Scribd
Upload
8 views

ADF GRANT APPLICATION FORM

The document is an application form for grants from the African Development Fund, intended for individuals, companies, organizations, and SMEs. It outlines the necessary information and supporting documents required for eligibility, including applicant details, economic activities, grant details, and a declaration. Applicants must provide accurate information and may request funding between $100,000 and $5,000,000, with options for partial funding if full funding is not available.

Uploaded by

princzchuks
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
8 views

ADF GRANT APPLICATION FORM

The document is an application form for grants from the African Development Fund, intended for individuals, companies, organizations, and SMEs. It outlines the necessary information and supporting documents required for eligibility, including applicant details, economic activities, grant details, and a declaration. Applicants must provide accurate information and may request funding between $100,000 and $5,000,000, with options for partial funding if full funding is not available.

Uploaded by

princzchuks
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 4

S/N: ADF/WB/34642/23

AFRICAN DEVELOPMENT FUND GRANT APPLICATION FORM


Please use this form to apply for Individuals, Companies, Organizations, and SMEs.
Applications made are subjected to terms and conditions and only submitted with full
knowledge of the applicants.

Application Instructions

● The information provided in the application form will be used to check for the eligibility of the
applicant to receive the applied funds. If the information is not applicable, indicate N/A
● Applicants are to check that all necessary supporting documents are submitted together with the
completed application form.
● All declarations and references will need to be backed up by supporting documentation.

Part 1. A. Applicant Details: Individual

Name of the Individual

Passport/ID Number

Telephone Number (s)

Email Address

Tax Identification No (TIN)

Address

B. Applicant Details: Organizations/Companies

Name of the Organization/Company

Registration Number TIN:

Telephone number (s)

Address
S/N: ADF/WB/34642/23

Part 2 Contact Person Details

Full Names

Passport/ID No

Email address

Telephone No (s)

Address

Role in the company/organization

Part 3. Economic Activities

Briefly describe the economic activity you are currently involved in:

Do you or the company/organization have a recurring income stream?

Yes
No

Do you or your company/organization offer employment opportunities?

Yes
No

Are you/ is the company/organization a registered member of Africa’s Entrepreneurs(AE)?

Yes
No

What is the annual Turnover of your economic activities ($): ____________________________

Please specify the main location of the intended Project:

Will the Project have an overall benefit for the community?

Yes
No
S/N: ADF/WB/34642/23

If the project will benefit a section of the community please describe that section (for example, the
elderly, people with disabilities, youth, families etc.):

Part 4. Grants Details

Total amount you are requesting ($100,000 – $5,000, 000):

________________________________

Did you or your company/organization apply for a grant within the last 12 months?

Yes
No

If yes, please explain and provide the name of the program and amount received:

If we are unable to fully fund your application would you accept partial funding?

Yes
No

What Amount of partial funding would assist? _______________________________________

Describe briefly the proposed use of the grant funds. Attach additional pages, if necessary,
to provide more details about the proposed project to assist review of the grant application.
S/N: ADF/WB/34642/23

Provide a brief breakdown of associated costs

Please attach the following to support the application:

● Clear passport photo/National ID card


● Business registration certificate if registered
● Tax Identification Certificate (TIN)
● If you or your organization have a recurring income stream do attach a copy of your
bank statement.

Please provide any other information relevant to your application:

​ Part 5. Declaration

I declare that the information given herein and the attachments are true and correct to the
best of my knowledge and belief and that I will acknowledge the decision of the Grants
Organizing and Approval Board as final.

​
​ Full Name: _________________________________________________________
​
​ Signature: ______________________________________________
​
​ Date: _______________________________________________________________

You might also like