ACP Business Climate Facility
10 ACP RPR 015
REQUEST FOR ASSISTANCE
STANDARD FORM
Name of applicant:
Country/Region:
Dossier No
(for official use only)
ACP Business Climate Facility (BizClim)
10 ACP RPR 015
Manual of Procedures
Request Form
Table of Contents
I.
THE INTERVENTION ........................................................................ 3
1.
2.
I.
The intervention in a nutshell .................................................................... 3
Description of the intervention ................................................................... 3
2.1.
Problems to be addressed ......................................................................... 3
2.2.
Objectives of the action ............................................................................ 3
2.3.
Expected outputs ..................................................................................... 3
2.3.1.
Concrete outputs ............................................................................... 3
2.3.2.
Mention multiplier effects .................................................................... 3
2.4.
Description of the target groups & final beneficiaries .................................... 4
2.5.
Main activities foreseen ............................................................................. 4
2.5.1.
Methods of implementation (examples: workshops, short term experts…)
and reasons for the proposed methodology (If any workshop/seminar, please indicate
the number and type of participants expected)..................................................... 4
2.5.2.
Title, and as much as possible, detailed description of each activity to be
undertaken to produce the results, justifying the choice of the activities and
specifying where applicable the role of each partner (or associates or subcontractors)
in the activities. (Please provide detailed information on the assistance you have
requested) ....................................................................................................... 4
2.5.3.
When external technical assistance is requested, please indicate which kind
of team you envisage would be suitable for the implementation of the action
(Providing this information will help to process your application). ........................... 4
2.6.
Role of the applicant and its partners .......................................................... 5
2.7.
Assumptions and Risks ............................................................................. 5
2.8.
Relevance of the action ............................................................................. 5
2.9.
Context of the Action ................................................................................ 6
2.10.
Sustainability of the Action ........................................................................ 6
2.11.
Other ...................................................................................................... 6
DETAILS OF THE APPLICANT ........................................................... 7
1.
Identity........................................................................................ 7
II.
DETAILS OF YOUR ORGANIZATION ................................................. 7
III.
ADMINISTRATIVE INFORMATION ................................................... 8
1.
2.
3.
IV.
1.
2.
Other applications made to European institutions, the European
Development Fund (EDF), EU Member States or other donors. ........... 8
Grants, contracts and loans obtained over the last three years from
European Institutions, the EDF, EU Member States and other donors. . 8
Grant applications submitted (or about to be submitted) to European
Institutions, the EDF and EU Member States in the current year. The
applicant may list only actions in the same field as this proposal ......... 8
APPLICANT DECLARATION AND SIGNATURE ................................... 9
Declaration by the Applicant ........................................................... 9
Signature ..................................................................................... 9
ACP Business Climate Facility (BizClim)
10 ACP RPR 015
Manual of Procedures
Request Form
Page | 1
NOTICE
Thank you for calling upon BizClim assistance to help you implement in practice your
proposed intervention. The present request form will help BizClim Programme Management
Unit (PMU) understand the intervention and assess your request for assistance.
Consequently, you are kindly requested to complete this form as fully as possible.
On the basis of this application form, and provided the intervention is eligible, the PMU will
discuss with you the drafting of the Terms of References of the intervention. In this process,
you may be asked for additional data and/or correct or complete the one already submitted.
NB:
Some of the footnotes are purely explanatory and are not to be reproduced into the
application forms.
Once this request form is completed, you are kindly requested to send it to BizClim PMU
accompanied by:
 The Applicant Declaration duly signed
 The Partnership Statement of each of your partners again duly signed.
In a nutshell, the procedure for the filing and acceptance of requests is the following:

Request for assistance: All beneficiaries of the technical assistance under BizClim
Facility can in principle file a request for assistance using this standard form. Eligible
requests must be relevant to the objectives and priorities of BizClim facility and
contribute to clearly identify private sector development-related needs of the target
group(s) and final beneficiaries.

BizClim PMU acknowledges the receipt of all requests.

Preparation of the corresponding AIP and Terms of Reference: Upon receipt of
your application, provided it falls under BizClim mandate, an expert will be assigned to
assist you in finalising the design of the intervention, clarifying aspects, fine tuning the
design of the intervention, advising on possible improvements and complementarity
actions and defining the precise terms of reference of the intervention. To this respect,
he/she may come back to you or visit you. This phase leads to the preparation of an
Activity Implementation Proposal.

Circulating the proposed intervention: The draft request for assistance and related
terms of reference will then be circulated among relevant organisations (relevant EC
Delegations, other donors or donor-funded programmes, other stakeholders involved) to
collect their feed-back and suggestions. This process turns to be generally enriching as it
ensures the complementarity of actions and increase the chances of success of the
intervention. In light of the comments received, the AIP and terms of reference may be
adapted.

