THE AC-BADEA PROJECT ON “EMPOWERMENT OF WOMEN IN AGRICULTURE IN LIBERIA SEED FUND FORM

(PLEASE TYPE ALL INFORMATION IN CAPITAL LETTERS)

Name of Organization

Address and contact information including website, if any, of the organization.

Relative in size of organization

Nature of Business/ Scope of Operation

Governing Rules (Please attach By-laws and constitution)

Legal Recognition (Please attach Article of Incorporation and Business Registry, or Certificates from (CDA)

Functioning Bank Account (Please indicate Bank Account Name and Valid Bank Account Number)

Letter of Intent for the grant

How will you track your results?

Expenditure Templates (Please provide a disbursement of funds report upon completion of the project).

Location of agriculture site (Please state the area where your project will materialize) and attached a photo of the site.

Photo of the site

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