ROYAL NORWEGIAN EMBASSY MACEDONIA QUESTIONNAIRE - SMALL POT FUNDING

1. INFORMATION ABOUT THE APPLICANT Name of the Organisation: Postal address: Telephone: Fax: E-mail: Contact person, position: Authorised person, position: Ban account: !" Num#er $maticen #ro%&: Ban name: Aims of the Organisation: Period of existence and pre'ious achie'ements of the Organisation: Num#er of emplo(ees: Financial capacit( $turno'er o'er the last * (ears&: +as the applicant pre'iousl( recei'ed a grant from the Em#ass(, !f (es, -hen, 2. PARTNER / IMPLEMENTING ORGANIZATION (if diffe e!" f #$ "%e &''(i)&!"* Name: Postal address: Telephone: Fax: E-mail: Contact person: Authorised person, position: +. ./ 0/ */ 2/ 4/ 6/ INFORMATION ABOUT THE PRO,ECT Pro%ect title: Pro%ect goal: Target 1roup: Pro%ect 3ustification: Pro%ect 5trateg( +as this pro%ect #een su#mitted to other potential donors, $Please -rite the names of the donors& 7/ Total amount re8uested from the 9o(al Nor-egian Em#ass( $:;"&:

Permanen t:

)olunteers :

Total costs of the pro%ect:

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