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Appeal Title - Year: Republic of South Sudan 2018 2018 Appeal ID: 2943 fields marked * are required Project Title*: Requested Budget, per appealing agency (ONLY Select from the dropdown menu) (1) Appealing Agency * : (ONLY if agency is not in the list, please type below) Please type here only if agency is not in the list Budget Summary * US$ Sub total: 0.00 (ONLY Select from the dropdown menu) (2) Appealing Agency * : (ONLY if agency is not in the list, please type below) Please type here only if agency is not in the list Budget Summary * US$ Sub total: 0.00 (ONLY Select from the dropdown menu) (3) Appealing Agency * : (ONLY if agency is not in the list, please type below) Please type here only if agency is not in the list Budget Summary * US$ Sub total: 0.00 (ONLY Select from the dropdown menu) (4) Appealing Agency * : (ONLY if agency is not in the list, please type below) Please type here only if agency is not in the list Budget Summary * US$ Budget Summary * Sub total: 0.00 (ONLY Select from the dropdown menu) (5) Appealing Agency * : (ONLY if agency is not in the list, please type below) Please type here only if agency is not in the list Budget Summary * US$ Sub total: 0.00

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Appeal Title - Year: Republic of South Sudan 2018 2018Appeal ID: 2943

fields marked * are requiredProject Title*:

Requested Budget, per appealing agency(ONLY Select from the dropdown menu)

(1) Appealing Agency * :(ONLY if agency is not in the list, please type below)

Please type here only if agency is not in the list

Budget Summary * US$

Sub total: 0.00

(ONLY Select from the dropdown menu)

(2) Appealing Agency * :(ONLY if agency is not in the list, please type below)

Please type here only if agency is not in the list

Budget Summary * US$

Sub total: 0.00

(ONLY Select from the dropdown menu)

(3) Appealing Agency * :(ONLY if agency is not in the list, please type below)

Please type here only if agency is not in the list

Budget Summary * US$

Sub total: 0.00

(ONLY Select from the dropdown menu)

(4) Appealing Agency * :(ONLY if agency is not in the list, please type below)

Please type here only if agency is not in the list

Budget Summary * US$ Budget Summary *

Sub total: 0.00

(ONLY Select from the dropdown menu)

(5) Appealing Agency * :(ONLY if agency is not in the list, please type below)

Please type here only if agency is not in the list

Budget Summary * US$

Sub total: 0.00

Classification

Sector*: Refugee project: No

Objective*:

Location*:

Beneficiaries: Type Number DescriptionTotal *:

FemaleMale

Children (under 18)Adults (18-59)

Elderly (above 59)

RefugeesIDPs

MigrantsReturnees

Host communities

Other group (specify)

Implementing Partners:

Start Date End Date01/01/2018 31/12/2018

Needs, Activities and Output Description

Needs * :

Activities or Outputs * :

Indicators and Targets * :

Priority

Priority * :

Gender Marker

Gender Marker * :

Project Grouping Factor

Central Equatoria* :

Eastern Equatoria* :

Jonglei* :

Lakes* :

Northern Bahr El Ghazal* :

Unity* :

Upper Nile* :

Warrap* :

Western Bahr El Ghazal* :

Western Equatoria* :

Project Duration (dd/mm/yyyy) * :

AAP 1 - Process/consultations with

communities* :

Contact Information

Project Contact Name * :

Project Contact Email * :

Project Contact Phone * :

Project URL:

Agency Project Code:

Cash Based Intervention

Is any part of this project cash based intervention (including vouchers)? No

Conditionality :

Restrictions :

Estimated percentage of project requirements to be used for cash/vouchers : %

AAP 2 - Monitoring and evaluation* :

Environmental Marker

Gender considerations# List any specific measures/activities undertaken or planned to identify specific needs of

Men, Women, Boys and Girls and integrate them in the design of project objectives, interventions, implementation and monitoring.

# List any measures being undertaken to mitigate against negative environmental impact due to the project activities.

# Otherwise list the project activities that contribute to positive environmental impact.

HIV/AIDS# List any specific measures/activities undertaken or planned in the project to mainstream

HIV/AIDS in the project design, implementation and monitoring

Geographical Scope

State Percent

Central Equatoria

Eastern Equatoria

Jonglei

Lakes

Northern Bahr El Ghazal

Unity

Upper Nile

Warrap

Western Bahr El Ghazal

Western Equatoria

Total 0.00%

FundingFunds Secured for 2018 Donors/Source of Funding

Alternate contactAlternate Contact NameAlternate Contact Email

Alternate Contact Telephone

CountiesPlease tick counties as appropriate

Juba Kajo-Keji Lainya MoroboTerekeka YeiTorit Lafon Budi IkotosMagwi Kapoeta NorthKapoeta East Kapoeta SouthAkobo Ayod Bor SouthCanalDuk Fangak Nyirol PiborPochallaTwic EastUrorAwerialCuiebet Rumbek CentreWulu Rumbek E.Rumbek NorthYirol East Yirol WestAweil North Aweil EastAweil South Aweil WestAweil CentreAbiemnhom Guit KochLeer MayenditMayom PanyijiarPariangRubkonaBaliet Fashoda LongochukMabanMaiwutMalakal Manyo MelutRenk PanyikangLuakpiny/NasirUlangGogrial East Gogrial WestTonj East Tonj NorthTonj South TwicRaga Jur River WauEzo Ibba Maridi MvoloNageroNzara Tambura YambioMundri East Mundri West