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Submitted by M/s,Pioneer Holon Agroecology Pvt Ltd
8. Financial Information. If you are enclosing a copy of the external audit report for the most recent fiscal year
with this questionnaire, it is not necessary to complete the information in the first two boxes -- please still fill in
the budget inf ormation, providing all information in USD.
Current fiscal year budget Most recently completed fiscal year Fiscal vear prior to last information
information
(indicate period):
(indicate period): (indicate period):
exchange rate:
exchange rate; exchange rate;
Total Revenue '_
Revenues: $ Revenues: $
International Govt$_
Expenses: $ Expenses: $
CI S_
Assets: $ Assets: $
Other external S_
Liabilities; $ Liabilities: $
Local gov't '_
Other S_
Expenses: '
Of the most recently completed fiscal year revenue, how much comes from the following:
International Sources: $ Local Government: s
Membership Dues/Contributions: $ Seminars/Conferences: $
Publications: $ Services: $
U.S. Government: $ Other (specify below): $
CIP $
Not Applicable
9, Will your organization provide additional support (cash or in-kind) to the eurrent or proposed award(s)?
Yes. E_No:
a. If yes, please provide the source of the support and amount of support (cash or in-kind) anticipated.
30lakhs
10. Please list the program names, dates and amounts of all CIP provided funds for the past three years:
Not at Aicable
CIP DUE DILIGENCE QUESTIONNAIRF 3[ sc
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