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Project name:
Brief project summary:
Registration numbers:
(NPO, PBO, Section 21 and/or Trust)
Contact person:
Code and Telephone:
Code and Fax:
Mobile:
email *:
Website:
Street address:
(including town/city)
Postal address:
(including town/city and postcode)
Province:
Target group:
(such as people living with AIDS, families affected by HIV and AIDS, HIV+ mothers, orphans and vulnerable children, mothers and babies, learners, youth, church groups, vulnerable communities etc)
Submit Only what is relevant to you
Main Core activities:
(such as HIV education, training, counselling, VCT, ART, in-patient hospice care, day-care facilities, home-based care, treatment support, psychosocial support of OVC, foster care placements, help with social grants, accommodation/homes, assistance with school fees and stationery, food parcels, food gardening, income-generation projects etc)
Submit Only what is relevant to you
Capacity:
Number of staff (social workers, nurses, admin staff, counsellors, trainers etc): Number of caregivers receiving stipends: Number of volunteer caregivers: Number of volunteers: Number of beneficiaries (ie number of people receiving home-based care, number of children accommodated or supported, number of in-patient beds, number of families/people receiving food parcels, number of people being trained, receiving HIV education or being counselled etc)
Submit Only what is relevant to you
Further project information:
(including more details about activities, expansion plans, awards won etc)
Founder/s:
Founding date:
Main sources of funding:
Annual budget:
(this is optional)
District:
Specify your organisation's District/municipality/metro area:
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