THE EDGE KUALA LUMPUR RAT RACE 2018 ORGANISATION S PROJECT PROPOSAL Important Note: Financial assistance provided under The Edge Kuala Lumpur Rat Race is to be used only for education and/or training projects/programmes. These projects/programmes will be evaluated and monitored periodically to see if they merit further assistance. SECTION A YOUR PROJECT/PROGRAMME 1. NAME OF ORGANISATION Nama organisasi 2. DESCRIPTION OF ORGANISATION Who the organisation serves and what are its objectives (no more than 5 sentences) Deskripsi dan objektif-objektif organisasi (tidah lebih daripada 5 ayat) 3. PROJECT/PROGRAMME DETAILS - Title Nama Projek - Objectives Objektif-objektif Explain why the project/programme is needed by providing a description of the existing situation in the area or community. At the same time, explain how the proposed project/programme can benefit the target group in the area/community. Highlight specific concerns, problems, issues as well as the opportunities present in the area/community (no more than 300 words). Jelaskan keperluan projek tersebut dengan menerangkan situasi keadaan semasa di dalam masyarakat berkaitan. Pada masa yang sama, terangkan bagaimana projek yang dicadangkan boleh membantu mengatasi situasi keadaan semasa. Terangkan masalah, isu-isu tertentu yang ada dan peluang-peluang yang wujud ketika ini (tidak lebih daripada 300 perkataan) 1
4. Target groups Kumpulan sasar What target groups will benefit from the project? Number of participants, groups (children, youth, elderly, disabled) and gender (if applicable) Siapakah kumpulan sasar projek ini?jumlah (kanak-kanak, belia, warga tua,oku) dan jantina (jika berkaitan) 5. PROJECT PERIOD Tempoh projek Expected start (month/year) and expected end. Tarikh mula (bulan/tahun) dan tarikh tamat Is the project an extension (expansion or new phase) of a previous project? Adakah projek ini lanjutan dari projek sebelumnya (fasa baru)? 6. ESTIMATED TOTAL PROJECT COSTS AND BUDGET (RM) Anggaran kos dan bajet keseluruhan projek (RM) 7. OTHER SOURCES OF FINANCING FOR THE PROJECT List other sources of financing including the beneficiary organisation itself, and the amount (in RM) Sumber-sumber kewangan yang lain untuk projek ini. Nyatakan sumber-sumber kewangan yang lain termasuk organisasi penerima, dan jumlah sumbangan (RM). 8. STRATEGY FOR PROJECT IMPLEMENTATION List of major project activities and desired impact/behavior change from those activities (in point form, no more than 250 words) 2
Senaraikan aktiviti-aktiviti utama projek dan kesan dan perubahan yang diingini (tidak lebih daripada 250 perkataan) 9. PRIOR RAT RACE FUNDING Has your organisation received Kuala Lumpur Rat Race funding in the past and, if so, in which year and for what project? Adakah organisasi anda menerima pembiayaan dari Kuala Lumpur Rat Race sebelum ini? Jika ada, pada tahun bila dan untuk projek apa? SECTION B ORGANISATION S PROFILE 1. NAME OF ORGANISATION Nama pertubuhan/persatuan 2. REGISTRATION NUMBER & AUTHORITY THAT ORGANISATION IS REGISTERED WITH No. pendaftaran organisasi & nama penguatkuasa 3. TYPE OF ORGANISATION (NGO, foundation, non-profit company, social enterprise, other) Jenis persatuan 4. ADDRESS Alamat Telephone Fax E-mail 5. DATE ESTABLISHED Tarikh penubuhan 6. PATRON (IF ANY) Penaung (sekiranya ada) 3
7. PERSON-IN-CHARGE Name, I/C no., designation & mobile phone no. Keterangan pengusaha projek: Nama, nombor kad pengenalan baru, jawatan & nombor telefon bimbit 8. TAX EXEMPT STATUS (please ) Status pengecualian cukai (sila ) ( ) Yes ( ) No Ya Tidak TAX-EXEMPT REFERENCE NO. FROM INLAND REVENUE DEPARTMENT OR LETTER FROM MINISTRY OF FINANCE & EXPIRY DATE (A copy of the letter is required) Nombor pendaftaran pengecualian cukai dari Lembaga Hasil Dalam Negeri atau surat pengesahan pengecualian cukai dari Kementerian Kewangan & tarikh lupus Sertakan surat pengesahan pengecualian cukai dari LHDN atau Kementerian Kewangan 9. HOW MANY PEOPLE ARE BEING SERVED BY THE ORGANISATION CURRENTLY? Jumlah orang yang dibantu oleh organisasi pada masa ini 10. PROFILE OF THOSE BEING SERVED Age, number, gender Profil orang yang dibantu Umur, nombor, jantina Age (Umur) Under 6 Number (Nombor) Gender (Jantina) (M) 7-12 (M) 13-18 (M) 19-35 (M) 36-55 (M) Over 55 (M) 4
11. CURRENT SOURCES OF ORGANISATION S INCOME OR FUNDING Public, corporate, government, individuals, others Sumber pendapatan semasa contohnya, orang awam, korporat atau kerajaan 12. MONTHLY EXPENSES/ OPERATIONAL COSTS Perbelanjaan bulanan/ kos operasi Please list main items of expenditure and amount. If available, provide monthly statement of income and expenditure. Jelaskan butiran barang-barang keperluan utama dan jumlah. Jika ada, lampirkan kenyataan pendapatan dan perbelanjaan bulanan. 13. CURRENT ASSETS OF ORGANISATION Aset-aset semasa organisasi 14. ON-GOING PROGRAMMES / ACTIVITIES Program/aktiviti yang sedang dijalankan 15. ORGANISATIONAL STRUCTURE Struktur pertubuhan/persatuan Please attach list or chart, if any Sila lampirkan senarai atau carta, sekiranya ada - END - 5
Please submit completed forms together with audited financial statements for FY2017 (2 consecutive years of comparative financials are preferred), registration document, tax-exempt documentation and other relevant supporting documentation) before or on 20 June 2018 to: Corporate Communications The Edge Communications Sdn Bhd (266980-X) Level 3, Menara KLK, 1, Jalan PJU 7/6, Mutiara Damansara, 47810 Petaling Jaya, Selangor Darul Ehsan. T: 03-7721 8000 E-mail: ratrace@bizedge.com * Submission via e-mail is preferred. 6