Project«Assistance with returning to the country of origin»

Request for financing

These requests only concern the programme "Reintegration in the Country of Origin". They must be sent by an aid organisation for the return home.

Please send this form to:

Date of Request
Demandeur
Organisation*
Contact person*
Address*
Phone / fax*
E-Mail*
Main beneficiary
First name / LAST NAME*
Nationality*
Status in Switzerland (possibly nbr N)*
Date of birth*
Current address in Switzerland*
Entry in Switzerland*
School / education*
Job / Professional experience*
Family members
First name / LAST NAME of family members in Switzerland
Date of birth
Degree of kinship
Entry in Switzerland
School / education
Job / Professional experience
Possible health problems needing specific care after reintegration
Close family in the country of origin (relationship, age, etc.)
Housing possibilities in the country of origin
Information pertaining to departure
Reasons for departure*
Destination, possibly address*
Intended date of departure
Comments
Expectations towards ISS
Requested support *
□Support to realise a reintegration project
□Support to acquire or complete professional training Establishment of contacts in the country of reintegration
□Other / Comments
Description of the expected project
Project proposal (description, applicant's specific skills related to the project)
Expected impact on the re-insertion of the direct beneficiary/beneficiaries
Circle of beneficiaries in the country of origin (excluding direct beneficiaries already mentioned)
Reasons for which such a project could have potential (Few competitors? Specific know-how? Strong demand? etc.)
Budget
Please choose one of the following options (indicate amounts and currency):
Budget for the realisation of a professional project
Monthly rent x months
Electricity (monthly cost x months)
Refurbishing costs (explain in detail)
Material needed(explain in detail)
Stock purchase (explain in detail)
Administration costs
Other costs (explain in detail)
TOTAL AMOUNT OF PROFESSIONAL PROJECT
/ Budget for the realisation of an educational project
Schooling fee
School equipment (explain in detail)
Other costs (explain in detail)
TOTAL AMOUNT OF EDUCATIONAL PROJECT
Comments
Available resources
Available material ressources in the country of reintegration for the realisation of the project
Individuals knowing the beneficiary and willing to support him/her with the project (in the country of reintegration)
Financial support (StateSecretariat for Migration, Canton, Associations, etc.)*
Pension Found, Retirement pension, savings, etc.*
TOTAL AMOUNT REQUESTED FROM ISS*:
Appendixes

Mandatory (*)

1