ࡱ> KMHIJq bjbjt+t+ AAj]@ @ @ P  tH"<.&!i%'-------$@/418- '{!"!''-K, yK,K,K,' 8 -L`  '-K,DK,-  -"ഔ+,F-   INTERNATIONAL ATOMIC ENERGY AGENCY (IAEA) WAGRAMER STRASSE 5, P.O. BOX 100 A-1400 VIENNA, AUSTRIA Telephone: +43 1 2600-0 Facsimile: +43 1 26007 E-mail: Official.Mail@iaea.org REQUEST FORM FOR A PROJECT UNDER THE IAEA TECHNICAL CO-OPERATION PROGRAMME  DEPARTMENT OF TECHNICAL CO-OPERATION    REQUEST FORM FOR A PROJECT UNDER THE IAEA TECHNICAL CO-OPERATION PROGRAMME  GENERAL  The IAEA provides assistance through its technical co-operation (TC) programme on the basis of a two-year cycle (biennial programme cycle). The duration of projects associated with this programme may, however, be longer than two years depending on the nature of the needs they address. The attached document "Request Form for a Project under the IAEA Technical Co-operation Programme", hereinafter referred to as project request form (PRF), is meant to be the channel through which relevant institutions/organizations from Member States inform IAEA of their need for support to carry out a project. Such projects are expected to be in line with the Member States' national development needs, identified in the country programme framework (CPF) where available, be of a practical nature and oriented towards benefiting the end-users. In completing the PRF, as much relevant detail as possible should be provided, since an incomplete form may not allow for proper appraisal and therefore may have to be returned for resubmission. Appropriate government endorsement (Section 7) is essential for consideration of the project request.  DEADLINE FOR SUBMITTING A REQUEST  Requests for new projects for the 20052006 cycle should be submitted to the IAEA by 31 December 2003. Sufficient allowance should be made for any possible delays in national and international mail services. A request for a justified urgent need, up to a total value of $50,000, may be submitted at any time for consideration of support under the TC Programme Reserve.  SUBMISSION OF COMPLETED FORM  This form should be signed by the official authorized by the government to request assistance from the IAEA and forwarded through official national channels to: Department of Technical Co-operation International Atomic Energy Agency (IAEA) P.O. Box 100 A-1400 Vienna AUSTRIAIt would be appreciated if the completed form could also be sent electronically to: Official.Mail@iaea.org   Appraisal and Implementation  PROJECT APPRAISAL After the receipt of requests from Member States, the IAEA will initiate the process of appraising them. This appraisal process will take place during 2004 for the 20052006 programme. It is in the interest of the applicant to make the project request as clear as possible. The project request form is meant to reflect a project proposal at its latest stage of formulation. Thus, the proposed projects should have a high level of definition. If further clarifications are needed during the appraisal process, the requesting institute may be asked to provide additional information. EXECUTION The responsibility for implementing projects for which IAEA assistance is being sought rests with the requesting institution(s) and government. The IAEA's role is only to support the countries efforts, through appropriate provision of experts, training, equipment, and technical / scientific guidance.   How to fill in the project request form  The form consists of seven sections and an attachment with five annexes.  SECTION 1: Top Sheet  The Top Sheet is meant to provide a quick overview of the main elements of the project request. A precise and meaningful title should be given, reflecting the objective of the project request. The project summary should include a concise account of the background of the project, the identified problem and how this project will contribute to solving it or to improving the existing situation. SECTION 2: Background Information The information provided in this section will serve as a basis for understanding the project request in the overall context of the national programme and the justification for requesting assistance from the IAEA. The description should clearly identify the existing problem and its relevance to the national programme. It should also mention other institutions in the country dealing with some aspect of the problem, provide an indication of the support from various sources, and the relevance of the requesting institution(s) for addressing the identified problem. If the requested project is relevant to the national United Nations Development Assistance Framework (UNDAF), or addresses any of the Millennium Development Goals, this should be highlighted in the description under sub-section 2.1.  SECTION 3: Description of the Proposed Project  In Section 3, information directly relevant to the project request is required. The projects overall objective should describe the long-term goals to which the results of this project will contribute. The specific objective should describe the situation that is expected to exist at the end of the project. It should identify the change that the project itself is expected to bring about.  