The OPEC Fund for International Development

Parkring 8, A-1010 Vienna, Austria - P.O. Box 995

Tel: +43-1-515 64-0 Fax: +43-1-513 92 38
Email: info@ofid.org. Website: www.ofid.org

GRANT APPLICATION FORM

PART I - GENERAL INFORMATION ON ORGANIZATION
1.1 ORGANIZATION
Full Name
Date established
Permanent address
Head of Organization
Contact person
City

Phone number

State/Province

Email

Country

Fax number
Website

Registration certificate (required) Copy can be sent by

fax or
mail

Project title
Sector

City

Beneficiary
country(s)

Region

Total project budget in US $

State/ Province

PART II - DETAILED INFORMATION ON ORGANIZATION

2.1 Objectives (Objectives Briefly outline your organization's objectives)

Date :

2.2 Major achievements (Outline any major achievements accomplished during the past 4-5 years)

2.3 Funding Sources

Name

Contact details

PART III - DETAILED INFORMATION ON PROJECT PROPOSAL

3.1 Project justification

3.2 Background of beneficiary region

3.3 General objectives

3.4 Specific objectives

Contributions in US$

3.5 Envisaged activities to be carried out

3.6 Beneficiaries (Please describe direct/indirect beneficiaries of the project including the approximate numbers)

3.7 Implementation / Supervision and Reporting

3.8 Total project budget in US$

(Please attach details)
3.9 Expected project duration

Starting
date

Completion date

3.10 Project co-financier(s)

Name

3.11 Other remarks

Contact details

Contributions in US$