Sei sulla pagina 1di 3

Final report form Human Rights Fund 2013

Embassy of the Kingdom of the Netherlands in Bangkok


o
o
o
o
o

Organisations that have received Human Rights Funding must use this final
report form.
Please complete this form in English and report on the basis of the information
stated in the application form and the progress report form.
Please send your final report form to ban-pa@minbuza.nl.
There are no restrictions in the amount of information provided, but keep it as
concise as possible.
Feel free to provide additional information in support of your final report.
Please supply this information together with the final report form.

1. General project information


Project name
Area

Top priorities
Protection and support of human rights defenders
The protection and promotion of the rights of lesbian,
gay, bisexual and transgender people
The protection and promotion of the rights of women
Additional priorities
Freedom of expression, including internet freedom and
diversification of media
Freedom of religion and belief, including the protection of
minorities
Corporate social responsibility / Combatting child labour

City and region in which


the project will be
located

2. Details of applying organization/applicants


Name
Address
Telephone
Fax
E-mail
Contact person

3. Details of implementing organization/applicants (only if other


than mentioned under 2)
Name

Address
Telephone
Fax
E-mail
Contact person

4. Project results
Duration of the project
Current situation after
the implementation of
the project

days / weeks / months report any difference from initial


planning
Compare with situation at beginning of the project

Short description of the


project

Aims

Performance indicators

Outcomes, outputs and


results project

Risk factors in reporting


period

Follow up after project


General overview of the
budget

5.
Sustainability

Financing of running
costs after project
completion
Follow-up continuation of
activities after project
completion

6. I. Budget
Any other (foreign)
donors that have given
support in the past, or
will be approached now
for additional support
Total budget
General description
concerning the budget
allocation
What issues have been
encountered? What has
been changed?
What is the outlook for
the future?

If yes, please indicate who and when

6. II. Budget allocation

Please provide a financial description of individual activities in the table below.


Please also attach a separate document to complete financial reporting.
Please provide additional proof on the results of the activities (photos, reports etc.)

Item/Activity

Budget

Spend

%
completed

Remarks

Potrebbero piacerti anche