Professional Documents
Culture Documents
Application Form
Application Form
FOR
JAPAN’S GRANT ASSISTANCE FOR GRASSROOTS HUMAN SECURITY PROJECTS
(GGP)
1. APPLICANT
(1) Name of the Applicant
(Position)
Fax Number
(v) Estimated Number of Patients and/or Services Performed within time frame
such as per year, per month and so forth
2. PROJECT
(1) Project site (Including the Distance from the Nearest Well-Known Town)
(2)Current situation and problems (Please describe with as many facts as possible)
(6) Requesting Items and Estimated Costs (for each item and in total)
Date ____________________________________________________
Name ___________________________________________________
Position ____________________________________________________
Signature ___________________________________________________