Attachment 1. SF424.pdf

оlV В NumЬеr: 4040,.0004

Expiration Date: 1 1/30/2025

Application for Federal Assistance SF-424

- 1. Туре of Submission:

! Preapplication ffi Application f._] Changed/Corrected Application

- 2, Туре of Application:

Щ гrtеw

! Continuation

I l l<evlslon

- lf Revision, Select аррrорriаtе lette(s):

- Оlhеr (Specify):

" 3, Date Received: 4, Applicant ldentifier:

2l2023

5а, Fеdеrаl Entity ldentifier 5Ь, Fеdеrаl Award ldentifier

State Use Only:

6, Date Received Ьу State: 7, State Application ldentifier:

8. APPLlCANT lNFORMAT|ON:

a, Legal Name:

- Ь, Еmрlоуеr/Тахрауеr ldentification NumЬеr (ElN/TlN):

44-4444444

- с, UEl:

d, Address:

Street1:

Street2:

City:

County/Parish:

State:

РrоViпсе:

Country:

Zip / Postal code:

1 ISmolI ota aShkent

UZB: UZBEKISTAN

е. organizational Unit:

t)ораfimепt Name: Division Name:

f. Name and contact information of person to Ье contacted оп matters involving thiS application:

l)геfiх:

I\4iddle Name

- [_ast Name;

SuffiX:

I. First Name: i r zohid yuldashev

T'itlc: Director organizational Affiliation:

- lelephone NumЬеr: +99в94208989в Fах NumЬег:

Bruit, [-g_i.,r*rl*@gmai1. соm

Application for Fеdеrаl Assistance SF-424

- 9. Туре of Applicant 1: Select Applicant Туре:

: Non-domestic (non-US) Entity

I'уре of Applicant 2: Select Applicant Туре:

'I уре of Дррliсапt 3: Select Applicant Туре

- other (Specify):

,l0. Name of Federal Agency:

S Department of State, US ЕпЙаSSу Tashkent

'l1. catalog of Fеdеrаl Domestic Assistance Number:

19.900 сt'Dд T'tle

ASSiStance for Europe, Eurasia. and Centra]- Asia

- 12. Funding Opportunity Number:

лSнкЕNт_рDS_ЕY2з*002

-'Iitle:

Democjracy Comission Small Grants Program

14. Areas Affected Ьу Project (cities, counties, States, etc.):

Add Attachment фiе rtЦ€!', 15, Descriptive Title of Applicant's Project:

"Engaging women in the rura]_ areas in the agIicultural va.Iue chain through ]_eader female farmers and improving their }ivelihoods''

Дttach Suppoгting documentS aS Specified in аgепсу instгuctions

Add Attachments I tcyJ ]rltle\Jt ali, App|ication fоr Federal Assistance SF-424

,l6. congresýional Districts of:

- а, Applicant - Ь, Ргоgrаm/Рrоjесt

Дttасh an additional list of Рrоgrаm/Ргоjесt CongreSSional DiStгicts if needed, Add Attachment

- Ь, End Date:

18. EStimated Funding ($):

а, Fеdеrаl

Ь. Дррliсапt с, State d, Local с. other f, Рrоgrаm lпсоmе g, TOTAL

44 965.00

44 965,00

" 19. lS Application Subject to Review Ву State Under Executive order 12372 Process?

fi а. This application was made available to the State uпdеr the Executive Ordel 12З72 Рrосеss for rечiеw оп

Ь, t'rоgrаm iS SUb.iect to Е,О, 12З72 but has not been selected Ьу the State fоr review, J l с, t'rogram is not covered Ьу Е,О, 12З72,

- 20. ls the Applicant Delinquent Оп Апу Federal Debt?

[_lves Х tчо lf "Yes", provido eХplanation and attach

(lf "Yes"' provide explanation in attachment.)

21. -Ву Signing this application, l certify (,l ) to the Statements contained in the list of certifications-- and (2) that the Statements herein are true, complete and accurate to the best of my knowledge. l also provido the required assurances** and agree to comply with апу resulting terms if l accept ап award. l am aware that апу false, fictitious, оr fraudulent Statements or сlаimЪ mау Subject me to criminal, civil, or administrative penalties. (U.S. Code, Title ,l8, Section 1001) ffi -- tасгrгв

] hc list of ceгtifications and аssurапсеs, оr an internet Site Where you may obtain thiS list, is contained in the аппоUпсеmепt ог аgепсу Specif ic inStгUctionS, Authorized Representative:

Рrеfiх:

Middle Name:

" LaSt Name:

SUffix:

First Name: |Mirzohict ldashev

- i]mail:

Sigпаtuге of ДUthоrizеd - Date Signed:

к.ё-ту

17. Proposed Project:

" а, Staгt Date:

tJil дGкv