SECTION 3: Description of the Proposed Project (continued) The expected results should contain a description of what will be changed through the successful implementation of the projects activities. The results are understood to be the intermediate steps towards the achievement of the objective of the project. It should include measurable and verifiable indicators specifying positive achievements expected from the project -- how much, how many, how good, for whom, by when and where. It should not include actions to be undertaken or the means to be used. The end-users are the group of people, or institutions, that will benefit from the proposed project. The implementation plan should describe the approach and methods adopted for solving the problem, the role of nuclear techniques, the major assumptions and risks, and how the project results will reach the end-users. A description of the roles and responsibilities of the project team in each counterpart institution for implementing the project activities should be provided. Annex II should be used for providing details on human resources and facilities available at the counterpart institution(s) for implementing the project. Concrete information should be provided on the availability of resources to sustain the project results after IAEA support has been concluded, and the expected impact of these results.  SECTION 4: Summary of Inputs Requested from the Agency  The project requirements for human resource development and for items of equipment and materials should be provided in the summary tables. Detailed information for each of the major items of equipment should be provided using the Equipment Delivery Table in Annex III.  SECTION 5: Proposed Workplan SECTION 6: Project Design Tool  A project workplan provides a useful basis for appraising the request for allocation of responsibilities and resources, and for scheduling activities in an optimal time frame. The information provided will be examined during appraisal and, if needed, may be further refined in consultation with the project counterpart. There should be a logical cause and effect relationship between the identified problem and the main elements of the proposed project. In order to facilitate such analysis, a structured project framework matrix, regularly used in the Secretariat, has been included in Annex V.  SECTION 7: Technical Assistance Agreements and Conditions This Section refers to the commitments that the requesting country agrees to undertake during project execution. The endorsing authority should be fully aware of the significance of this action at the time of signing the request form under sub-section 7.1. The endorsement of the project request by the national regulatory authority for nuclear/radiation safety is mandatory and should be provided under sub-section 7.2. In addition, the requesting Government is obliged to reimburse the IAEA the assessed programme costs, which represent 8% of the total annual IAEA disbursements for each project. Annexes The project request form consists has five annexes. The purpose of each of these annexes has been explained at the appropriate place in the form.   How to use the MS Word Template Tables Tables can be expanded, and additional rows can be inserted as needed. This can be done by using standard Word functions, or by pressing TAB twice when the last cell of the row has been reached. The copy and paste function of Word can also be used for this purpose. To use of the Equipment Delivery Table more than once, the blank can be repeatedly copied and pasted at the end of the Project Request Form.Data Format Please input the following data as indicated: Date: yyyy-mm-dd (e.g. 2004-12-31) Duration: y (year), m (month), w (week), d (day) Number: #,###,### (e.g. 1,500,000). INTERNATIONAL ATOMIC ENERGY AGENCY P.O. Box 100 A-1400 Vienna, AustriaPROJECT REQUEST UNDER THE IAEA TECHNICAL CO-OPERATION PROGRAMME FOR FORMTEXT       TO FORMTEXT       (1st Year) (last Year)Please indicate the name of the country and the request number at the top of each page. Note that the information provided in this form will serve as the basis for appraisal of the request and for the planning and implementation of the project activities on its approval. Therefore, please fill the relevant pages completely. If more space is needed, attach additional sheets. Forms with incomplete information may be sent back for resubmission. 1. Top Sheet 1.1. Name of the Member State: FORMTEXT      Request No.: FORMTEXT      1.2. Project Title: 1.3. Project duration: FORMTEXT       1.4. Specific objective(s) of the project: 1.5. Responsible ministry/national institution: 1.6. Main counterpart: INSTITUTION NAME: FORMTEXT      Counterpart NameMr./Ms. FORMTEXT    Last Name FORMTEXT      First Name FORMTEXT      Telephone: FORMTEXT      FAX: FORMTEXT      E-mail address: FORMTEXT      Web Address: FORMTEXT      Street address: FORMTEXT      P.O. Box: FORMTEXT      Postal code before city: FORMTEXT      City: FORMTEXT      Postal code after city: FORMTEXT      State/Province/Region: FORMTEXT      Country: FORMTEXT       1.7. IAEA Field of Activity: (Please refer to Annex I) FORMTEXT       1.8. Estimated resources for the entire project: Amount requested from the IAEAFORMTEXT      US$Amount available from other sources (contribution from the government, donors, etc.):FORMTEXT      US$Total Resources:FORMTEXT      US$1.9. Project Summary (200-300 words): 2. Background Information 2.1. Describe in detail the identified need/problem that will be addressed through this present request. 