Strengthening Smallholder Enterprises of Livestock Value Chain for Poverty Reduction and Economic Growth in Nepal II (SLVC II)

Call forExpression of Interest (EOI)from NGOs

Standard Forms for EoI Submission

FORM 1: Application Letter

[Insert date]

To

Heifer Project International Nepal

HattibanLalitpur

Dear Sir/Madam,

We, the undersigned, offer to provide services for “[Insert the name of the project]” in accordance with your Call for Expression of Interest dated [Insert Date] in the daily newspaper [Insert name of Newspaper]. We are hereby submitting our application.

We are submitting our EoI which is attached herewith. We hereby declare that all the information and statements made in this EoI are true and accept that if any discrepancies contained in, it may lead to the disqualification of our application.

We understand you are not bound to accept any EoI you receive. We agree with your selection process and will fully support as needed.

Yours sincerely,

Authorized Signature: [In full and initials]

Name and Title of Signatory:

Name of Applicant: [With seal/stamp]

Address:

Enclosed documents with EoI are

1...... page

2...... page

FORM 2:Organizational Profile and Relevant Experience

FORM 2.1: Organizational Profile

S.N / Particulars / Detail Information
Name of the organization
Type of Organization
Organizational Goal and Objectives (according to statute) / Goal:
Objectives:
Contact address and contact person / Physical Address:
Name of the Contact Person:
Position:
Official Phone Number:
Email:
Registration number, date of registration and relevant registration authority
Social Welfare Council Affiliation Number and Date Affiliated and last Renewal Date
Date of Latest Renewal in DAO
PAN registration number and date / PAN No.:
Date
Tax exemption Certificate and date / Yes/No
Date:
Recent AGM date / Date
Total number of professional full-time staff (core and project) / Core Staff:
Project Staff
Main areas of Specialization / 1.
2.
3.
4.
Geographical coverage/ District and Rural/Municipalities (according to Statute) / Name of Districts:
Working Sector/ Area of service provided in previous assignments
Name of Policies and procedures of the Organization
Descriptions of Accounting System and accounting software application / Accounting system adopted:
Accounting software and application:
Description of Procurement and asset management system

FORM 2.2: Workable physical assets and equipment with the organization

Assets and equipment ( E.g. computer, building, vehicles) / Unit / Quantity / Remarks

FORM 2.3: Description of Professional and Core Staff of the Organization

S.N / Name of Staff / Sex / Caste/
Ethnicity / Education / Position / Area of Expertise / Experience (Yrs) / Staff Type (core/professional)

FORM 2.4: Description/composition of Executive Committee (EC) of the organization

Name / Sex / Ethnicity / Position / Education / Tenure ( From- Till)

FORM 2.5: Description of the Annual Financial turnover for the last three years

S.N / Fiscal Year / Revenue in NPR
1 / 2073/74 BS (2016 – 2017 AD)
2 / 2072/73 BS (2015 – 2016 AD)
3 / 2071/72 BS (2014– 2015 AD)

FORM 2.6 Organizational track recordsother than partnership with Heifer International Nepal

S.N / Name of Project / Client/Funding Agency / Sector/areas of project focus / Project areas / Beneficiaries type / Contract Duration / Contract Value / Contact References of Client /funding agency
Primary Contact Person:
Phone No:
Email:

FORM 2.7: Descriptions of project partnership with Heifer International Nepal

2.7.1 Descriptions of Project Partnership

Project Name / Project Period (AD) / Total Amount / Remarks
From / To

2.7.2 Status of Local Resource Leverage Plan in the project and its realization during implementation (Other than SHG fund) – please provide the amount donor wise.

Project Name / Name of Donor (LRL) / Support types / Local Resource Leverage / Remarks
Cash / Kind / LRL Planned / LRL Realized

2.7.3 Status of POG Fund Commitment

Project Name / POG Amount Deposited in SEWC (NPR) / Past Project POG Amount deposited in HPN / Unrecovered POG Amount from Past Project
Past Project POG / SLVC POG

2.7.4 Major Project Targets and Achievement of recent two projects (Insert project wise separate table)

Name of Project:
Descriptions / Targets (No.) / Achievements (No.) / Remarks
Project Families
Formation and Mobilization of Groups
Animal placement from Heifer, LRL, Past project fund

2.7.5 Descriptions of Project Results and Impacts

Checklist for EoI Submission:

Document / Included (Y/N)
Form 1: Application Letter
Form 2: Organizational Profile and Relevant Experience
Form 2.1: Organizational Profile
Form 2.2 : Physical Assets and Equipment with Organization
Form 2.3 : Description of Professional and Core Staff
Form 2.4 : Description/ composition of Executive Committee (EC)
Form 2.5: Description of the Annual Financial turnover for the last three years
Form 2.6 : Organizational track records
Form 2.7: Description of Project Partnership with Heifer International Nepal (2.7.1-2.7.5)
Copies of following documents
  • NGO Registration Certificate
  • Organization Statute
  • Affiliation Certificate in Social Welfare Council ( SWC)
  • PAN Certificate
  • Tax Exemption Certificate
  • Latest tax clearance certificate.
  • Audit Reports (last 3 fiscal year).
  • Recent AGM Meeting minutes