FOLLOW-UP REPORT FORM

TYPE OF REPORT

TYPE OF REPORT *

ORGANISATION

Name of the organisation / Company name *

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Department / Service *

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Address *

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Address 1

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Address 2

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Postal/Zip Code *

Town/City *

State/Province/Canton *

Country *

Contact person

First Name, Last Name *

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Title *

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Phone Number *

Email Address *

PROJECT

PROJECT TITLE *

BRIEF SUMMARY OF PROGRESS MADE, IN RELATION TO YOUR STATED GOALS *Max. 750 characters

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BRIEF SUMMARY OF THE CONCRETE RESULTS ACHIEVED DURING THIS PERIOD AND HOW THESE WERE MEASURED *Max. 750 characters

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PROJECT EXPENDITURES ACCORDING TO THE DONATION RECEIVED

DONATION RECEIVED

AMOUNT *

Please select *

ITEMS OF EXPENDITURE (E.G. FEES, CONSUMABLES) *Max. 400 characters

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START DATE OF THE PROJECT *

END DATE OF THE PROJECT *

DONATION SOURCE *

Donator’s name

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Possible pitfalls

DESCRIPTION OF THE CHALLENGES, DELAYS AND PROBLEMS ENCOUNTERED IN THE IMPLEMENTATION OF THE PROJECT COMPARED TO THE INITIAL PLAN *Max. 450 characters

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ATTACHMENTS

Information about the applying organisation - please upload the attachments and tick the corresponding boxes.

Project activity report, including a detailed description, results, related publications and media coverage.

Accepted formats: PDF, DOC, DOCX

Specific financial report to identify the donation and the expenses.

Accepted formats: PDF, DOC, DOCX

ONLY FOR MEDICAL RESEARCH PROJECTS: A scientific report written in English, with a maximum length of 3 pages, is required. The report should include a brief summary of the project, the objectives and timeline defined at the time of the initial submission, the progress made, and any associated publications or communications.

Accepted formats: PDF, DOC, DOCX

CONFIRMATION OF REPORT SUBMISSION

Location *

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Date *

By clicking on "Send" you are submitting the completed form and granting us access to the uploaded attachments. You will receive a PDF copy of the form by email. Please print it, sign it, and send it back to us at contact@carigest.ch

*Please complete all fields