PROJECT SUMMARY

FORM

A s s o c i a t i o n f o r t h e D e v e l o p m e n t o f P a k i s t a n
Guidelines: Project Summary Form

Introduction
The Project Summary form is intended to provide an overview of the project being
evaluated. The goal is for the reader to be able to understand the salient features of the
project, as well as the Project Team’s assessment of its attractiveness and their rationale.
It is not expected to provide all the answers, nor is it ADP’s final assessment of the
opportunity. We encourage you to provide supporting information through attachments or
a separate presentation.

An updated form should be posted on the forums before every meeting with the
Evaluation Committee. For a final vote, the Project Summary form should include the
following attachments:

o Original proposal submitted by NGO

o Detailed line-by-line budget
o Last three years of financials from the NGO
o Copy of NGO registration
o Any other helpful background material

Filling out the Form

PROJECT DESCRIPTION
Description: Please include a relatively specific description of what the project involves,
the need being addressed, the nature and size of the population that will be affected.

Itemized Budget: Include, in as much detail as possible, the components of the project
budget and their estimated costs.

Success Statement
This statement will be a litmus test for our project after the project has been implemented.
You should put some thought in coming up with a simple statement that has a binary
answer – Yes or No. If the answer is Yes, the project will be a success.

Metrics
These are meant to serve as tangible yardsticks for measuring 1) whether the program
was effectively implemented (e.g., number of vaccinations conducted), and 2) the impact
it created (e.g. survey on incidence of disease before and after program).

Monitoring Plan
This should describe 1) the reports that the NGO will provide to ADP during and after
implementation of the project and 2) who you will appoint as the lead person(s) on your

A s s o c i a t i o n f o r t h e D e v e l o p m e n t o f P a k i s t a n
team to stay in touch with the NGO to monitor progress. Ideally, you should also identify
the timing of and person conducting a site visit for impact assessment.

Key Issues
These are the two or three “gating” issues that would disqualify the project were they to
not be resolved. The issues should tie directly to “Medium” or “Low” ratings on specific
criteria in the evaluation grid. They allow us to process proposals efficiently by focusing
the internal discussion and helping us prioritize the questions we pose to the NGO. You
must speak with the NGO before finalizing these key issues.

NGO DESCRIPTION
Some of this information will be available in the NGO Project Proposal, though you will
likely need to contact the organization to fill in some of the details.

NGO Registration Act

Include the name of the Act under which the NGO is registered in Pakistan. There are
four primary Acts under which non-profits are required to register:
 Social Welfare Act of
 Xx
 Xx
 Xx

Fiscal Revenues for Past Year

These are the total contributions or other sources of revenue collected by the NGO in the
past year. The scale of the NGO puts in context the priority our project is likely to
command internally within the NGO, as well as their financial wherewithal to support the
project on an ongoing basis.

Major Funding Sources

Include the top 4-5 donors to the NGO in the last year. We are especially interested in any
major donor or partner organizations that support the NGO in order to assess our comfort
level with their affiliations and their agendas.

Checks
The checks below need to be completed before any project can receive final approval
from the EC. Please make sure each of these is completed before you go for a final vote if
you are recommending that ADP fund the project. Of course, please don’t spend time on
these if your team is recommending against funding the project!

Site Visit
Please refer to the Follow Up phase of the Project Evaluation guide.

Reference Checks

A s s o c i a t i o n f o r t h e D e v e l o p m e n t o f P a k i s t a n
It is extremely important that your team does a complete reference check on all the
references provided by the NGO. Reference checks are done using multiple methods like
contacting the references provided via email, telephone, in-person meeting, etc. and
searching for information on the internet. Please include details of the checks in the last
table on the form.

Ideological / Faith Affiliations

Are there any signs of biases or affiliations to a particular ethnic, faith, or ideological
group? Is the project more beneficial to a particular target group? Are the funds or project
dividends going to be used to promote a certain ideology? Any indications of extremism
or intolerance?

Anti-terrorism list-checking
The US Government requires all non-profits registered in the US to complete adequate
due diligence to ensure that donor money is not being used to promote terrorist activities.
Before funding any project, the ADP General Counsel therefore needs to check the NGO
and its affiliates against lists of known terrorist organizations and individuals. Please
work with the ADP GC (via the Volunteer Manager) to complete the list checking.

Recent Annual Financials

As a matter of policy, ADP maintains the last three years of financials for the NGOs we
fund in order to have full information on the nature of their activities.

REFERENCE CHECKS
As discussed in the prior section, please include details on the reference checks that have
been completed here.

Good luck!

A s s o c i a t i o n f o r t h e D e v e l o p m e n t o f P a k i s t a n
 PROJECT SUMMARY FORM

PROJECT BACKGROUND
Names of Project Team Mughees Butt (PTL), Talal Butt, Hadia Raheel, Ruqaiya
Members Ramzan,
Project Name SIDO Handpumps
Project Location Union Council Umarzai , District Charsadda
(city/town, province)
Funding Amount 436925 PKR
Requested
Funding Deadline
Date of Project Submission 3/30/2011

PROJECT DESCRIPTION
Enter project description below
Install 13 hand pumps to provide clean water to people affected by the flood.
Itemized
Budget ITEMIZED BUDGET
(include Funding Amount requested 436925 PKR
here or as Detailed itemized budget ADP Share = Rs 436925/- 92.59%
an supporting the amount SIDO Share = Rs. 22000/- 4.66%
attachment)
above Community Share = Rs. 13000/- 2.75%
Total Budget = Rs. 471925/- 100%

Itemized budget for one hand pump:

(i) Material cost for one hand pump:
S# Description Qty Unit Unit rate Amount (RS)

1 Daccar hand pump (ADP Share) 1 no 12000 12000

2 Excavation / closed boring 25 Meter 155 3875
(4 inch dia) (ADP Share)
3 Outer PVC pipe 60 foot 65 3900
(4 inch dia) (ADP Share)
5 Inner PVC pipe 30 foot 50 1500
(1 inch dia) (ADP Share)
6 Filling material (ADP Share) 100 Square 15 1500
(mixture of sand & stone) feet
7 Concrete linner 2 no 350 700
(cement ring) (ADP Share)
6 Chuck wall (ADP Share) 2 No 400 800
7 Cement (ADP 1 bag 350 350
Share)
8 Sand (ADP Share) 1 bag 200 200
9 Crush (ADP Share) 1 bag 320 320
25145
(ii)Labour Cost for one hand pump
1 Installation of Hand pump no 1000 1000
(ADP
Share)
2 Petrol for generator 10 Liter 88 880
(ADP
Share)

A s s o c i a t i o n f o r t h e D e v e l o p m e n t o f P a k i s t a n
 3 Labour (Community Share) 2 day 500 1000
4 Transportation cost for For one hand pump 1200
Material (ADP Share)
4080
Sub total for one hand pump 29,225

Material & labour cost for 13 hand pumps 3,79,925

(iii) Overall Operation & Management

1 Coordinator (ADP 2 months 12000 24000
Share)
2 Supervisor (ADP 2 months 10000 20000
Share)
3 Social Mobilizer (ADP Share) 2 months 8000 16000
4 Transport cost for mobilization, 2 months 5000 10000
selection of area &
Monitoring. (ADP Share)
4 Office rent (SIDO 2 months 10000 20000
Share)
5 Electricity and Telephone 2 months 1000 2000
Charges (SIDO Share)
92000
Total Project Cost (13 hand pump) 471925

PROJECT EVALUATION
Please see Project Summary instructions for an explanation of each criterion.

ASSESSMENT
CRITERIA RATIONALE
(H/M/L)
 The existing wells were destroyed by the
Critical Need
floods.
H
 Due to lack of clean water, people are
suffering from water borne diseases.
Social Return  The hand pumps would provide clean
H water for 330 households (4250
individuals)
Measurability  The decrease in the number of new cases
M of water borne diseases is the only
measureable statistic.
 The community would be trained to
Sustainability
maintain the hand pumps, and local labor
M
would be used to install these hand pumps
as well.
Other Considerations
(scalability, innovation, ADP This is the first project that ADP and SIDO are working on
learning,, potential to partner
with NGO on other projects together.
etc.)
Installation of the hand pumps in the flood affected villages to provide
Success Statement clean and healthy source of water to the community.
Metrics
Monitoring Plan       
(Reports, visits, etc.)

A s s o c i a t i o n f o r t h e D e v e l o p m e n t o f P a k i s t a n
Key Issues       
(“Gating” factors)

NGO DESCRIPTION
Name Social Integrated Development Organization
NGO Registration Act Voluntary Social Welfare Agencies (Registration and
control) Ordinance 1961 (XLVI of 1961)
Contact Name Muhammad Ishaq
E-mail Sido.pakistan@gmail.com
Telephone 03333849721
Address Mohalla Madina Colony Yakh Kohi P/O Umarzai Tehsil &
District Charsadda (KPK) Pakistan.
Website N/A
Organization Background: SIDO is a registered, independent, non-profit,non-
Briefly describe when it was government, Developmental and Social welfare
formed, mission statement / organization established on 14 July 2008 with registration
nature of work, geographical
served, target populations, etc. No. DSW/NWFP/3415 primarily working in the rural areas
of District Charsadda (KPK). SIDO is making its best
efforts from the very first day of its established in socio –
economic development for deserving peoples to eradicate
poverty and to maintain sustainable development through
community participation without any discrimination of
class, caste, color, creed, culture, sect, religion,
community and nationality. A 7 member executive body
administers the affairs of SIDO and work as a
management & implementation entity. Since 2008 up to
date Organization has vast field experience in the areas
of welfare program , education, health, rehabilitation
,Awareness and advocacy programs, water and
sanitation, awareness campaigns about pollution free and
healthy environment, awareness campaigns and pollution
free and healthy environment, awareness campaigns
about child abuse and drug addiction and capacity
building of community and organization members
technically supported by HELPP, CERD and SLI.
List of Officers/ Board of Muhammad Ishaq, Adnan Khan, Haroon Shah,
Directors Muhammad Ibrahim, Numan Ullah Jan, Abdus sattar and
Shabir Ahmad.
No. of paid staff 4
No. of Volunteers 117
Fiscal Revenues for past Rs. 400000
year1
Major Funding Sources Personal Donantions
Community contribution.

1
NGO financials for the past 3 years must be submitted with this form

A s s o c i a t i o n f o r t h e D e v e l o p m e n t o f P a k i s t a n
NGO EVALUATION
INITIAL
CRITERIA ASSESSMENT EXPLANATION
(HIGH/MED/LOW
)
 Difficult to reach via emails (load shedding
Responsiveness M in the area is to be blamed). Quite
responsive over phone communication.
 Not a very long track record. Although,
seem to have implemented a similar project
Capability M
to the one in scope (2 hand pumps installed
in a nearby village).
 Credible contact (Mr. Humayun, from
Integrity H
NEEDS) has vouched for their credibility.

CHECKS (Y/N) NOTES

Site Visit Completed

(attach Site Visit form if “yes”)
N 
 Initial set of references contacted. Further
References Checks Y
(summarize below if “yes”)
checks to be conducted due to lack of
information.
Political / Religious
      
Affiliations
Anti-Terrorism List-
Checking       
(the ADP GC will complete
this in the Follow-up phase)
Recent Annual
Financials Received       
(please indicate whether
audited or un-audited)

REFERENCE CHECKS
Please describe in this section how you conducted the reference checks.
Name
Affiliations
Telephone
Email
Contact method
(tel., e-mail, in-person, etc)
Findings

Name
Affiliations
Telephone
Email
Contact method
(tel., e-mail, in-person, etc)

A s s o c i a t i o n f o r t h e D e v e l o p m e n t o f P a k i s t a n
Findings

Name
Affiliations
Telephone
Email
Contact method
(tel., e-mail, in-person, etc)
Findings

A s s o c i a t i o n f o r t h e D e v e l o p m e n t o f P a k i s t a n