New Zealand High Commission Fund - Pretoria

Application Form and Information for Applicants

PURPOSE

The Fund supports small scale, short-term community projects that contribute to wider community
well-being. The projects must be in line with New Zealand Aid Programme’s mission of:

Sustainable development in developing countries, in order to reduce poverty and contribute to a more
secure, equitable and prosperous world.

WHO

The Fund is aimed primarily at community groups and NGOs but other types of non-profit organisations
e.g. primary and higher education institutions may apply. The Fund does not support individual
businesses.

There is a funding ceiling of NZ$ 25,000.00 per project.

Projects should: Involve and benefit as many people as possible; promote the advancement and
participation of women, preferably from rural areas; be sustainable; meet the needs of the poorest
members of the community; be located in rural areas or other areas with poor services and
infrastructure and consider environmental and conservation concerns.

HOW LONG

No individual project will be supported for longer than two years. Supporting different projects by the
same partner over a longer duration is possible.

WHAT WILL NOT BE FUNDED

▪ political, religious or evangelical activities N.B. faith-based groups are not excluded where
the proposed project is consistent with the purpose of the Fund, does not exclude
followers of other religions, and the funds are not used to support proselytising
▪ site visits
▪ unsolicited donations
▪ individual student scholarships
▪ international airfares/overseas conference attendance
▪ on-going (recurrent) funding of recipients’ operational/organisational costs such as wages
and salaries, office items and communications

FOR FURTHER INFORMATION CONTACT:

The New Zealand Aid Programme, at the New Zealand High Commission in Pretoria:
Email: [email protected]
Office hours: Mon-Fri 0800-1600hrs
 A. INFORMATION ABOUT THE APPLICANT ORGANISATION

This column to be filled in by the applicant.

Name of organisation:
(as written in the official
registration documents)
Type of organisation:

Registration number:

Organisation street
address:

Organisation postal
address:
Country:
Contact Name for this
application:

Telephone Numbers:

E-mail address:

Website:

B. INFORMATION ABOUT THE PROJECT

Project Title:

Starting date of project:

Completion date of
project:

Describe the Project.

(If your project involves small
construction work, please
provide a simple project design
with material cost calculations
for the various components of
the whole project on a separate
sheet.)

Who did your group

consult with when
developing the idea for
this project?
What are the project’s
objectives? What do you
want to achieve?
Who will benefit from the
project and how will they
benefit? (include no. of
women, men, boys and
girls)
Once the activity is
completed who will take
responsibility for future
costs and maintenance?

How much funding are

you applying for?

Has your group applied to

this Fund previously? If
yes, please provide
details of the funding
request and the year the
request was made.
Have you requested
assistance from any other
source for this project?

If yes, please describe:

Was the funding

requested above
successful? If not why
not?
What will your group
contribute towards the
achieving project?

Please provide 1 – 2
references for your
organisation
Implementation Plan (Show key tasks)
Start End Task Inputs required
Date Date

MANAGEMENT of the PROJECT

Who will manage the project (e.g. Project Coordinator) and provide financial report on
expenditure?

Name:

Qualification/Skills of the
Project Coordinator

Experience of the Project

Coordinator

Who else will be involved in the delivery of the project?

Name Role Experience in relation to delivering the

project

PROJECT BUDGET SUMMARY

Fund Your Other Contributors Total Cost
Contributions* Contribution
Labour Costs

Wages
Travel
Training
Material & Equipment
Tools/Equipment
 Machinery
Freight
Consumables (fuel,
fertiliser, chemicals)
Materials
Other
Overheads
Communications
Transport
Insurance
Other
TOTAL $
* Attach invoices/purchase orders from suppliers for all items requested. You should include
shipping costs as part of the invoice/purchase order if possible.

NB: Please note that failure to provide quotations/invoices/purchase orders will result in your
application not being considered.

Risk Management

List the risks associated with delivery of the project, i.e. what might get in the way?
Please also detail how your group will manage the risk to ensure that the project will be delivered.

Risk How will the risk be managed?

Health and Safety

1. Are there any potential health and safety risks to workers or others during the
implementation phase of this project?

Circle one: Yes No

If Yes – complete the following table. An example is provided in blue.

What tasks will be What tasks could What will be done so that the injury
done to complete this cause an injury? does not occur?
project?
Providing & installing - Risk of falling from - Personal protective equipment is
solar panels by project working at heights provided to workers including
workers safety harnesses and [list
equipment]
 - Risk of injury when - Installers are trained or qualified to
using tools and carry out the work [list training or
machinery qualifications]
Providing training on - Risk of falling from - Personal protective equipment is
the ongoing working at heights worn by trainees including safety
maintenance of solar harnesses and [list equipment]
panels to local - Risk of injury when - Trainees are supervised by trained
community (trainees) using tools and or qualified staff
machinery - Trainees are assessed after training
to test their understanding of the
training and ability to carry out the
maintenance work

2. Will the outcome of this project be used by the general public? I.e. community projects
or public buildings/services.

Circle one: Yes No

If Yes complete the following table. An example is provided in blue.

What actions must be completed to Who will ensure that the correct standards
ensure the safety of users or the general are met or that the correct permits or
public? endorsements have been obtained?
i.e. engineer, site manager, project coordinator,
local authority etc.
Training of local community to maintain - The Project Coordinator will train the
solar panels (trainees) local community trainees and assess their
ability to carry out the maintenance work
Installation certified to [insert standard] - Site manager / contract manager/
Or project coordinator
[insert Permit or endorsement] is granted Or
- Local government or authority
Follow up & monitoring of local - The project coordinator will help the local
community trainees community trainees for three months
after the project is completed
CHECKLIST

Have you:

▪ Completed all sections of the form?

▪ Enclosed quotations/invoices/purchase orders for the materials or equipment you seek?
▪ Attached lists of names of those implementing the project?
▪ Provided proof of bank account in the form of a stamped letter on bank letterhead or bank
statement not older than three months?
▪ Provided proof of registration of organisation?
▪ Signed below?
▪ Queries may be directed to Sinayo Sirenya at the New Zealand High Commission Pretoria on
[email protected] should you require further information.

Application submitted by:

Name:

Title :

Signature :

Date :