2.2. Which national programme deals with the mentioned problem? If applicable, specify the sub-programme or components relevant to the present proposal. 2.3. Which institution(s) deal(s) with the national programme? 2.4. Which institution is designated by the government to deal with the problem described in this project request? 2.5. Are there any national/international organizations co-operating with or supporting national programme referred under sub-section 2.2 above? If yes, describe the type of co-operation support. 2.6. What are the ongoing projects/ activities at the main counterpart institution relevant to the problem? 2.7. Has there been any previous involvement with the IAEA on this problem through national and/or regional TC projects? If yes, describe the previous activities and achievements. 2.8. Are you aware of any programme in another country of the region that addresses a similar problem? 3. Description of the Project Request 3.1. Overall objective (What are the long-term goals to which the results of this project will contribute?) 3.2. Specific objective(s) of the project 3.3. Expected results (What will be achieved through the implementation of this project?) and performance indicators. (How will the results of the project be measured and/or quantified?) 3.4. Who are the end-users of the project? What has been their involvement in the planning and design of this proposal? 3.5. Describe the implementation plan for solving the problem and highlight the comparative advantage of the nuclear technique(s) to be used. 3.6. Specify the roles and responsibilities of each counterpart institution and the resources available to it for the implementation of the project. Please complete Annex II to provide further details. 3.7. What are the main risks or obstacles that may hamper the implementation of the project? (For example, delay in the completion of a building, delayed availability of additional staff, uncertainty in the provision of the requested government resources and inputs from other organizations, etc.) 3.8. How will the benefits be sustained over the short- and long-term basis after the completion of the proposed project? (Has adequate support been ensured from national and/or international sources for that purpose?) 3.9. What is the expected impact of the results of the project? 4. Summary of Inputs Requested from the IAEA IAEA Activity Number Short TitleRequired Date (yyyy-mm-dd)Duration in weeks or monthsRelated ActivitiesFellowships*FE1 --FE2 --Scientific Visits*SV1 --SV2 --Expert MissionsEM1 --EM2 --Equipment For each major item of equipment, please complete the Equipment Delivery table (Annex III)EQ1 --EQ2 -- * Completed application forms for Fellowships and Scientific Visits should be submitted by October, at the latest, of the year prior to the year in which training should begin. 5. Proposed Workplan The proposed workplan will be useful for identifying responsibilities for implementing project activities and for scheduling them in a proper time frame. The information may be further refined during the appraisal process in consultation with the project counterpart. Please fill in the attached Annex IV. 6. Project Design Tool A project design tool helps in carrying out a systematic analysis of the logical relationships between various elements of the project. The commonly used tool in the Secretariat for this purpose is the project framework matrix, a standard version of which is given in Annex V. It is highly recommended to fill in the project framework matrix to the maximum extent possible during preparation of the project request. 7. Technical Assistance Agreements and Conditions 7.1 Prior counterpart institutions obligations and prerequisites for project implementation.Subject to positive appraisal of the request, IAEA assistance to the project will be provided only if the counterpart institution obligations and project prerequisites have been fulfilled or are likely to be met to the lAEA's satisfaction.In this respect, the project will be subject to continuous monitoring and evaluation. Every six months, the main counterpart is expected to provide the TC Department with a progress report on the projects implementation. When anticipated fulfillment of one or more prerequisites fails to materialize, the IAEA may, at its discretion, either suspend or terminate its assistance to the project.MAIN COUNTERPART INSTITUTION ACKNOWLEDGMENT:FORMTEXT      Last name, first name(s) and title of the Head of the main institution where the project will be executed, acknowledging the implementation of the work plan and