Submit Proposal

1. Request submitted by:
Name of country:
Name of NGO in official partnership with UNESCO (full name and acronym):

2. Title of project and place of implementation:
Title of project:
Place of implementation:
Commencement date:
Termination date:
Priority number for Member States (from 1 to 7):

Please take account of the fact that the first approvals will not be granted before
May 2022 for Africa, LDCs and SIDS, and October 2018 for all other eligible countries
and NGOs in an official partnership with UNESCO.

3. Type of assistance requested
Financial contributionImplementation by UNESCO field offices

4. (a) Description of the project
Describe the project in detail indicating clearly the objectives and expected results (minimum of 1 to 2 pages)

(b) Provide also the following elements of information
Conferences/ meetings:
Place (selection criteria):
Duration:
Conference agenda:
Proposed topics:
Proposed round tables:
Working language(s):
Number of participants:
Participants’ travel cost:
Participants’ daily subsistence allowance:

Speakers (enclose curriculum vitae if possible)
Intended audience
MenWomenYoung Girls/BoysStudentsOutstanding Personalities

Seminars and training courses:
Proposed workshops:
Number of beneficiaries:
Intended audience
MenWomenStudentsGirls/BoysPanellists

Proposed work plan:
Purpose of the seminars/training:

Moderators (selection criteria):

Supplies and equipment:
List of benchmarks (please refer particularly to the list of benchmarks annexed to the Participation
Programme Circular Letter of the Director-General)

Description of the material:
Name of the supplier or manufacturer:

For the material, please enclose without fail at least two (2) competitive (proforma) invoices for the
purchase of professional goods and services for an amount equal to or greater than $5,000
Pro forma invoice 1:
Pro forma invoice 2:
Pro forma invoice 3:

Study grants and fellowships:
Discipline taught/offered:
Date and duration:
Number of beneficiaries:
Selection criteria of the fellows:
Study plan:

Specialists and consultants:
Tasks and assignments of the specialists or consultants
Name (enclose curriculum vitae without fail):
Specialists/consultants selection criteria:
Duration:
Honorarium (honorarium should not exceed 30% from the total amount requested from
UNESCO):

Publications
Nature of publication and/or reproduction:
Estimated cost of the reproduction or translation:
Quantity, number of copies to be printed:
Name of the publisher, as well as the date foreseen for translation and /or publication

5.Description of estimated budget: the budget must be drawn up in United States dollars and
clearly indicated in the main breakdown of expenditures (paragraph 3)

Nota Bene: Administrative costs are not financed under the Participation Programme and should by no means be included in the estimated budget.
6. 41 C/5* activity to which this project relates:
39 C/5 paragraph No.

7. Contribution from the Member State or NGO in United States dollars:

8 Geographical coverage of the project (tick the appropriate box):

9. Name of the institution responsible for carrying out the project:
National Commission or NGO in an official partnership with UNESCO:
Name
Mailing address:
Phone number:
E-mail address:

10. Beneficiary institution(s):
Name
Mailing address:
Phone number:
E-mail address:

11. In the case of financial contributions, please tick the appropriate box:
Method of payment
by bank transfer to the National Commission’s bank account or to that of the ministry responsible. Payment to a third party is not authorized.exceptionally, via field office upon UNESCO HQ’s approval. In this case the approved projects will be implemented by the field office concerned.by bank transfer to the NGO in an official partnership with UNESCO

Currency of payment
US dollarsEuroOther

Communicate, by email, your bank details to the Participation Programme and Fellowships Section.

12. The applicant accepts the conditions set out in 41 C/5 activity to which this project relates.
accept

Name, stamp, signature and title of the Secretary-General of the National Commission for UNESCO or of the recognized representative of the Government (1) or of the nongovernmental organization in an official partnership with UNESCO