Approval of the intervention: The finalised requests for assistance – and their related
Activity Implementation Proposals and Terms of Reference - are presented by the PMU
to a Validation Committee composed of members of the ACP Secretariat and of the
European Commission. In this evaluation process, objective and transparent criteria are
used (see Website).

Implementation: If the intervention is approved, the PMU will undertake all contractual
arrangements for the provision of services in close contact with beneficiaries. The
implementation of the intervention must be in full compliance with EU procurement rules
(10th EDF).
ACP Business Climate Facility (BizClim)
10 ACP RPR 015
Manual of Procedures
Request Form
Page | 2
REQUEST FOR ASSISTANCE (max 5-6 pages)
I. THE INTERVENTION
1. The intervention in a nutshell
Title
Location
Duration
Expected start-up
date:
Summary
2. Description of the intervention
2.1.
Problems to be addressed
2.2.
Objectives of the action
Overall objective: to promote reforms in macroeconomic policy, improve legislation, the
institutional setup and financial measures (the rules of the game) relating to the enabling
environment of the private sector in ACP countries and/or regions.
Specific objective1:
2.3.
Expected outputs
Please be specific about expected outputs (results) which are expected tangible improvements to
services, facilities or knowledge that will directly support achievement of the project’s purpose.
2.3.1. Concrete outputs
Please be specific and quantify outputs as much as possible
2.3.2. Mention multiplier effects
Describe the possibilities for replication and extension of the action outcomes
1
Specific or short term objective to be reached by the intervention. It should correspond to one of BizClim’s
expected results as laid down in the Logical Framework. There should be a fair chance that this objective will be
realised by the project intervention. Sustainable benefits for the beneficiaries (taking into account gender, age,
race, and ethnicity) are always the underlying purpose of the project.
ACP Business Climate Facility (BizClim)
10 ACP RPR 015
Manual of Procedures
Request Form
Page | 3
2.4.
Description of the target groups & final beneficiaries
Estimated
number
Target group(s)2
Final beneficiaries3
(if different)
2.5.
Main activities foreseen
Please describe as precisely as possible the activities foreseen and specify, in case of a
workshop or an event, the tentative location and number of participants.
2.5.1. Methods of implementation (examples: workshops, short term experts…)
and reasons for the proposed methodology (If any workshop/seminar,
please indicate the number and type of participants expected)
2.5.2. Title, and as much as possible, detailed description of each activity to be
undertaken to produce the results, justifying the choice of the activities and
specifying where applicable the role of each partner (or associates or
subcontractors) in the activities. (Please provide detailed information on the
assistance you have requested)
(a)
Overall organization of activities:
(b) Expected duration of the action:
(c) Expected Start-up date of the action:
(d)
Activities
- Step 1
- Step 2
- Step 3
2.5.3. When external technical assistance is requested, please indicate which kind
of team you envisage would be suitable for the implementation of the action
(Providing this information will help to process your application).
Expert
2
3
Output
Qualification
required of the
expert
Duration of the
expert’s mission
(days / month)
Portion of the
mission to be
performed
on
“Target groups” are the groups/entities who will be directly positively affected by the project at the
project purpose level.
“Final beneficiaries” are those who will benefit from the project in the long term at the level of the
society or sector at large
ACP Business Climate Facility (BizClim)
10 ACP RPR 015
Manual of Procedures
Request Form
Page | 4
site
Team Leader
International
Expert 1
International
Expert 2
…..
Regional
Expert 1
/
Local
Regional
Expert 2
/
Local
…..
2.6.
Role of the applicant and its partners
Applicant
Role of the
applicant
Partner(s) &
respective roles
2.7.
Where appropriate
Assumptions and Risks
Assumptions are external factors which are required for the success of the intervention while
risks are external factors which may jeopardise its implementation.
2.8.
Relevance of the action
Please provide the following information on the relevance of the Action to the objectives and
priorities of BizClim facility. The following issues should at least be considered.
Does the intervention fall under
BizClim mandate?
To what extent is the intervention
likely to lead to follow-up
activities?
Is the intervention Consistent,
Coherent and Complementary
with other interventions?
Is there a strong support to the
intervention from key
stakeholders?
ACP Business Climate Facility (BizClim)
10 ACP RPR 015
Manual of Procedures
Request Form
Page | 5
2.9.
Context of the Action
Please provide background information relevant to the request and specific needs to be
addressed.
Identify and describe the link, if any, between the proposed intervention and the activities
and programmes of national/regional authorities and other sources of external assistance in
the same sector. What is the added value or complementarities with the intervention
requested?
Context of the Action
Intervention Background
Describe what previous actions,
contacts, projects led to the Action
concept
Inspiration from a “success story”,
where applicable (A similar action was
successfully implemented elsewhere)
Where the action is the continuation of
a previous action, explain how the
action is intended to build on the
results of this previous action
Where the action is part of a larger
programme, explain how it fits or is
coordinated with this programme.
Please specify the potential synergies
with other initiatives, in particular
from the EC
2.10. Sustainability of the Action
(Please distinguish between the following three dimensions of the sustainability):
Financial level:
How will activities be financed when
the assistance ends?
Institutional level:
Will structures allowing the activities
to continue be in place at the end of
the action? Will there be local
"ownership" of action outcomes?
Policy level:
What structural impact will the action
have - e.g. will it lead to improved
legislation, codes of conduct,
methods, etc?
2.11. Other
Please indicate any other comment that you may have.
ACP Business Climate Facility (BizClim)
10 ACP RPR 015
Manual of Procedures
Request Form
Page | 6
THE APPLICANT
I. DETAILS OF THE APPLICANT
1. Identity
Full legal name :
Acronym :
Date of establishment
Country(ies) of origin:
Legal status :
Official address:
Postal address:
Telephone number: Country
code + city code + number
Fax number: Country code +
city code + number
E-mail of the Organization:
Website of the Organization:
Contact person for this
intervention :
Position of the contact
person:
Contact person’s email
address :
Contact person’s direct
phone:
Any change in the addresses, phone numbers, fax numbers and in particular e-mail, must
be notified in writing to BizClim PMU. The PMU will not be held responsible in case it cannot
contact an applicant.
II. DETAILS OF YOUR ORGANIZATION
When was your organization founded and
when did it start its activities?
What is the mandate of your Organization?
What are the main activities of your
organization at present?
ACP Business Climate Facility (BizClim)
10 ACP RPR 015
Manual of Procedures
Request Form
Page | 7
III.
ADMINISTRATIVE INFORMATION
1. Other applications made to European institutions, the European Development
Fund (EDF), EU Member States or other donors.
(Where applicable)
2. Grants, contracts and loans obtained over the last three years from European
Institutions, the EDF, EU Member States and other donors.
(The applicant may list only actions in the same field as this proposed intervention)
Country of
intervention
EC budget line, EDF or EU
Member States
Amount (EUR)
Year
obtained
3. Grant applications submitted (or about to be submitted) to European
Institutions, the EDF and EU Member States in the current year. The applicant
may list only actions in the same field as this proposal
Country of
intervention
EC budget line, EDF or EU Member States
Amount
requested
(EUR)
NB: The applicant is required to inform without delay the PMU to which this application is
submitted if the same application for funding made to other donor or Community institutions
has been approved by them AFTER submission of this request for assistance.
ACP Business Climate Facility (BizClim)
10 ACP RPR 015
Manual of Procedures
Request Form
Page | 8
IV. APPLICANT DECLARATION AND SIGNATURE
1. Declaration by the Applicant
The applicant declares that:




