Livestock Market Efficiency Fund Full Proposal Application Form

Livestock Market Efficiency Fund Full Proposal Application Form

This Full Proposal Application Form must be completed in full. Failure to do so will result in the Application not being considered. The maximum length of each section must be adhered to. Applications must be completed in Calibri font, size 11.

SECTION1Applicant Information

PROPOSED RESEARCH TITLE :______

RESEARCH LOCATION/S :______

TOTAL COST OF THE ACTION (N$) : ______

ESTIMATED BENEFIT OF THE ACTION (N$) : ______

AMOUNT REQUESTED FROM MCA-N (N$):______

DURATION OF THE ACTION :______

PROPOSED STARTING DATE : ______

NAME OF THE APPLICANT :______

TYPE OF ORGANISATION & REGISTRATION No :______

COLLABORATIVE PARTNERS :______

______

______

CONTACT PERSON/S :______

POSITION IN ORGANISATION :______

TEL :______

FAX :______

EMAIL :______

POSTAL ADDRESS :______

______

SIGNATURE OF THE APPLICANT*

______DATE : ______

* By signing this Application Form you certify that the content contained herein is a true reflection of the facts.

SECTION 2Description of the Action

2.1Abstract or Summary of the Action

Max. 15 lines. It should include (i) the aim of the Action; (ii) the intended impact and beneficiaries; (iii) the main Activitiesand how these will produce the intended impacts; and (iv) the applicable theme associated with this Call.

2.2Aim and Objectives

Not longer than 1 page. Please describe the overall aim/s and the specific objective/s of the proposed Actionand how these will be verified.

2.3Justification

Max. 3 pages. Please provide information on the following:

(i)Statement of the problem including the perceived needs and constraints of the livestock sector in Namibian NCAs;

(ii)The relevance of the Action to the development of the livestock sector in NCAs;

(iii)An explanation of why the LMEF is needed for this proposed Action, and why the private sector cannot provide the services (this should include a statement regarding whether the proposed Action is in the public good);

(iv)An explanation of how the proposed Action has been developed including, for example, the level of participation of the target group/s;

(v)A list of the target groups and number of direct and indirect beneficiaries, and how it will benefit them (You will need to expand on and quantify this in Section 3.1 below);

(vi)The potential impact/benefits to livestock producers; and

(vi)The inherent or potential risks involved in achieving intended impacts or that could negatively impact on the success of the Action, and any mitigation measures proposed.

2.4Description of Activities

Max. 2 pages. What Activities will be carried out to produce the proposed results and objectives? The information should be contained in the format of the following table.

Activity / Timeframe Completed / Deliverable / Responsibility
Objective 1.
Activity 1.1.
Activity 1.2.
Objective 2.
Activity 2.1.
Activity 2.2.
Activity 2.3.

Note: Applicant may add as many rows as needed.

2.5Methodology

Max. 4 pages. Please provide information on the following:

(i)The method for implementing the proposed Activities;

(ii)The reason for this methodology;

(iii)Previous research or work that the proposed Action builds on; and

(iv)A list of the partners and the role of each partner in the proposed Action.

2.6Environmental and Social Assessment

Max. 2 pages. What are the potentially significant environmental and social impacts (both positive and negative) of the proposed Action/s? Please describe each impact in detail. Also consider in your response any potential long-term impacts.

If any of the above impacts are negative, please describe what mitigation measures are proposed.

Please note that the information provided must be truthful and reliable. The Applicant is accountable for any wrong and misleading information that may be provided in this questionnaire. Based on the information provided, MCA-N will decide if a more comprehensive Environmental and Social Assessment is required.

2.7Workplan

Please provide a detailed workplan for YEAR 1 with key deliverables for the proposed Action. The workplan should not include real dates, but should indicate “month 1”, “month 2” etc. It is important that this ActionPlan be as accurate as possible as it will form the basis for the completion of the deliverables schedule against which payments will be made. However, it is also advised to retain a degree of flexibility when completing the table. Only the main Activity titles should be indicated in the table based on those listed in Section 2.4 above; shade in the months per Activity where applicable. Insert additional rows if needed.

WORKPLAN – YEAR 1
MONTH / 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / 9 / 10 / 11 / 12
ACTIVITY TITLE / Key deliverables per Activity / IMPLEMENTING RESPONSIBILITY
1
2
2.1
2.2
3
Ect.
Ect.

If the proposed Action is for a period longer than 12 months,please complete the table below which provides an overview of the proposed implementation of the Activities in the second year. Only the main Activities need be included in this table. It should be noted that if the proposed Action is for longer than two years, a detailed workplan for the second year will be required before any payments for Activities in the second year can be made.

WORKPLAN – YEAR 2
MONTH / 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / 9 / 10 / 11 / 12
ACTIVITY TITLE / Key deliverables per Activity / IMPLEMENTING RESPONSIBILITY
1
2
2.1
2.2
3
Ect.
Ect.

SECTION3Expected Results

3.1Expected Results and Impact

Max. 3 pages.

a)Please define the program logic and all expected results, i.e., outputs, outcomes, and impacts, which the proposed Action will be targeting.

b) Please provide detailed information on how the Action will impact:

(i)The development of the livestock sector in the NCAs, from both an economic and a technical point of view. Please quantify the potential benefits as far as possible.

