01. Attachment 1 - Application Summary Coversheet .docx
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- Opportunity number
- SCAISB-22-AW-022-01282022
- Issued by
-
Department of State US Embassy Islamabad
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Attachment 1 - Application Summary Coversheet
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PUBLIC AFFAIRS SECTION, U.S. EMBASSY ISLAMABAD
U.S. DEPARTMENT OF STATE
APPLICATION SUMMARY COVERSHEET
This is a required form and must be included in the application package.
| Funding Title: |
| University Partnership: Countering Climate Change in Sindh and Balochistan |
| Funding Opportunity No: |
| SCAISB-22-AW-022-01282022 |
Applicant Organization’s Name:
| Postal Address: |
| House XXXX, Street XXXX, Area XXXXXXXXXX, City XXXXXXXXX, Country XXXXXXXXXX, Zip Code XXXX. |
| Point of Contact: |
| Mr. John Smith |
List up to five Key Individuals (financial) and their positions:
Key Individuals are staff with the ability to handle or direct funds.
1. Mr. John Smith – President
2. Mrs. John Smith – Executive Director
3. Ms. Rachel Smith – Programs Manager
4. Mr. John Smith – Accounts Manager
5. Ms. Rachel Smith – Project Coordinator
| Total Estimated Funding in USD: |
| $ X,XXX,XXX.00 |
| Duration of the Project: |
| XX Months |
| List of Partners, Sub-Awardees, or Contractor Organizations: If any, do not use acronyms. | |||
| 1. | 3. | ||
| 2. | 4. |
List up to five Key Individuals (financial) and their positions from Partner, Sub-Awardees or Contractor Organization:
Key Individuals are staff with the ability to handle or direct funds.
1. Mr. John Smith – President
2. Mrs. John Smith – Executive Director
3. Ms. Rachel Smith – Programs Manager
4. Mr. John Smith – Accounts Manager
5. Ms. Rachel Smith – Project Coordinator
Implementation Location(s) of Activities:
Check all that apply.
| |_| Islamabad / Rawalpindi | |_| Baluchistan | ||
| |_| Punjab | |_| KP/FATA | ||
| |_| Sindh | |_| Gilgit-Baltistan |
|_| Other specify: __________________ |_|United States (specify location): __________________
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