- 2 8 - Ta be l 6 . Applica t ion For m for Ja pa n ’s Te ch n ica l Coope r a t ion
APPLI CATI ON FORM FOR JAPAN ’S TECH N I CAL COOPERATI ON 1. D a t e of En t r y
: Day Mont h Year
2. Applica n t : The Governm ent of
3. Pr oj e ct Tit le : 4. I m ple m e n t in g Age n cy :
Address :
Cont act Person :
Telp. No. :
Fax. No. : E- m ail
:
5. Ba ck gr ou n d of t h e Pr oj e ct
Current condit ion of t he sect or, Governm ent ’s developm ent policy for t he sect or, issues and problem s t o be solved, exist ing developm ent act ivit ies in t he sect or et c
6. Ou t lin e of t h e Pr oj e ct
1 Overall Goal Developm ent effect expect ed as a result of achievem ent of t he Proj ect Purpose in
several years aft er t he end of t he proj ect period 2 Proj ect Purpose
Obj ect ive expect ed t o be achieved by t he end of t he proj ect period, elaborat e wit h quant it at ive indicat ors if possible
3 Out put s Obj ect ives t o be realized by t he Proj ect Act ivit ies in order t o achieve t he Proj ect
Purpose 4 Proj ect Act ivit ies
Specific act ions int ended t o produce each out put of t he proj ect by effect ive use of t he input
5 I nput from t he Recipient Governm ent Count erpart personnel - ident ify t he nam e and posit ion of t he proj ect m anager –
support st aff, office space, running expenses, vehicle, equipm ent , et c. 6 I nput from t he Japanese Governm ent
Num ber and qualificat ion of Japanese expert s, t raining – in Japan and in- count ry courses, sem inars and workshops, equipm ent , et c
7. I m ple m e n t a t ion Sch e du le Mont h Year - - Mont h Year
8 . I m ple m e n t in g Age n cy Budget , st affing et c
9. Re la t e d Act ivit ie s Act ivit ies in t he sect or by t he recipient governm ent , ot her donors and NGOs
10. Ge n de r Con side r a t ion
Any relevant inform at ion of t he proj ect from gender perspect ive
11. Envir on m e n t a l a n d Socia l Con side r a t ion s
