Application Form of APDC (Cameroon)

1	Information on your organization *Please explain in why your organization is eligible to be a Member Organization for C-CfA.				(e.g. aim, history, membership, member organisations, activities, network, budget, human resource, etc.)
	STATISTICS AND LOCALISATION /CAMEROON: ·        location: Central Africa ·        population: about 20 millions citizens ·        area: 475 000 km² ·        youthfulness: 60% under 20 years old ·        50% in towns and 50% in rural zone ·        10 provinces (2 English-speaking and 8 French-speaking) ·        14 400 villages ·        SIDA: 5.5% in 2006.   APDC:     In 1999, considering the dangerous consequences of privatisation in the liberalisation process going on in our countries, some personalities from the Cameroonian civil society decided to create an association for the defence of consumers rights named APDC.     Formalised in august 2000, in accordance with Cameroonian law n° 90/053 of 19/12/1990 about the freedom of gathering.     APDC is non lucrative, independent, non political and religions free.   AIM: Contribute to the improvement of life conditions through the defence of consumer’s interests. Develop the regulations, the commercial practices, and consumer’s behaviour.   Method: 1-      Education and information of consumers; the purpose is to inform the consumers on their rights and obligations (seminaries, practice formulary, flyers, and other communications materials about diverse subjects of life, and a newspaper named: Le CONSOMMATEUR). 2-      Settlement amicably of conflicts, and when necessary, lawsuits. 3-      Representation of consumer’s in front of the institutions, to influence on the decisions concerning the protection of consumers. 4-      Collective actions, meetings and forums about current events when necessary.   Sphere of action:      All the problems concerning citizen’s life: economy, life quality, security, environment, health, human rights, ecology...   Partnerships:    APDC looks for partnerships with all the others associations on consumer’s field in Cameroon, Africa, the entire World.    As a poverty fighter, APDC works with all the national and international institutions with the same purposes.   Our partners: Dynamique Citoyenne Cameroon Anti Corruption youth Movement Usagers Solidaires PRODECO ACUB ANUH     NETWORK: APDC is member of several organizations ·              ANEW ·              African Water Network ·              FENAC ·              FEFAC ·              PCPA ·              CIANET ·              INTER RESEAUX ·              NAIROBI WSF ·              WATER JUSTICE   BUDGET: For 2005, USD 10 000.   Human Ressources: 02 Personalities 10 volunteer Experts volunteer/members on different fields. Members: 12 000 person.   APDC trough it’s several actions has followed plural aspects of consumer’s life: OMC conventions, ACP/UE, NEPAD, Citizenship education, VIH SIDA, Water privatisation, electricity…
2	Name, position and contact of a person who is in charge of this commission
	Name: Mr.  NKOULOU MFOULOU PARFAIT Position within the organization: EXPERT e-mail address: nkoulouparfait@yahoo,fr Telephone: [phone]               Fax: Skype name: *Please attach her/his CV.
	Reason why he/she is eligible to be in charge of a representative of your organization
3	Budget allocation for becoming a Member Organization of C-CfA					e.g. its amount and how to be spent (in US Dollar)
	Budget: USD 1 Million.   How to be spent:   Development of the network Setting up of agencies on the rest of the territory Human resources charges and information gathering Specific documentation Social mobilization.
4	List of NGOs that recommend your organization to represent them		*Please fill out at least 10 names of organizations. *Contact should be postal address, telephone number and e-mail address (Website URL, if there is).
	Name1	CGT LIBERTE	Contact	Benoît ESSIGA ([e-mail], [e-mail]) phone : [phone]
	Name2	CSP	Contact	BIKOKO J M ([e-mail]) phone: [phone]
	Name3		Contact	TSANGUEU Julienne PO Box : 6709 Yaoundé ( [e-mail] ) phone : [phone] 26
	Name4	OCOSO	Contact	TIFANG Peter ([e-mail])
	Name5	FOSCAM	Contact	MBALLA MBALLA Jean phone: [phone] 48
	Name6	PCPA	Contact	[e-mail]
	Name7	WESDE	Contact	[e-mail] phone:[phone] 39
	Name8	Dynamique Citoyenne	Contact	COUSSA Leonard [e-mail]
	Name9	LDL	Contact	Charlie TCHIKANDA [e-mail] phone:[phone] 12
	Name10	CSP-Adamaoua	Contact	MPELE phone: [phone] [e-mail]
	Name11	BASC	Contact	Leopold NAMTSAI
	Name12	RISC	Contact	BIKOKO J M phone: [phone] [e-mail]
	Name13	ACAT_littoral	Contact	Kemadjou Bertin phone:[phone] [e-mail]
	Name14	ACIC	Contact	Liman MALOUM BP.594Ydé, phone:[phone] [e-mail]
	Name15	CESAC	Contact	Louis SOMBES phone: [phone] [e-mail]
	Name16	FENASTTRA Cam	Contact	BOULA ATEBA phone: [phone] [e-mail]
	Name17	FCJ	Contact	MBELLE ABEGA J J phone:[phone] [e-mail]
	Name18	CIRCRE	Contact	SOB Anne-Marie phone:[phone] [e-mail]
	Name19	UNAPHAC	Contact	Gabriel ONDOUA phone:[phone]
	Name20	ASSOAL	Contact	Agnès METOUGOU [e-mail]
* You may add more names of organizations if there are more organizations that are recommending your organization.

