Community-Building Initiatives Program Budget Guidelines and Form

Name of Individual:Elchin Malikli

Project Title:Struggle against infectious diseases

Example for Categories Example of Subcategories Subtotal Cost sharing Requested from the US
Embassy

$18,000.00 $0.00 $18,000.00

Salaries

Programming expenses
$0.00
Honorarium $400.00 $400.00

Rent of venue $0.00

Per diem/Refreshments

Lodging

Cost for materials

Supplies $1,000 $1,000
Administrative expenses $2,120.00 $0.00 $2,120.00
Project total
Bank costs (1%)* $215.00 $215.00

Total budget $0.00 $21,735.00

Salaries
Position Amount of time spent on Monthly salary Number of months Sum Cost sharing Requested
project (%) (USD) from the US
Coordinator full-time $400.00 12 $4,800.00 $0.00 Embassy
$4,800.00
Coordinator assistant full time $300.00 12 $3,600.00 $3,600.00

Medical specialist full time $300.00 12 $3,600.00 $3,600.00

 full time $300.00 12 $3,600.00 $3,600.00
Psychologist
Accountant ay $200.00 12 $2,400.00 $2,400.00

Subtotal $18,000.00

Programming Expenses
Honoraria
Position Payment Amount Number of persons Sum Cost sharing Requested from
the US Embassy
Videographer $200.00 1 $200.00 0 $200.00
Editor $200.00 1 $200.00 0 $200.00
Subtotal $400.00

Equipment
Description Price per item Number of Items Total cost Cost sharing Requested from
the US Embassy
Notebook 500 2 1000 1000

Subtotal

Administrative costs
Item Monthly Cost Number of months Sum Cost sharing Requested from
the US Embassy
Internet costs $10.00 12 $120.00 $0.00 $120.00
Stationary 12 $100.00 $0.00 $100.00

Video shooting (for 1 video) $1,200.00 $0.00 $1,200.00

Other expenses $700.00 $700.00
Subtotal $2,120.00
Bank costs (1%) 215
TOTAL BUDGET $21,735.00