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PRIVATE SECTOR APPLICATION PPD FORM

IAPPLICANT DETAILS

Company Name
Registration Date
Office Address
Contact Person / Telephone
Designation / Email
Partner Organisation/s

IIAPPLICATION TYPE

Please check boxes where applicable, to indicate the grant type being:

Innovation Grant
Credit Line
Viability Gap Funding

Note: Applicants may apply for “Credit Line” and “Viability Gap Funding” together.

IIIPROJECT DETAILS

Project Title
Project Location
Sector / (eg, agriculture, renewable energy, etc)
Anticipated Start Date
Project Duration / (number of months)
Project Summary
Status / (maximum 1 page)
Project Cost (A) / (enter amount in RWF)
Funding Requested from FONERWA (B) / (enter amount in RWF)
FONERWA Funding % / (enter value of B/A %)

IVPROJECT QUALIFICATION

Please check all national development priority areas (shown below) related to environment, climate change and green growth that the project targets:

Conservation & sustainable natural resources management

Ecosystem rehabilitation
Sustainable land management
Integrated water resource management (IWRM)
Sustainable forestry management
Sustainable mines & quarries
Promotion & protection of biodiversity

R&D, technology transfer and implementation

Renewable energy & energy efficiency technology
Pollution management
Water storage, conservation and irrigation technologies
Applied and adaptive research (agroforestry, waste, urban planning)
Disaster risk reduction
Data collection, monitoring & MIS

Environment & climate change mainstreaming

Strategic environment & climate assessments (SECA’s)
Sector specific adaptation and mitigation
Support to implementation of cross-sectoral integrated planning

Explanation

Please explain the problem that your project will solve in the target areas you have selected above:

(Maximum 100 words)

VPROJECT BENEFITS

Please explain all social as well as environment benefits of implementing your project. Also, provide details on how your project will support National, District or Sectorial plans and strategies.

(e.g: number of jobs created, TCO2 saved, Hectares of land rehabilitated, etc.. Please review the EDPRS II and other National/District Strategies to identify how the implementation of your project will support such strategies)
(Maximum 100 words)

VIEXPERIENCE AND CAPACITY

Key Staff Member / Position / Experience/ Education

VIIFINANCING STRUCTURE (MEANS OF FINANCE)

Particular / Percentage / Investment (RWF) / Investment (USD)
Equity
Bank Loan
Other Grants
FONERWA Funding
Total Project Cost / 100%

VIIIEXPLAIN THE VIABILITY GAP

THIS SECTION NEEDS TO BE FILLED BY “VIABILITY GAP FUNDING” APPLICANTS ONLY

Please provide details on why Viability Gap funding has been requested from FONERWA and what has caused such a gap to exist for your project:

(Maximum 200 words)