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Submission Form

Project Name, Location, Picture of region

Project Name ^*

Location Name ^*

GeoLocation ^*

Picture of region ^*

Project cost ^*

Funds sought ^*

Matched funds ^*

Purpose, Objective, Background and Portfolio

Purpose ^*

Objective ^*

Background and Portfolio ^*

Leveraging and sustainability/scalability plans, Team, Perspective and theory of change

Leveraging and sustainability/scalability plans ^*

Team ^*

Perspective and theory of change ^*

At a glance

Project Locations ^*

GPS coordinates ^*

Requested funds from ISV donors ^*

Payment tranches ^*

Names of ISV and IEEE Members ^*

Technologies to be deployed ^*

Beneficiaries ^*

Commissioning/Service start date ^*

Pilot completion/demonstration ^*

IEEE Review and Reporting Period ^*

Sustainability/ Scalability ^*

Project Lead Contact ^*

Submit