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RADP-E 2016-17 PARTNERSHIP GRANTS PROGRAM EXPRESSION OF INTEREST (EOI) Please Refer to Page 2 for Instructions and Information on the Grants Program A. COMPANY INFORMATION 1. Company Name 2. 3. Individual to Contact (Name and Title) Address 4. Telephone and Email 5. Year Established in Afghanistan 6. Registration in Afghanistan Please state your current registration status. (Check all that apply.) Proof of registration will be required before you can receive RADP-E assistance Current registration status 7. Email: _______________________________ AISA # _________________________________ ACCI #__________________________________ Ministry of Justice #______________________________ Other (specify entity name and #): __________________________________________ Not registered Valid registration approval Expired registration Registration application pending Nationality of Company 8. # of Employees in Afghanistan (including owner) 9. Woman Owned Business? 10. Geographic Area(Tick all that apply) Provinces Ghazni Wardak Laghman Nangarhar Logar Kapisa Parwan Kabul B. PRODUCT INFORMATION 1. Telephone #: __________________ Nature of Business Which Value Chains do you work in? 2. Which categories do your products fit into? (Tick all that apply) C. SALES INFORMATION 1. Total Monthly Sales 1-5 Yes 5-10 11-20 Over 20 No Main Office Other Facilities Customers Purchase of Produce or Raw Materials Food Processor Agricultural Input Supplier Local Trader Exporter/Importer Cooperative /Association Training Provider Other (specify) ______________________________________________________ Apricot Dairy Poultry Tomato Others (Please specify):_______________________________________________ Agricultural Inputs: __________________________________________________ Processed or fresh Apricot products: ____________________________________ Processed or fresh Tomato products: ____________________________________ Processed or fresh Dairy products: ______________________________________ Poultry products: ____________________________________________________ Kinds of trainings: ____________________________________________________ Other (specify) ______________________________________________________ Monthly Less than $1000 $1,001-$10,000 over $10,000 D. CERTIFICATION I hereby certify that the information provided above is accurate to the best of my knowledge Name and Title Stamp and Signature E. Date FOR RADP-E USE Date Received: Date Evaluated: EOI Application #: EOI APPLICATION INSTRUCTIONS AND INFORMATION ON THE 2016-2017 RADP-E PARTNERSHIP GRANTS PROGRAM Overview of the Partnership Grants Program The RADP-E project provides in-kind grants to eligible Afghan agricultural businesses. These grants include goods and services, technical assistance, training and promotional activities provided to enterprises involved in agricultural input supply, agro-processing and agro-production. Eligible businesses must be involved in the DAIRY, POULTRY, TOMATO and/or APRICOT Value Chains as a seller of goods and services or as a purchaser of raw materials in the RADP-E coverage areas of Kabul, Kapisa, Laghman, Logar, Nangarhar, Wardak, Ghazni and Parwan. Assistance to agricultural input suppliers is to improve business management and marketing capabilities, and the ability to provide farmers with improved technologies and training in good farming practices. Assistance to agro-processors is to improve their ability to buy quality materials from farmers and sell processed products that can compete successfully in Afghan or international markets. Assistance to agro-producers is to increase production of quality raw materials that meet market demands through the introduction, adaption and use of activities that improve production and quality. Agro-enterprises will be selected based upon Innovation (how is the activity different from just asking for donor assistance), Shared Risk (RADP-E target is a minimum of 50% of grant activity covered by the recipient) and Broad Based Value Chain Impact (ability of the activity to benefit more than just the grant recipient). Application Process Grant awards will be done through a two-phase process. To be shortlisted for consideration, you must fill out and submit the attached Expression of Interest. Shortlisted applicants will be asked to fill out a full application. Being shortlisted after submission of an Expression of Interest does not guarantee that you will receive a grant. Questions on the Expression of Interest can be sent to [email protected] Submission Deadlines The deadline for 2016-2017 is September 30, 2017. RADP-E will evaluate Expressions of Interests periodically throughout the year. Submission of Your Expression of Interest Email: Completed Expressions of Interest can be delivered by email to [email protected] Hand delivery: Completed Expressions of Interest can also be delivered to: Kabul Office: Darya Village, adjacent to Baron Camp, Hawashinasi road Kabul. 0794868000 Ghazni Office: Kocha-e-Entikhabat, Hese#4, Relief International Offices. 0772879900 Jalalabad Office: Chel-metra road, Nahya#4, next to UNICEF office. 0794614949 Instructions for Completing the Expression of Interest Part A: Company Information Item 1: Write the company name as it appears on the business license /registration. Item 2: Provide name and position of a contact person Item 3: Main business address with house#, street name and #, town/city, and province Item 4: Business telephone # and valid email address. Item 5: Indicate when you first started legal operations / business in Afghanistan Item 6: Provide information on your registration in Afghanistan Item 7: Provide information about your company’s nationality [Afghan, international (indicate which country)] Item 8: Tick the box that matches the number of people employed by your company, including the owner/s Item 9: Indicate if the business is owned by a woman Item 10: To indicate how you are operating in RADP-E’s geographic areas, tick all boxes that are applicable: Main Office – tick the relevant box if your main office location is in any of the locations Other facilities – tick the relevant box(es) for provincial offices, facilities, or warehouses Customers - tick the relevant box(es) if you have buyers/customers at any of the listed areas Purchase of produce or raw materials - tick the relevant box(es) if you purchase produce/raw materials from any of the areas listed in the table Part B: Product Information Item 1: Nature of business – tick the relevant box(es) Item 2: Which value chains do you work in – tick all boxes that are applicable. Note: If you are a training provider or active in support activities that augment the activities of any of the aforesaid value chains, please tick “OTHERS” Item 3: Tick the relevant categories Part C: Sales Information Item 1: Tick the relevant monthly sales of your products or services Part D: Certification Include name, title, signature, stamp and date Part E: FOR RADP-E USE This section will be filled out by RADP-E.