Application Form of the Youth Network on MDG (Madagasdar)

1	Information on your organisation *Please explain why your organisation is eligible to be a Member Organisation for C-CfA.				(E.g. aim, history, membership, member organisations, activities, network, budget, human resource, etc.)
	The youth network on MDG (millennium development goals) was established in December 2005 during the youth national forum on employment. His aim is to implement young people to work with all actor of development of our country as a citizen to reach the MDG There are 600 youth’ associations in this network and our activities are focused around the followed theme :health and HIV/AIDS, economical and private sector, environment, sports for development, solidarity, good governance, poverty We don’t have yet our own budget but we try to advocate with united nations system in our country and they financed our activities following their priority About a human resource, we have different skills in our member: communication, manager, leader, lawyer, volunteers, consultant junior, etc.
2	Name, position and contact of a person who is in charge of this commission
	Name: Mr. Rado RAKOTOARINALA Position within the organization: National Coordinator of youth network on MDG (millennium development goals) e-mail address: [e-mail] Telephone: [phone]                           Fax: [phone] Skype name: *Please attach her/his CV.
	Reason why he/she is eligible to be in charge of a representative of your organization
	He has already represented the youth in different international meeting: In 2001 in Dakar for the 4th youth world forum of the united nations, in 2002 in New York at the session special on children, in 2003 in Kigali Rwanda at the 2nd youth pan African forum on HIV/AIDS, in 2005 in Morocco at the youth pan African summit on MDG, and last year at the global summit on MDG in New York, so he has any experiences to share and well placed to represented the civil society mainly the youth which represent more than 60% in Madagascar and he is always credible towards partners
3	Budget allocation for becoming a Member Organisation of C-CfA					e.g. its amount and how to be spent (in USDollar)
	500USD It is for the cost of telephone, internet and the meeting and transport with NGO in Madagascar for this year
4	List of NGOs that recommend your organisation to represent them		*Please fill out at least 10 names of organizations. *Contact should be postal address, telephone number and e-mail address (Website URL, if there is).
	Name1	APJM	Contact	IIC 12 Ampandrana Ouest, Antananarivo, Madagascar [phone] [e-mail]
	Name2	MAJ/FISA	Contact	23 D Ter Ambatomitsangana, Antananarivo Madagascar, tél. [phone] [e-mail]
	Name3	COM’PACT	Contact	Volosarika Ambanidia,Antananarivo Madagascar ,tél. [phone], [e-mail]
	Name4	ASU Toliara	Contact	Bloc 20Maninday BP 390 Toliara 601 SASSC,tel. [phone], [e-mail]
	Name5	Vintsy Filamatra	Contact	Bateravola Fianarantsoa, Lot 3604 IV 005 Lycée Rahenivelo Ramamonjy, tél. [phone],[e-mail]
	Name6	JEC TAMPIKRI	Contact	Lot 353 Cité Tsaramandroso Mahajanga 401, Tél.[phone], [e-mail]
	Name7	MDG network in Diego	Contact	RNM, TVM, diego, Velomanana Jean Claude, te l. [phone]
	Name8	PROJARTA	Contact	Tolotra,Lot 2A Plle 12/11 Tanamakoa 501 Toamasina,  [e-mail]
	Name9	Aina Fanilo	Contact	Lot 23 K 237 P Antananmbao Lycée Antsirabe 110, [phone],  [e-mail]
	Name10	AJMF	Contact	Lot 306 A/3702 Andavale Fianarantsoa, [phone], [e-mail]
	Name11	CLP PASIJ Reseau Majunga	Contact	Jesuelle, lgt 355 Cité Tsaramandroso, majunga 401, tél. [phone], [e-mail]
	Name12	YMCA Carion	Contact	INJ Carion MAnjakandrinana 116, Antananarivo Madagascar , [phone], [e-mail]
	Name13	MEM	Contact	Eglise Luthérien 67ha
	Name14	JIM	Contact	Bloc I N° 97 MAnjarisoa MAjunga, tel. [phone], [e-mail]
	Name15	Réseau Toamasina	Contact	Rindra, société SOMATRAFER Gare Tamatave, Tél.[phone], E.mail:[e-mail]
	Name 16	the Center Sembana Mijoro	Contact	Ms RAZAFINJATO Fela, [e-mail] 261 20 33 11 574 73
* You may add more names of organizations if there are more organizations that are recommending your organization.

