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Test
2026-01-12
Apply
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Test
Section 1: Current Business Information
Company Legal Name
*
Is the Company Registered at MoNE?
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Choose
In process of registration
No
Yes
Year of Establishment
Company Registration Certificate Please upload a copy of the most recent company registration certificate
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Company Ownership Breakdown Please List the owners of the company by name and percentage of ownership and contacts information
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Name
Percentage Of Ownership
Email
Phone Number
Grant ID
Company Ownership Certificate Please upload a copy of the most recent company ownership certificate including shareholders names and ownership percentages
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Company Management Contact Information
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Grant ID
Name
Job Title
Email
Telephone
Focal Point Contact Information Company representative and contact person during the application review process
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X
Grant ID
Name
Job title
Email
Telephone
If you have current business which sector is it?
*
Choose
Other, Please Specify….
Information & Communication Technology (ICT)
Hospitality & Tourism
Green Technology and Recycling
Light Manufacturing
Agribusiness / Food Processing
Agriculture
Other, Please Specify
Current Business Location?
*
Choose
Rafah
Khan Yunis
Deil El Balah
Gaza
North Gaza
Hebron
Bethlehem
Jericho
Jerusalem
Ramallah and Al Bireh
Salfeet
Nablus
Qalqylia
Tulkarem
Tubas
Jenin
If you have a current business, what is the total number of employees? Broken down by men and women.
*
Do you have an external auditor?
*
Choose
NO
Yes
Name of Auditor?
Through which bank does the company carry out its banking operations? Name and branch
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Bank Name
Branch
Grant ID
Do you have financial management/accounting software?
*
Choose
NO
Yes
Name of Software?
Do you have a written manual for financials, administration, and procurement?
*
Choose
Some , but needs development.
No
Yes
Some, but needs development.
Choose
Procurement Only
Financials and Administration Only
Upload most recent audited financial statements
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Upload the VAT Clearance documents (If avaaailable)
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Upload the Deductiaf on from Source (If available)
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Section 2: New Proposed Investment Information
New Proposed Project Investment Name
*
In which sector the new proposed project investment falls?
*
Choose
Other, Please Specify….
Information & Communication Technology (ICT)
Hospitality & Tourism
Green Technology and Recycling
Light Manufacturing
Agribusiness / Food Processing
Agriculture
Other, Please Specify
Location of the new proposed Project?
*
Choose
Rafah
Khan Yunis
Deil El Balah
Gaza
North Gaza
Hebron
Bethlehem
Jericho
Jerusalem
Ramallah and Al Bireh
Salfeet
Nablus
Qalqylia
Tulkarem
Tubas
Jenin
Address of the proposed new project?
*
Is the new proposed project new business or expansion of current one?
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Choose
Expansion of an existing business
New project
How many months would it take to implement the new project and starts operations? Enter the number of months required
*
Status of the proposed project
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Choose
Operational phase
Installation phase
Construction phase
Project conceptualization & planning phase
Please provide a brief overview of the proposed new project investment Please discuss: - Market opportunity - Products and offerings - Target market - Competitive advantage
*
Business Model Please briefly describe the proposed project business/revenue model. How will the proposed project operate?
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Please list direct competitors and competing products/services. Include competitors similar products/services and how you will compete
*
What is the total capital investment size required for the new investment? Enter the amount in (USD) $
*
What is the available amount of the total capital investment size? Enter the amount in (USD) $
*
What is the percentage of available funds in the form of equity?
*
What is the percentage of available and or possible funds in the form of debt/loan?
*
If the project is in preparation phase, what amount of total investment cost that has been already disbursed/paid? Enter amount in (USD) $; enter 0 If the project is still in the conceptualization & Planning phase
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What is the financing gap of the project? Enter amount in (USD) $
*
What is the purpose/use of the financial support you are requesting?
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Choose
Operational Expenditures (Working Capital)
Capital Expenditures (Assets)
Please specify the type of assets you want F4J-ICF grant to support? Please provide a detailed description of asset/s and/or any cost component (Including name, type, function, specifications, and cost estimate)
*
Upload all available documentations pertaining to the assets required in previous question, if available? e.g. Price Offers, Quotations, Bills of Quantities, etc...
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Have you received any form of grant, loans, and or technical assistance from other sources/donors? Please list all support received in the past five years, if any.
*
Choose
NO
Yes
Name of Donor
Name of Project
Amount
Have you secured the required licenses, permits, and documents from relevant Palestinian authorities? e.g., EQA, Industrial License, etc...
*
Choose
In progress
No
Yes
Upload obtained licenses and permits, if available
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How many new jobs you expect the new investment will create? Direct jobs only
*
How many of these jobs will be for women?
*
List the direct jobs in detail. (Job Title, Gender, Full-Time/ Part-Time)
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Job title
Gender
Choose
Male
Female
Full/Part Time
Choose
Part Time
Full Time
Grant ID
Do you have a business plan/feasibility study for the proposed project?
*
Choose
NO
Yes
Do you have a financial model for the proposed project?
*
Choose
NO
Yes
Upload the proposed project financial model and business plan/feasibility study, if available. Financial model format: Excel, Business Plan: Word or PDF.
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Section 3: Case for Intervention
What are the external threats/risks that are preventing you from investing in the proposed project? Mention the current market and institutional failure that your project shall face.
*
How the grant financing support will help in addressing the above mentioned risks?
*
Are the raw materials and project inputs for sourced locally or internationally? Please specify which one will be bought from local and international suppliers.
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Choose
Internationally
Locally
Country
Type of Supplier
Will the new proposed project contribute to a sustainable and environmentally friendly future?
*
Choose
NO
Yes
Please Clarify
Will the new proposed project utilize any renewable energy sources and or more energy efficient machines and equipment?
*
Choose
NO
Yes
Please Clarify
Are there any products of the project that can be recycled?
*
Choose
NO
Yes
Please Specify
How will the new proposed project impact other businesses in the value chain (horizontal and vertical) and on the broader sector within which it operates?Explain.
*
Choose
NO
Yes
Please Specify
Will the new proposed project use recycled inputs in any of the production operations?
*
Choose
NO
Yes
Please Clarify
Submit
Thank you! Your grant request has been submitted successfully.
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