Name of Applicant:
Legal Status:
Nature of Business Activity:
Description and History of Organization:
Number of Employees with brief description of their responsibilities:
What is the annual revenue of your organization?
Brief description of applicant's experience with purchase goods,
works, and services
Nature and value of purchases during the last fiscal year
Who is responsible for procurement and for contract signature?
Who provides technical and legal expertise for purchases?
A description of sources of supply:
Description of purchasing procedures and documents.
How are recurrent items, such as office supplies, spare parts, gas for
cars, etc., purchased?
Does the applicant have written procurement rules?
What kind of contract forms is used?
Is your accounting system computerized?
Does your accounting system allow you to distinguish between incoming
and outgoing funds for each project?
Do you document time worked by employees (time sheets, etc.)?
Does your accounting system distinguish between direct and overhead
expenses? (Direct expenses refer to a specific project, whereas overhead expenses refer to
general expenses of the organization that are not project-specific.)
Can your accounting system properly manage grant funds so as to avoid
overspending the grant?
Do you have a division of financial authority in your organization?
(e.g., more than one signature necessary on bank withdrawals, or other such mechanism to
prevent one person from single-handedly withdrawing funds.)
Do you have an inventory system that tracks serial numbers and location
of equipment listed on your balance sheet?
Do you protect physical assets through the use of a safe, office
security, limited use of cash, or other means?
Has your organization ever had an audit by an independent auditor?
Give ALL information for the bank account to be used ONLY for MSGP grant
and matching funds (including complete wire transfer instructions). The account must be in
the name of the grantee.
Name of Bank:
Address of Bank:
Account number:
Account holder:
SWIFT code:
Are there licenses or permits necessary for the work to be completed
under the MSGP project?
If yes, have you obtained these licenses or permits? Licenses and
permits must be obtained prior to signature of the grant agreement.
If yes, please specify what kind of licenses or permits:
Does your organization comply with all environmental laws and
regulations of the country of your registration?
Please list the key personnel who will be involved in this project and
attach a resume for each person.
Please provide copies of accounting reports for 2001/2002 including
profit/loss, and balance sheet, or similar statement showing revenues and expenditures.