(ii)The situation of the beneficiaries/target group/s. This should include both direct and indirect beneficiaries. Please quantify the potential benefits as far as possible.

3.2Monitoring and Evaluation Plan

Monitoring and Evaluation are important tools for both MCA-N and the “implementer” of the Action to monitor that the Activities are being implemented according to the workplan and that the Activities are on course to achieve the stated results of the Action. Evaluation is important for assessing whether the objective/s and the results have been realised and for gleaning any lessons that should be learnt from the Action.

In completing the following table,Applicants should describe what processes and indicators will be used to monitor and evaluate the proposed Action. The table below should be used as a template for the Monitoring and Evaluation Plan.

Activities
(Please include all activities listed in the Description of Activities section above, as well as indicators for Expected results and impact in section 3.1) / Results*
(the expected status after activity implementation) / Target date (within what timeline do you aim at achieving the stated results) / Indicator (how you will measure the achievement of results) / Definition (define the indicator in detail) / Reporting Interval (monthly, quarterly or annually) / Data Source (Project reports, or other sources)
Objective 1: [Insert objective and key indicator for objective]
Activity1:
Activity 2:
Activity 3:
Activity 4:
Objective 2:[Insert objective and key indicator for objective]
Activity 5:
Activity 6:
Activity 7:
Activity 8:

Note: This table can be presented in landscape format. If required, additional rows can be added by the Applicant.The Applicant is not necessarily required to have two activities per result as the template only makes use of an example; one may even have three activities that would lead to one result. One may also have one result which is measured by one indicator or more. *The Grantee shall work with MCA Namibia to document and monitor expected impacts and results, as outlined in the Expected Results and Impacts section above, through the M&E Plan.

With specific reference to the Monitoring and Evaluation Plan, the following should be noted:

• The Monitoring and Evaluation Planprovided by the Applicant in the table above might have to be revised during Grant Agreement negotiations as indicated in the notional timeframe provided in Section 4.1 in the LMEF Grant Manual, or subsequently.
• In addition to an evaluation of the individual Grants, MCA-N and or MCC might during the course of the implementation of the MCA-N programme decide to conduct an evaluation of the LMEF as a whole, in which case Grantees may be requested to provide information or participate in workshops.

3.3Dissemination of Results

Max. 1 page. Please outline the strategy and methods for the dissemination of the research findings both within the target area(s) of the Action and to relevant audiences at national, regional and international levels. Your outline should include:

• Target area;
• National level communication; and
• Regional and International level communication.

Please note that the Grantee is expected to coordinate with MCA Namibia to transparently and periodically report on progress made on the grant through the M&E plan indicators and reporting, as well as dissemination of information on the ultimate impact of the Grantee’s activities.

3.4Multiplier Effects

Max. 1 page. Describe the potential for the replication of the Action outcomes.

SECTION4Budget

A detailed budget for the proposed Action must be completed according to the format presented below. The Budget should be submitted as a separate excel file together with the Full Proposal Application.

ITEM / UNIT / No OF UNITS / UNIT COST / TOTAL COST (N$)
1 / Human Resources / Professional Fees
1.1 / Professional fees
1.2 / Labour costs
2 / Travel
2.1 / Per diem
2.2 / Transport cost
2.3 / Air fares
3 / Equipment and Supplies
3.1
4 / Operational Costs
4.1
5 / Workshops
5.1
6 / Other Costs
6.1
Sub Total
7 / Indirect Costs (refer to 3.5 Allowable Costs)
Grand Total

SECTION5Information on the Applicant and Partners

5.1Experience of similar Actions

Max. 3 pages. Please list a minimum of three (3) previous similar Actions undertaken in the last five (5) years, including the following information:

(i)The title of the Action;

(ii)The objective/s of the Action;

(iii)The main results of the Action;

(iv)The role of your organisation, including the team leader; and

(v)The cost and source of the funding for the Action.

5.2Description of partners

The following table must be completed for each partner in the proposed Action(s). In addition, the CV of those who will be involved in the Action must be submitted.

DESCRIPTION OF PARTNERS
TITLE OF ACTION(S):
Full legal name (business name)
Nationality
Legal status
Official address
Contact person
Telephone number
Fax number
Email address
Experience with similar Actions, in relation to role in the implementation of the proposed Action
History of cooperation with the Applicant
Role and involvement in preparing the proposed Action(s)
Role and involvement in implementing the proposed Action(s)

5.3Partnership statement

The description of the partner form in 5.2 above must be accompanied by a partnership statement on an appropriate letterhead signed by each partner and by the Applicant. The statement should include the following:

We have read and approved the contents of this Application to the MCA-N LMEF and agree to comply with the rules and responsibilities detailed in the Application Form.

Name: ______

Organisation: ______

Position: ______

Signature: ______

Place: ______

Date: ______

5.4Declaration by the Applicant

A signed declaration must be submitted by the lead organisation / Applicant. It should also appear on an appropriate letterhead. The declaration should include the following:

I the undersigned, being the person responsible in the Applicant organisation for the proposed Action(s), certify that the information given is true and correct at the time of submission.

Name:______

Position:______

Signature:______

Place:______

Date:______

APPENDIX IV of the MCA-N LMEF Grant Manual (May 2011): Full Proposal Application FormPage 1