assuring the contribution of the stated resources to the project.SignatureFORMTEXT       Date7.2 Endorsement by the national regulatory body for nuclear/radiation safety that will be responsible for radiation safety supervision:FORMTEXT      Last name, first name(s) and title of signing official (typewritten or printed)SignatureFORMTEXT       Date7.3 Country undertaking7.3.1 The government acknowledges that assistance provided by the IAEA will be subject to the relevant conditions required by the Statute of the IAEA and by decisions of its Board of Governors, in particular as set forth in IAEA document INFCIRC/267. The government further agrees:(a) to applyi.The Agreement on the Privileges and Immunities of the IAEA, reproduced in document INFCIRC/9/Rev.2, for the purpose of the assistance requested;ii.The United Nations Revised Standard Agreement or the United Nations Development Programme Standard Basic Assistance Agreement;iii.The IAEA Revised Supplementary Agreement thereto concerning the provision of technical assistance;iv.The IAEA's health and safety measures, as required. The standards and measures are specified in INFCIRC/18/Rev.1 (particularly p. 11) and, when applicable, the International Basic Safety Standards for Protection against Ionizing Radiation and for the Safety of Radiation Sources (Safety Series no. 115), 1996.(b) to ensure that national inputs to the project as stated in Annex II will be available.7.3.2 Priority ranking of this request: FORMTEXT   out of FORMTEXT   requests (for example second out of three requests)7.3.3 Has a Country Programme Framework (CPF) been completed and approved by the government? FORMCHECKBOX  Yes FORMCHECKBOX  No FORMCHECKBOX  being preparedIf yes, does this project address an area identified in the countrys CPF? FORMCHECKBOX  Yes FORMCHECKBOX  No Note: This form should be signed by the official authorized by the government to request assistance from the IAEA.FORMTEXT      Last name, first name(s) and title of signing official (typewritten or printed)SignatureFORMTEXT       Date Annex I IAEA Field of Activity used for TC Projects CODEDescription 0AGeneral Atomic Energy Development 0BOverall Programming 0CNuclear Material Management (Safeguards) 0DLegal Aspects of Atomic Energy 0EEconomic Aspects of Atomic Energy 0FLibrary and Scientific Documentation 0GAdministration in Nuclear Fields 0HNuclear Centres and Laboratories 0IBasic and Intermediate Level Training 0JData Processing by Computer 0KPublic Information 0LSecurity of Material 1ANuclear Physics 1BTheoretical Physics 1CAtomic Physics 1DNuclear Physics 1ENeutron Physics 1FReactor Physics 1GSolid State Physics 1HPlasma Physics 1IHigh Energy Physics 1JMass Spectrometry and Mass Separators 1KRadiometry and Dosimetry 1LAnalytical Nuclear Physics2ANuclear Chemistry 2BNuclear Radiochemistry 2CAnalytical Chemistry 2DRadiation Chemistry 2EPhysical Chemistry 2FPreparation of Labelled Compounds 2GProduction and Control of Radiopharmaceuticals 3AProspecting, Mining and Processing of Nuclear Materials 3BProspecting of Nuclear Raw Material Deposits 3CEvaluation of Uranium and Thorium Ore Deposits and Other Nuclear Interest Ores 3DMining of Nuclear Raw Materials 3EAnalysis of Nuclear Raw Materials 3FProcessing of Nuclear Materials 4ANuclear Engineering and Technology 4BResearch Reactors 4CPower Reactors 4DReactor Technology 4EReactor Metallurgy and Materials 4FNuclear Chemical Engineering 4GNuclear Instrumentation, Electronics and Reactor Control 4HProduction of Isotopes 4JFuel Element Re-Processing4KIrradiation Effects 4LRadiation Engineering4MQuality Assurance 4NNuclear Fuel Management 4ORadioactive Waste Management Technologies 5AApplication of Isotopes and Radiation in Agriculture 5BSoil Science, Irrigation and Plant Nutrition 5CPlant Breeding and Genetics 5DEntomology 5EAnimal Production and Fisheries 5FAnimal Diseases 5GAgricultural Biochemistry 5HFood Preservation 5IPlant Pathology 6AApplication of Isotopes and Radiation in Medicine 6BNuclear Medicine 6CRadiotherapy 6DFundamental Medical Research 6ERadiotoxicology 6FMedical Physics 6GRadiopharmacy 7AApplication of Isotopes and Radiation in Biology7CSomatic Effects of Radiation 7DGenetic Effects of Radiation 7ERadiation Sterilization 7FRadionuclides and Radiation in Aquatic Biology 7GDosimetry in Radiation Biology 7HPreparation of Vaccines 7IEnvironment Radiation Biology7JNutritional and Health-Related Environmental Studies 8AApplication of Isotopes and Radiation in Industry and Hydrology 8CGeneral Industrial Applications 8ENon-Nuclear Materials8FCivil Engineering 8GIndustrial Pollution Studies and Non-Radioactive Effluent Disposal 8HRadiation Processing 8IMulti-Purpose Irradiation 8JTracer Techniques for Industrial Processes 8KAvailable for Further Sub-Divisions in the Industrial Field 8LAvailable for Further Sub-Divisions in the Industrial Field 8MGround Water Hydrology 8NSurface Water Hydrology 8OAnalytical and Instrumental Techniques 9ASafety in Nuclear Energy 9BSafety Standards, Regulations and Procedures 9CRadiation Protection 9DSafety of Reactors and Nuclear Materials 9ESafety of Radioactive Waste Management 9FSafety Evaluation 9GEnvironmental Protection  Annex II NATIONAL INFRASTRUCTURE AND INPUTS TO ENABLE THE PROJECT TO PRODUCE THE EXPECTED OUTPUTS 1. Scientific and technical staff to be assigned directly to the project, in decreasing order of responsibility level. (Also provide information on persons who are in the process of being recruited if it is certain they will participate in the project.) 