Danmarks Indsamling – organisational fact sheet

The donation Fund, Appendix B:

Fact sheet on the local partner

ORGANISATIONALFACT SHEET
Local partner implementing the project
To be filled in and signed by the local partner.
Please make sure that the information is up to date.

Name of the organisation as it appears on your constitution or set of rules

Abbreviation or acronym for your organisation

Date / Signature of the person responsible for the application (local partner)
Place / Name and position of the person responsible for the application (Block letters)

A. Basics about your organisation

A1. Physical registered address of the organisation

Street/Road: / City/Village:
District: / Region:
Postal Address/ PO Box: / Country:

A2. Contact details for your organisation

Phone number (Land): / E-mail address:
Mobile number: / Website address (if any):

A3. Contact in relation to this application (or to your Danish partner):

Name: / Email:
Position: / Phone:

A4. Type and registration

Type of organisation (Member based organisation, Development NGO, Community Based Organisation, foundation etc):
Legal status & date of registration (if applicable):
Registration number (if applicable):
Affiliation to other organisations (i.e. umbrella, networks, national NGO, etc.):

B. Purpose and foundation

B1. Foundation

Why was your organisation founded and by whom?

B2. Objectives

What are your organisation’s main objectives?

B3. Activities

Please list your main activities during the last three years (not more than one page).

B4. Evaluations(Relevant mainly for larger organisations)

Please list important external or internal evaluations carried out during the last three years (if any).

C. Governance and accountability

C1. People

How many are you? (Fill in where applicable)
Number
Members (sometimes called owners or patrons)
Board (sometimes called executive committee or steering group)
Staff (sometimes called secretariat, management or administration)
Volunteers (sometimes called unpaid staff)
Collective members (other organisations/associations)

C.2 Board composition

Name / Profession (farmer, teacher, housewife etc.)
How often does the board meet?

C3. General Assembly(if applicable)

When did you conduct your last general assembly / members meeting and who participated?

C4. Management procedures(Mandatory to be filled out only byorganisations with a yearly turnover of more than 50.000 USD)

Please describe to what degree you have the following management procedures in place.

What

/

Description

A financial procedures manual or equivalent, which covers relevant areas

Written manuals on lines of authority and responsibilities within the organisation

Reconciliations between cash, bank and ledger are carried out regularly

High segregation of duties when handling funds

A job description for each employee

A written procurement policy

Any other

C5. Signatories

Please list the persons who are authorised to sign cheques or withdrawals from the account your Danish partner will send the funds to (you may add more rows).
Name / Position in organisation

C6. Reports

Do you make and publish annual narrative and financial reports for the entire organisation (supplementary to project reports)?

D. Financial status

D1. Turnover and funding

Please state last year’s turnover (total amount and currency): ______Financial year, 20___
Please list main sources of last years income:
Amount / Funding source

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