Application Form of ADP (Ghana )

1	Information on your organisation *Pleaes explainin why your organisation is eligible to be a Member Organisation for C-CfA.				(e.g. aim, history, membership, member organisations, activities, network, budget, human resource, etc.)
	The name of the applying organization is AFRICAN DEVELOPMENT PROGRAMME (ADP). A profile of ADP is attached with this application. ADP has worked and collaborated with several national and international organizations that includes USAID on Basic Education, North-South Centre of the Council of Europe, African Union on the Draft Social Policy Framework for Africa, Government of Ghana on HIV/AIDS and Food Marketing Programme for Women Groups and the International Council on Social Welfare (ICSW) to provide leadership to NGOs/CSOs in West and Central Africa.   On 14th March 2002, ADP through its membership with the main NGO umbrella organization in Ghana collaborated with the Embassy of Japan in Ghana to hold a collaborative workshop between Civil Society and Government of Japan. In attendance were Government of Ghana officials and Embassy of Japan officials including Mr. Motorshi Noro, the then Charge d’ Affairs of the Embassy of Japan. ADP also participated in the Ghana-Japan Business Economic Forum which was organized by the Ghana National Chamber of Commerce and Industry and the Embassy of Japan, Accra, 21st August 2002.   In 2005, ADP received funding from development partners in Germany to successfully organize a Ghana national workshop to raise the awareness of NGOs/CSOs on Ghana’s Poverty Reduction Strategy. In attendance also were participants from Cameroon, DR Congo, Tanzania and Germany ADP’s budget for 2006, including in-kind amounted to over US$ 45,000.  The Executive Director of ADP has served two three-year terms as the Chairman of the Ghana Association of Private Voluntary Organisations in Development (GAPVOD) and is currently the Chairman of its Interim Management Council. GAPVOD is the main umbrella organization for over 400 NGOs/CSOs in Ghana. The Executive Director of ADP was successfully re-elected in Brazil, 2006, for a second two-year term as the International Council on Social Welfare (ICSW) Regional President for West and Central Africa. www.icsw.org  The Executive Director of ADP was invited in 2006 by the African Union to its Experts Group to work on the Draft Social Policy Framework for Africa.  ADP has, since it was founded in 1994, has successfully collaborated with several organizations and institutions in Ghana and around the world. It is on these facts that ADP is eligible to be a member of C-CfA.
2	Name, position and contact of a person who is in charge of this commission
	Name: (Mr. Charles Abbey Position within the organization: Executive Director Telephone: [phone] (office)/ 244102 (home)    Fax: [phone] Skype name: *Please attach her/his CV. CV is attached
	Reason why he/she is eligible to be in charge of a representative of your organization
	Mr.  Charles Abbey, the Executive Director of ADP has been very instrumental in making the organization a recognized partner in both national and international development. He has trained in the Management of NGOs, an alumni of the US Government International Visitor Programme, trained by the World Bank Institute in Community Driven Development and currently the WBI Local Resource Person in charge of Distance Learning between Universities in Ghana and the United States of America. Mr. Abbey has also trained at the prestigious Kofi Annan International Peacekeeping Training Centre, Ghana, as an Election Observer. Mr. Abbey has provided national and international leadership to NGOs/CSOs in Ghana, West and Central Africa and beyond.
3	Budget allocation for becoming a Member Organisation of C-CfA. ADP will allocate: (1) US$ 1,200 to support its secretarial staff who will be involved in C-CfA activities. (2) US$1,200 to support Internet, fax, telephone services (3) Quality  time of the Executive Director (4) 1 PC (5) 1 fax machine					e.g. its amount and how to be spent (in USDollar)
4	List of NGOs that recommend your organisation to represent them		*Please fill out at least 10 names of organizations. *Contact should be postal address, telephone number and e-mail address (Website URL, if there is).
	Name1	Smart Care International	Contact
	Name2	ACANET	Contact
	Name3	Muslim Development Organisation, Suhum (MDOS)	Contact
	Name4	Rural Youth	Contact
	Name5	SIWOT	Contact
	Name6	INPRODEC	Contact
	Name7	Child Educational	Contact
	Name8	GIMAT	Contact
	Name9	PAWLA	Contact
	Name10	Community Radio Network (CORANET)	Contact
	Name11	CCFC	Contact
	Name12	FES	Contact
	Name13	Ghana Kind Voluntary Movement (GHAVUM)	Contact
	Name14	Ghana National Coalition on the Rights of the Child (GNCRC)	Contact
	Name15	Earth Volunteers	Contact
	Name16	Ideal Capacity Development and Growth International	Contact
	Name17		Contact
	Name18		Contact
	Name19		Contact
	Name20		Contact

