SMR.GOV.GE

For the implementation of emergency humanitarian assistance in occupied territories of Georgia

Organization name *

Address

Telephone *

Web page

Organization's registration in Georgia (if applicable) file extensions: ".jpg",".pdf,".rar"

Description of organization's mission

Contact Person (Name, Family name, Phone, email)

Description of humanitarian conditions (Cause of emergency, geographical area covered, humanitarian consequences)

Type of humanitarian assistance to be provided

Quantity of humanitarian assistance to be provided

Donor(s)

Emergency humanitarian assistance interventions (single/multiple)

Directions (and shares) of provision of emergency humanitarian assistance (e.g., from north, 1/3; from south, 2/3)

Additional information file extensions: ".jpg",".pdf,".rar"

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