1.6 Description of up to five most 1. Important or intended activities of 2. your organization: (this means your 3. core activities as an organization. It could 4. be one activity but they do not need to be more than five) 5. 1.7 Currency used in this Application (Applicant to tick currency they have used USD ZMW with this application): Note: All grants will be in USD. If ZMW is used it will be converted to USD at the average of the buy and sell rates published on the Bank of Zambia website on the deadline for proposal application submission. 1.8 Name of Contact Person: 1.9 Position within the organization: 1.10 CONTACT INFORMATION Email address: (for contact person) Telephone(s): (for contact person) 1.11 Requesting Signature Date: (authorized organization representative) SECTION 2: PROJECT SUMMARY PROFILE 2.1 What type of innovation (sector) are ☐ Water Supply you targeting (please check all that ☐ Sanitation and Hygiene apply) ☐ Solid Waste Management ☐ Financing ☐ Other (please indicate) ___________________________________________
1.6 Description of up to five most Important or intended activities of your organization: (this means your core activities as an organization. It could be one activity but they do not need to be more than five) 1. 2. 3. 4. 5. 1.7 Currency used in this Application (Applicant to tick currency they have used with this application): USD ZMW Note: All grants will be in USD. If ZMW is used it will be converted to USD at the average of the buy and sell rates published on the Bank of Zambia website on the deadline for proposal application submission. 1.8 Name of Contact Person: 1.9 Position within the organization: 1.10 CONTACT INFORMATION Email address: (for contact person) Telephone(s): (for contact person) 1.11 Requesting Signature (authorized organization representative) Date: SECTION 2: PROJECT SUMMARY PROFILE 2.1 What type of innovation (sector) are you targeting (please check all that apply) ☐ Water Supply ☐ Sanitation and Hygiene ☐ Solid Waste Management ☐ Financing ☐ Other (please indicate) ___________________________________________
IGP-Grant-Cycle-2-LARGE-GRANT-PROPOSAL-APPLICATION-FORM.docx