Application Forms and Guidelines

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MSGP COVER PAGE
MATCHED SMALL GRANTS PROGRAM IN THE CASPIAN REGION - 3RD ROUND
TO BE FILLED IN BY MSGP STAFF	PROPOSAL COMPLETE	YES	NO
PROJECT CODE:	PROPOSAL IN SCOPE:	YES	NO
DATE OF RECEIPT:	COPIED FOR EVALUATION:	YES	NO
Cover Page (to be filled in and signed by the Project Manager)
Project Title:
Name of Lead Organization:	Role of Project Partner(s) (if applicable):
Name of Project Partner(s) (if applicable):
Type of organization (please check one): Private Sector (locally-owned) Private Sector (foreign-owned) Local Government State Company Local Non-Governmental Organization Foreign Non-Governmental Organization (locally registered) National Governmental Agency Scientific Institution Others (specify):
Registration Number: and/or Tax Identification Number:		E-mail:
		Phone:
Address:		Fax:
		Internet site (if available):
Project Manager (Name, Contact information Phone/Fax/E-mail):		Signature:
Total project budget (USD): Total Matched Small Grant (USD): Total matching funds: Duration of the project: Geographical location:

Project Summary (max. 8 lines):