Area profile: (Brief information of relevant area)

d) Need for the Project:

e) Project Objectives:

f) Itemized Budget: Activity / Budget A. Capital Cost *

TVO

NGO

Community

B. Recurring Cost *

Total
* The NGO/community share must not be less than 25 %. However the share may be in cash or in kind.

g) How the proposed intervention is innovative & sustainable?

h) Declaration from the NGO: We hereby certify that the given information is correct & concept paper is prepared in consultation with the community. We will provide NOC or any other relevant document (if required) at the time of proposal submission. Submitted by:
Name & Designation: _______________ Date & Signature: ___________________

For Official use only

Recommendation of concerned Regional Officer:

Name & Designation: ____________________________________ Date: ________________

For Head Office (HO) Comments: