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(Sections 1-16 to be completed by the country concerned prior to sending it to the Implementing Agency for comments in Section 17).
1. Country:
2. National Implementing Agency / Ozone Unit
3. Implementing Agency:
4. Period of Extension: From (month/year) to (month/year).
(Based on the approved guidelines).
5. Amount of MLF funding requested:
6. Status of ratification:
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Amendment |
Ratification date |
or Projected date |
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London Amendment |
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Copenhagen Amendment |
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Montreal Amendment |
7. Consumption by group of substances and by sector. This is identical to the annual report the Ozone Units submit to the Fund Secretariat on the progress of implementation of Country Programmes. Please attach form with data for the most recent year and describe sources/methods of collecting data on imports, exports and production as well as distribution by sector:
8. Indicate the main project objective for the next phase in relation to the country's compliance with the provisions of the Montreal Protocol:
9. Objectives, planned activities per year and expected results:
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Year |
Objectives |
Planned activities |
Work months |
Results expected |
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1st Year |
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2nd Year |
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10. Describe the role and position of the NOU within the national administration, the way its work is supervised and its access to senior decision-makers. Give name and title of the government officer who has the overall responsibility for supervising the work of the NOU and for ensuring that action taken is adequate to meet the commitments under the Protocol, and include the co-operation with steering committees, advisory groups or inter-ministerial bodies as well as the government entities dealing with import/export licensing and customs:
11. Describe how the action plan for the IS project will be integrated in the national authorities' planning process, in particular, the country programme:
12. Planned Project Cost:
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Planned project cost |
MLF Funding |
Government funding |
Other sources |
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a) Equipment component |
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b) Professional staff |
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c) Support staff |
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d) Consultants |
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e) Operational cost |
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f) Funds for public awareness |
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g) Contingency |
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h) Others including in-kind (specify) |
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Total amount |
13. Personnel required:
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Category and number |
Functional Titles/Expertise |
Main tasks |
Time period |
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Professional staff |
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Support staff |
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Consultants |
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Please
attach job description of the Head of the National Ozone Unit
14. Title and schedule of reports to be submitted:
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To whom: |
Title of report |
Planned submission (Year/quarter) |
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1. Government Departments |
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2. Reports to Multilateral Fund Secretariat |
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3. Reports to Ozone Secretariat |
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4. Implementing Agency |
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5. Other Implementing Agency(ies) |
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6. Bilateral Donor(s) |
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7. Others |
15. Action Plan prepared by:
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Name and signature of Officer responsible for preparing the Action Plan: |
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Title: |
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Organization/Agency/Ministry: |
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Date: |
16. Government endorsement:
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Action Plan authorized by (name): |
(to be signed on hard copy) |
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Title: |
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Supervising Organization/Agency/Ministry: |
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Date: |
17. Submission of Action Plan:
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Name of Implementing Agency: |
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Name and signature of Project Officer: |
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Date: |
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Comments of Implementing Agency: |
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(UNEP/OzL.Pro/ExCom/31/61, Decision 31/16, para. 35).
(UNEP/OzL.Pro/ExCom/32/44, Decision 32/17, para. 28).
(Supporting document: UNEP/OzL.Pro/ExCom/31/19).
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