NGOs during the visit Individual donations Others, pls. specify 9. The organisation has been Yes Please provide details blacklisted by a government No agency or funding withdrawn by a donor NOTE: Ticking Yes will not necessarily disqualify the applicant. However, withholding information may constitute reason for rejection of application 10. The organisations activities have Yes If yes, provide details to JAT been evaluated by SACS No, skip to Section B members during the visit 11. Organisation activity evaluated by DIC Copy of evaluation/s with SACS CCC score DLN GIPA Project Stigma reduction TI Any others (specify) Section B 1. Salary to staff paid through cheque Yes Copy of bank statements No 2. Appointment letters issued to all Yes Copy of appointment letter staff with job description and No signed copies kept by HR Section C 1. Period that the organisation has > 3 years Annual Report/ programme been implementing HIV > 2 years documentation programmes in the district for < 2 Years where applied as SSR 2. The HIV activities of the PLHIV Project contract documents organisation cater to MSM Sex workers IDU & partners TGs/Hijra WLHIV CLHIV Truckers Migrants HIV -TB
NGOs Individual donations Others, pls. specify during the visit 9. The organisation has been blacklisted by a government agency or funding withdrawn by a donor NOTE: Ticking Yes will not necessarily disqualify the applicant. However, withholding information may constitute reason for rejection of application Yes No Please provide details 10. The organisations activities have been evaluated by SACS Yes No, skip to Section B If yes, provide details to JAT members during the visit 11. Organisation activity evaluated by SACS DIC CCC DLN GIPA Project Stigma reduction TI Any others (specify) Copy of evaluation/s with score Section B 1. Salary to staff paid through cheque Yes No Copy of bank statements 2. Appointment letters issued to all staff with job description and signed copies kept by HR Yes No Copy of appointment letter Section C 1. Period that the organisation has been implementing HIV programmes in the district for where applied as SSR > 3 years > 2 years < 2 Years Annual Report/ programme documentation 2. The HIV activities of the organisation cater to PLHIV MSM Sex workers IDU & partners TGs/Hijra WLHIV CLHIV Truckers Migrants HIV -TB Project contract documents
form%201.docx