ANNEX 3 : Application Form for RPDMF IX Assistance

PROJECT TITLE :

TOTAL PROJECT COST:

            Local Government Counterpart : (15% for 4^th class LGUs, 10% for 5^th class LGUs and 7.5% for 6^th class LGUs)

            RPDMF IX Assistance :

PROPONENT LGU :

NATURE OF ASSISTANCE : (whether master planning, feasibility study, pre-feasibility study, results/impact monitoring, training/capability building/human resources development) 

LOCATION OF PROJECT :

TARGET BENEFICIARIES : (no. of beneficiaries if the project will be implemented)