#### STICHTING BAKENS VERZET

#### 1018 AM AMSTERDAM, THE NETHERLANDS

Director,

T.E.(Terry) Manning,

Schoener 50,

1771 ED Wieringerwerf,

The Netherlands.

Tel: 0031-227-604128

Homepage: http://www.flowman.nl

E-mail: (nameatendofline)@xs4all.nl : bakensverzet

## MODEL FOR SUSTAINABLE SELF-FINANCING INTEGRATED RURAL AND POOR URBAN DEVELOPMENT FOR THE WORLD'S POOR

Incorporating innovative social, financial, economic, local administrative and productive structures, numerous renewable energy applications, with an important role for women in poverty alleviation in rural and poor urban environments.

"Money is not the key that opens the gates of the market but the bolt that bars them"

Gesell, Silvio The Natural Economic Order

Revised English edition, Peter Owen, London 1958, page 228

Edition 11: 03 October 2006

(EN FRANÇAIS)

#### 01.08 Information on the applicant NGO.

#### 01. Description

#### See Applicant's statutes. (An example)

02. Formation and commencement activities.

03. Main activities of your organisation?

04. List of the board of directors and of the management committee of the organisation.

Name | Profession | ###### Nationality | Position | How long on the board or committee
|  |  | Chairperson |
|  |  | Secretary |
|  |  | Treasurer |
|  |  | Adviser |
|  |  | Executive director |

####
5.Managerment capacity and experience.

5.1. Experience obtained from similar projects.

(For each project list the following information)

(Name of project)

(a)Purpose of the project

(b)Project results

(c)Role played by the NGO in the project

(d)Project budget

(e)Financing parties

6. Detailed description of the resources available to the organisation, and in particular the following:

1. Annual revenues over the past three years with indication of the main donors and the proportion contributed by each donor.

2. Financial information.

Year | Turnover or equivalent ( ) | Net income or equivalent ( ) | Budget ( ) | Own capital or equivalent ( ) | Long term debt ( ) | Short term debt (< 1 year) ( )
2005 |  |  |  |  |  |
2004 |  |  |  |  |  |
2003 |  |  |  |  |  |

Third party guarantees :

Other factors in support of the financial viability of the organisation with particular reference to factors which might negatively affect the execution of the contract.

Details of independent certified auditors and copies of their reports.

7. Staff

1. Full-time and part-time staff, for each main per category with indication of their place of work. (Some examples are given in the table)

| Number | Place of work | Full or part-time
Project managers |  |  |  |
Economists |  |  |  |
Sociologists |  |  |  |
Engineers |  |  |  |
Financial controllers |  |  |  |
Accountants |  |  |  |
Secretarial staff |  |  |  |
Drivers |  |  |  |
Guards |  |  |  |
Well-drillers |  |  |  |
Labourers |  |  |  |

2. Office and office equipment

3. Storage space

4. Vehicles and other equipments

5. Other useful resources (volunteers, associated organisations, networks etc who could contribute to project execution).

### Information on the applicant typically includes:

### 1. Statutes for the applicant NGO. An example is given for the Sudan Inland Development Foundation (SIDF), included in the Yeri Project for Southern Sudan.

### 2. Information on the capacity and experience of the applicant. An example (in French) is given for the Association pour la Promotion des Regroupements Agricoles in Togo.

### 3. Curriculum Vitae for the nominee Project Coordinator. An example (in French) is given for Michel Seme Botsoi EDORH ANANOU nominee Project Coordinator for the Elanyo Yoto projects in Togo.

### 4. Information on the Stichting Bakens Verzet where the Stichting is to act as consultant or has contributed to the drafting of the project documents.

### 5. Curriculum vitae Terry Manning where he is to act as consultant in support of the nominee Project Coordinator.

Forward: 01.11 Work file : declaration of participation of the local populations.

Back: 01.07 Work file : Acknowledgements.

Menu Work files section 1: General information.

Main menu for working file blocks.

Complete index of project work files.

Model Homepage.

Homepage Bakens Verzet