Application form Human Rights fund



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Application form - Human Rights fund





1. General project information


Project name



Area

Please indicate:

 Women’s rights

 LGBT rights

 Support to Human Rights Activists

 Promoting Corporate Social Responsibility

 Freedom of information / freedom of belief



City and region in which the project will be located








2. Details of applying organization/applicants


Name

Both in Turkish and English

Address






Telephone




Fax




E-mail




Contact person


(Names of persons who have the right to sign the contract + contact person)


Bank account number (EUR) & IBAN number




Contact details of the bank

name, address and branch office of the bank – in Turkey, as well as on which name the account is

Aims of organization

Background (history) information, activities, projects etc.


Former projects with this embassy

Name, date, results

Personnel capacity

Employees, members, volunteers


Financial capacity (list income and expenditures of last 3 years)

Last three (3) years





3. Details of implementing organization/applicants (only if other than mentioned under 2)

Name




Address






Telephone




Fax




E-mail




Contact person




Bank account number (TL/EUR) + IBAN number




Contact details of the bank

name, address and branch office of the bank – in Turkey, as well as on which name the account is, IBAN Number




4. Project description


Duration of the project

days / weeks / months

Starting date- Ending date




What is the problem?



State in max. 5 lines why you think this project is necessary

What are you going to do resolve this problem? (what do you aim for with this project?)


List the general and specific objectives of the project, max. 5 lines, use bullets.

How you are going to do it?



List activities; explain how activities lead to results and how these results contribute to the above stated aims. In describing activities be as specific as possible (ie. Dates, target audience, people involved etc), 10 lines max.
Preferable make use of bullets per activity and make sure to establish clear links between activities, results and aims of the project).

Expected outcomes- outputs


List outcomes and outputs of the project- max. 5 lines for each


Is it sustainable?

What will happen to the above mentioned problem one year after finishing the project, max 5 lines



Risk factors and risk assessment

List the three most prominent project risks, max 3 lines and how they can be overcome/prevented





5. Budget





General overview of the budget (TL +EUR)


Please breakdown in activity-results-aim (max. 10 lines)

The budget should clearly show what budget is needed to reach your objectives in a cost-effective way.

Other donor(s) contribution

If yes, please indicate who and when

Own contribution (money, material, work, etc.) (TL+EUR)




Requested Netherlands contribution (TL +EUR)



Total budget (TL +EUR)




Please use also the provided Budget application form (excel sheet)

NB. Applications have to be drawn up in English.
Please send your application form to one of the following address:


The Consulate-General in Istanbul for projects limited to the Istanbul–Marmara region




The Embassy in Ankara for all other cities/regions as well as projects with a nation-wide relevance


Leyla Susan Barlas-Aslan

Consulate-General of the Kingdom of the Netherlands

Istiklal Caddesi 197

34433 Istanbul-Beyoglu
E : ist-matra@minbuza.nl

T: +90 212 292 50 31






Deniz Bezirgan

Embassy of the Kingdom of the Netherlands

Hollanda Caddesi No: 5

06550 Yildiz Ankara

E: ANK-MATRAHR@minbuza.nl



T: + 90 312 409 18 74








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