It undertakes to comply with the principles of good partnership practice4.
It is directly responsible for the preparation and management of the intervention, with
its partners if any, and is not acting as an intermediary.
It is fully engaged in pursuing its cooperation with BizClim PMU for a successful
implementation of its request.
It acknowledges that it may lose eligibility to obtain assistance for the action subject to
this request for assistance, or other actions, should all or part of the information
submitted in the present request not be correct or intentionally omits indispensable
elements for the evaluation of the request.
2. Signature
I, the undersigned and person responsible in the applicant organization for the proposed
intervention, certify that the information given in this Declaration is correct.
Date:
Name:
Position:
Signature:……………………………….
As specified in the partners’ statement document to be downloaded from BizClim Website in case of
partnership for this request for assistance
4
ACP Business Climate Facility (BizClim)
10 ACP RPR 015
Manual of Procedures
Request Form
Page | 9
Once this application for assistance is filled in,

please kindly send it by e-mail at [email protected]

ensure that BizClim PMU receives the signed Declaration by the
applicant (either by scan, fax or postal mail)

ensure that each partner has completed and signed a partnership
statement

ensure that the signed partnership statements of all partners are sent
to BizClim PMU (either by scan, fax or postal mail)
BizClim PMU contact details:
ACP Business Climate facility (BizClim) – Programme Management Unit
205 Rue Belliard
BE-1040 Brussels
Belgium
Tel: +32 669 98 25
Fax: +32 669 97 86
Email: [email protected]
ACP Business Climate Facility (BizClim)
10 ACP RPR 015