Final report for grants from the Norwegian Ministry of Foreign Affairs (MFA)

Final report for grants from the Norwegian Ministry of Foreign Affairs (MFA)

S82 – Final report form for small scale grants Ministry of Foreign Affairs

PO box 8114 Dep.

N-0032 Oslo Norway [email protected]

The application should be sent by e-mail to [email protected] with a copy to the responsible unit for the grant scheme.

1. Project information

Name of the grant scheme Responsible unit for the grant (unit in MFA or Embassy)

Agreement title

Agreement number Total amount granted from MFA (NOK)

2. About the grant recipient

2.1 Contact information Name and abbreviation

Address Postal code City Country

Telephone Fax Email Website

Contact person Email Telephone/mobile phone

3. About the project

3.1 Cooperating partner – information about changes, if any (if necessary, use attachment)

Name Contact person

Address Postal code City Country

Telephone Email Website

Type of organisation (tick one box on each line below)

Norwegian,, Org.nr:

Private sector Governmental/Public sector NGO

Other, please specify

3.2 Grant recipient’s and partner’s/partners’ respective roles in the project

Brief description of the cooperation and division of roles between the grant recipient and cooperating partner(s)

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3.3. Project implementation and results

Brief summary of the project, experiences gained and the project’s main results. A brief description of the products/services (outputs) delivered should be included, and, if possible, the report should also describe the project’s effect on the target group (outcome).

Brief description of any deviations between the approved application and the actual implementation of the project, and how these may have affected the project’s results.

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4. Documentation

4.1 Grant provided on the basis of documented costs

A financial report should be provided in attachment to the report. The financial report shall include the project’s accounts with related explanations, and should be presented according to the same structure as in the application’s presentation of expenses.

Any other requirements to documentation and reporting should be delivered in accordance with the Agreement, and listed under point 6 Attachments.

4.2 Grant provided as lump sum

Documentary proof of the activity’s implementation shall be delivered in accordance with the Agreement. Type of documentation attached should be listed under point 6 Attachments.

5.Additional information

Any other information of relevance for the application

6. Attachments

Tick the boxes below if attached, and give each attachment a number. Any other attachments should also be listed.

Attached Number Attachment

                                                                        7. Date and confirmation

I am authorised to sign legally binding agreements on behalf of the applicant, and confirm that the information contained in this application is correct to the best of my knowledge

Place and date Name/signature

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