1. Counterpart Institution: Last name, First Name(s)Mr/MsJob TitleDegree/DiplomaExperience (years) 2. Counterpart Institution: Last name, First Name(s)Mr/MsJob TitleDegree/DiplomaExperience (years) 3. Counterpart Institution: Last name, First Name(s)Mr/MsJob TitleDegree/DiplomaExperience (years) 4. Counterpart Institution: Last name, First Name(s)Mr/MsJob TitleDegree/DiplomaExperience (years)  2. List major facilities and equipment which are directly relevant and already available and operational for the project. (Please provide as much information as possible, indicating the organization to which they belong. For equipment items, indicate if previously supplied by the IAEA.) PremisesEquipmentEquipment ItemManufacturerIAEA Supplied? Annex III Equipment needed for the project1. Basic information regarding equipment requested for a technical co-operation project. (This section must be completed if equipment is being requested.)Address to which equipment should be sent. (Normally consignments are addressed to the United Nations Development Programme -UNDP- Resident Representative if there is one in, or accredited to the country in which the main counterpart institution is located.)Institution name:TelephoneFaxE-Mail AddressStreet addressP.O. BoxPostal code before cityCity Postal code after cityState/Province/RegionCountryPlease mention any special customs formalities which must be taken into account:POWER REQUIREMENTSPlease mark with XRemarks (specify range of voltage fluctuations):AC (single phase)VoltageVAC (three phase)FrequencyHzDCEnvironmental conditions: Please indicate any unusual environmental conditions regarding temperature, humidity, altitude, etc., which must be considered in selecting equipment. (If air conditioning is available, how reliable is it? Is it shut off during the night or at certain times of the year? If so, specify.)What local capacity (trained persons, suppliers service etc.) is available to ensure the maintenance of the requested equipment? EQUIPMENT DELIVERY TABLEData for a single equipment delivery* The IAEA will normally purchase the most appropriate equipment that will perform the functions required. All purchases of equipment by the IAEA will be governed by the IAEAs procurement rules. These rules permit the purchase of equipment of a specific make in limited circumstances. If purchase of a specific make is requested, full details should be given as to why that make is required. Please indicate the location of the nearest service representative of the make requested.Note: Only in exceptional cases and when adequately justified will expendable supplies and miscellaneous equipment items be provided. Such supplies are expected to be provided by the counterpart organization.Equipment delivery - activity numberEQ1 Short titleProposed delivery date (yyyy-mm-dd)Related activities, if any (list by number)Name and address of beneficiary institution (i.e. where equipment is to be used)Institution name: TelephoneFaxE-Mail AddressStreet addressP.O. BoxPostal code before cityCity Postal code after cityState/Province/RegionCountryEquipment item 1Short name: Technical name: Quantity: Estimated unit cost (in US$): Purpose for which instrument is to be used (please indicate reasons influencing or governing the selection of a specific type or size, etc.): Detailed technical specifications regarding performance and other relevant information of primary importance (reference to one specific make, although useful, is not sufficient):If this item should be compatible with existing equipment, please describe that equipment and specify the manufacturer(s):Is installation and commissioning of this item required? * If additional Equipment Delivery Tables are needed, please copy and paste the above and attach the completed tables at the end of the Project Request Form Annex IV PROPOSED WORKPLAN 1. Activity Name:Actions to be implementedBy Counterpart/IAEARequired InputsYear 1Year 2Q1Q2Q3Q4Q1Q2Q3Q42. Activity Name:Actions to be implementedBy Counterpart/IAEARequired InputsYear 1Year 2Q1Q2Q3Q4Q1Q2Q3Q43. Activity Name:Actions to be implementedBy Counterpart/IAEARequired InputsYear 1Year 2Q1Q2Q3Q4Q1Q2Q3Q44. Activity Name:Actions to be implementedBy Counterpart/IAEARequired InputsYear 1Year 2Q1Q2Q3Q4Q1Q2Q3Q4 Annex V Project Framework Matrix Narrative DescriptionVerifiable Performance IndicatorsMeans of VerificationImportant AssumptionsOverall ObjectiveSpecific ObjectiveOutcomes Outputs Activities Resources/ Inputs <>  What has been changed as an intermediate step towards the achievement of the objective?  What has been produced as immediate products or services? 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