ONE (1) YEAR ACCOMPLISHMENT REPORT

Instruction: List at least five (5) projects or activities of the organization in the last 12 months. Use another sheet if necessary.

DATE1 ACTIVITY RESULTS GAINED LEVEL2 ROLE3 PARTNER/S PARTICIPANTS4

Kindly indicate complete name of activity and the e.g. What specific advocacy was attained
organizations involved (if any)

1 MMM. DD-DD, YYYY (e.g. Sep. 15-16, 2018)

2 Indicate if the activity is local, regional, national, or international
3 Specify if organizer, participant, partner, etc.
4 Indicate the nature of participants, where they are from, and gender (when applicable)

Page 1 of 2
 DOCUMENTARY PHOTOS

Instruction: Attach at least two (2) photos corresponding to the activities listed above. Provide a caption for each photo. Use another sheet if necessary.

Prepared by: Certified true and correct:

Signature above Printed Name Signature above Printed Name

Positon/Designation Position/Designation
Page 2 of 2