Application Form of BOCONGO (Botswana)

1	Information on your organisation *Please explain why your organisation is eligible to be a Member Organisation for C-CfA.	(e.g. aim, history, membership, member organisations, activities, network, budget, human resource, etc.)
	The Botswana Council of NGOs is the official umbrella body of NGOs in Botswana. It is registered formally with the Register of Societies. It is therefore the legitimate and recognized voice of the NGOs in Botswana. The organization was formed in 1995 as a network of NGOs in Botswana. BOCONGO exists to provide for an enabling environment of NGOs. One of its most important objectives is capacity building of the sector and networking. Membership. BOCONGO has over 80 members from 11 thematic areas. (Find attached an annex of membership). Activities. BOCONGO conducts capacity building workshops, skills development, lobby activities, networking etc. Budget. BOCONGO is supported by a number of donors, among them the Government of Botswana, Africa Capacity Building Foundation, Forum Syd, Friedrich Ebert Foundation and many others. The budget of the organization is in excess of one million US Dollars per annum. Human resources. BOCONGO has a staff compliment of 10.
2	Name, position and contact of a person who is in charge of this commission
	Name: (Mr. Baboloki Tlale Position within the organization: Executive Secretary  Telephone: [phone]                                 Fax:[phone] Skype name: Baboloki.tlale *Please attach her/his CV.
	Reason why he/she is eligible to be in charge of a representative of your organization
	The leader of the organization and responsible for relations with external organizations.
3	Budget allocation for becoming a Member Organisation of C-CfA (This question is not understood, is this a joining fee, in which case that will depend on what the organization has set as joining fee and this will have to be sourced depending on it.)		e.g. its amount and how to be spent (in USDollar)
	NGO lists were submitted in different file.

Application Form of N2A (Ivory Coast)

1- Information on our organization

Name: NETWORK AFRICA SIA (N2A)

Registration No: 567 / MI / DGAT / DAGP / SDVA

Address: 01 BP 8319 Abidjan 01, Côte d’Ivoire

Telephone: [phone]

Fax:       [phone]

E-mail:     [e-mail]

Skype:      netafricasia

Network Africa Asia (N2A) has been established in Côte d'Ivoire (West Africa) in order to promote exchanges with Asian countries. In fact some of the founders have gained experience in Afro–Asian exchanges while studying and working in Japan for many years. Sharing on regular basis their Japanese experience with their former colleagues in Côte d’Ivoire, they have decided to put efforts together in order to positively contribute to African development by assisting individuals, organizations in capacity reinforcement.

 

Network Africa Asia’s has the advantage to gather several persons with different cultural (Japanese, African) and professional experiences (civil and environmental engineers, project managers, accountant, self employed, volunteers) as founders and staff.

 

Some of our activities are:

-         To assist Africans and African organizations in building partnerships with their Asian counterparts

-         To organize informal sector and reinforce their capacity to improve their activities

We have realized that though there are efficient at the grass root level, there are still many African organizations are not aware of international exchanges’ advantages. Moreover they do not understand very well why the international aid doesn’t reach them.

Our members are individuals, NGOs, agricultural cooperatives, craftsmen associations, and Civil Organizations.

 

 

 

	Our office is well furnished with 24 hours internet connection and 3 computers are connected via LAN, one printer, one scanner a fax and copy machine. We have 3 permanent staff who are already familiar with the C-CfA concept.   Actually our monthly budget is about 1500 USD that we use as follows: -         Office rent:               200 USD -         Communication:           250 USD -         Travel and Transport :       200 USD -         Office Maintenance:         50 USD -         Office supplies:            100 USD -         Staff:                     600 USD -         Miscellaneous:             100 USD   Though we are newly established NGO , we are member of most African and International Civil Society Organizations Forums We have also access to many Japanese CSO Forums and have applied for affiliations in many other international civil society organizations.     Being a Member Organization of the C-CfA will enable us to create a framework for the diffusion of C-CfA related information and at the same time bring their voices to the Commission. This will be done through seminars, workshops, and other events. The fact that we have participated in the recent processes of the Commission has enabled us to be familiar with the concept and to implement the action plan.   Since the workshop in Nairobi, we are prepared to allocate a large part of the above budget to C-CfA tasks. Moreover, we have prepared a budget 2007-2008 for our future mission as Country based Commission Member.
2	Name, position and contact of the person who is in charge of this commission
	Name: Mr. Appolinaire Goue Iritie Position within the organization: President e-mail address: [e-mail] Telephone: + 225 08 52 58 93         Fax: + 225 22 41 93 59 Skype name: netafricasia   Please attach her/his CV.: Please refer to attached file CVapollo
	Reason why he is eligible to be in charge The main reasons are: -         He has participated in the workshop held in Nairobi by TICAD CSF during WSF 2007 and has keen interest in the concept of C-CfA -         He has a lot of information about TICAD and Japanese ODA system -         He has organizational skills that can bring a positive contribution to the commission -         He has a wide experience in both African Japanese system (professional, social, cultural) -         He is familiar with international exchanges and communication via internet -         His language ability (French, Japanese, English) can be a contribution to the Commission because he can get information in one of those languages.
3	Budget as Member Organization of C-CfA (in US Dollar)

OBJECTIVE 1: WIDELY PROMOTE THE CONCEPT OF CfA  IN COTE D’IVOIRE

Specific Objectives (SO)	Expected results	Actions	Performance Indicators	Period (month / year)	Budget (USD)
OS 1 Be able to share the concept of C-CfA with other organizations and get their recommendation	Build a specific network for C-CfA concept	Participation in the workshop organized by TICAD CSFduring the WSF in Nairobi	Effective participation in the workshop in Nairobi and contribution to the establishment of C-CfA	Jan 2007 to March 2007	5, 000
		Share the concept of C-CfA with several organizations; Translation of the concept into French	Translation of the concept done; Application form sent to TICAD CSF on time
		Organization of a seminar / workshop with many Civil Society Organizations to establish a adequate framework	Establishment of several commissions and a framework in order to collect voice from the grass roots level		4, 500
SO 2 Presentation of the C-CfA members to the local organizations and set up working group to bring the first step of action plan to success	Keen interest in order to participate in activities of C-CfA	Regular exchanges with other members Meeting with Civil Society Organizations to inform them about the importance to follow the action plan and deadlines; Organization of workshops, events and trips at the country side to collect voice from grass roots level. Apply for Steering Committee member	Application for Steering Committee sent   Resolutions of seminars and workshops available for Voice of C-CfA	April 2007 to June 2007	5, 000
TOTAL OBJECTIVE 1 :				14,500

 

OBJECTVE 2 :    TOWARD TICAD IV

Specific Objectives (SO)	Expected results	Actions	Performance Indicators	Period (month / year)	Budget (USD)
SO 1
Participation of some organizations in Civic TICAD Conference, G8 summit in Germany, TICAD Meetings	Advocating and gaining more experience in international events	Regular exchanges with other members; Share with local organizations the events outline and get their voice; Lobbying to get resources for the participation of some organizations; Organization of fundraising events	Participation of some organizations in the international events; Resolutions	April 2007 to Sept 2007	12, 000
					12, 000
SO 2 Contribution to the final Voice of Africa; Participation of some organizations in TICAD IV and G8 Summit in Tokyo	The role of the grass roots level organizations in aid policy to be recognized	Share with local organizations the events outline and get their voice;   Lobbying to get resources for the participation of some organizations, Organization of fundraising events	Participation of some organizations in TICAD IV and G8 summit	Sept 2007 to Jul 2008	16, 000
					16,000
TOTAL OBJECTIVE 2 :                                                                                                         28,000
TOTAL                                       :                                         42, 500

 

  

List of NGOs in Côte d’Ivoire that recommend NETWORK AFRICA ASIA

 

N°	NAME OF NGO	ACTIVITIES	CONTACT	PERSON IN CHARGE
1	LA MATRICE	Women Empowerment	[phone]	Ms, Josephine KONDO
2	ESPOIR DES ENFANTS	Child Protection & Rights	BP 2648 Yamoussoukro, Tel: [phone] /Cel: [phone] / 01 14 04 35	M, Mohamed CISSE
3	FEMME FORCE DE VIE	Women Welfare	BP 2648 Yamoussoukro, Tel: [phone]	Ms, Delphine KOFFI
4	FONDATION POUR LE DEVELOPPEMENT HUMAIN	Development & Environment Protection	Tel: [phone]	Mr, Kouame BROU
5	ACTION CHRETIENNE POUR LA SOLIDARITE	Poverty Reduction Strategy	Tel: [phone]	M, Luc DANHEUT EDI
6	CEMEV	Education & HIV / AIDS	Tel: [phone]	M, Aime ZAMIEN BI
7	FRATERNITE	HIV / AIDS & PRS	Tel: [phone]	M, Eugene AHOUSSOU
8	AMITIE & CONSEIL	HIV / AIDS	Tel: [phone]	M, Bla DIBI
9	MOBILITE CITOYENNE	Disabled	Tel: [phone]	M, Ibrahim SANOGO
10	RENAISSANCE SANTE BOUAKE	HIV / AIDS	Tel: [phone]	M, Mathurin KONAN
11	OMDH 2025	Development	Tel: [phone]	Renne DOSSAN
12	FLEC	Microfinance	Tel: [phone]	M, Francois KONAN
13	SANTE DES DESHERITES	Health	Tel: 12 BP 1377 Abidjan 12                                                Tel: [phone]	M, Etienne HUE BI YA
14	ASSOCIATION DES SCULPTEURS DE KOUMASSI	Art & Craft	10 BP 656 Abidjan 10 Tel: [phone]	M, Moussa SIDIME
15	FEMMES VIVES	Health & Environment	01 BP 12518 Abidjan 01 Tel: [phone]	Ms. Mariam