A. Applicant Information

Organization*

Contact Person*

Prefix First Middle Last

Email*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

B. Project Infomation

1. Geographic Area of Proposed Project*

Please tick applicable boxes

East Africa
Central Africa
North Africa
Southern Africa
West Africa

Project Name*

Project Description*

2. Sectoral Focus of Proposed Project

Sector*

Transport
Energy
ICT
Water

Transport

Aviation
Multi-Modal
Maritime/Ports
Railways
Roads

Energy

Oil and Gas
Power Generation
Power Transmission

ICT

Information Technology
Telecommunications

Water

Resource Management

3. Project Eligibililty*

Please tick applicable boxes

The project is part of PIDA Priority Action Plan
The project is a regional priority
The project is a national priority

Regional Economic Community (REC)*

Please tick applicable REC

AMU
CENSAD
COMESA
EAC
ECCAS
ECOWAS
IGAD
SADC

Countries

Please provide comma separated list of countries

4. Proposed Activity*

Please tick applicable boxes

Project Investability Assessment and Advisory
Development Impact, Stakeholder Mapping, Job Creation Toolkit, and Advisory
Cross-Border Harmonization Support
Ongoing Project Management and Tracking
PIDA Project Diagnostics and Solutions
Support to application to Project Preparation Facility

C. Details of the Proposal

1. Summary of Proposed Activity*

Describe briefly the specific activity for which SDM assistance is requested.

2. Key Objectives of Activity*

Summary of the key and specific objectives of the proposed activity and anticipated the key indicators for measuring progress and success of the activity.

3. Evidence of Prioritization of Project within REC and/or Country Infrastructure Plans*

For efficiency of allocation of grant resources, SDM utilizes a project selection and prioritization framework which prioritizes projects with national/REC level mandate/approval.

Name of responsible Official*

Position*

REC/Ministry (for countries)*

Telephone*

Email*

D. Implementation and Financing Plan

1. Implementation Arrangements: Which Agency/institution and designated staff would be responsible for the management and implementation monitoring of the assistance to be provided by SDM

Organization/Agency/Institution*

Contact Person*

Phone*

Email*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Is the same organization/Agency/Institution responsible and mandated for the procurement and implementation of the eventual project?*

Yes
No

2. Implementation Schedule*

Indicate the anticipated duration and activity milestones.

3. Estimated Costs & Financing Plan: Present a summary of the financing plan by the major components (the detailed budget should provide further breakdown by these components).

PIDA SDM Application for Technical Assistance

A. Applicant Information

B. Project Infomation

C. Details of the Proposal

D. Implementation and Financing Plan

Other Information and Relevant Documents

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