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ABIA STATE COMMUNITY NEEDs IDENTIFICATION TEMPLATEr: .................................................. LOCAL GOVERNMENT AREA: ........

SENATORIAL ZONE: ....... D A TE :....... ..t A .....

COM M UNITY:

B U D G E T Y E A R :...“

INSTRUCTIONS:1. Three (3 ) M ajor Priority Projects (ONLY) Should be Identified.2. Intended Project Location Should be specified.3. Signatures of Key Com m unity Leaders M U S T be appended at the spaces provided for the tool to be acceptable.

4. Projects M U S T be arranged in order of im portance to the Com m unity.5. Submission Point: Departm ent of Rural Developm ent, Abia State M inistry of Cooperatives, Rural Developm ent and Poverty Reduction.

JUSTIFICATION (W h y do you think the project is needed)

S/N C O M M U N ITY PRIORITY PROJECTS/

INTENDED PROJECT LOCATION e.g. Village, T o w n _____

PROJECT STATUS(Please tick where appropriate)

B e .C ix u 3 e _ . - iW i . S c W r c r L

i S v > QoieX Q r< \ A " t iw \ o i

2 )

P ,

Yet to Commence

On-going

Started and Abandoned

r a

b W L .

d\- •

Yet to Commence

On-going


3.

H e a l t h

/p>

Yet to Commence

On-going


SIGNATURES

Traditional Ruler: t yA

W om en Leader:........................................... Youth Leader:

Phone N u m b e r:........................................... Phone Number: •to

President General:

Phone Number: ..................Phone Num ber: ....... m u u c ..................................... ..... n .w ..c .iu ,..u Ci .

v - > - N = m e £ L S H E l . . - D t i y ± y t o N a m e : t i . y l 5 . y L £ & M B y . 9 ^ S n e : 4 2 E ^ ^ ™ E ) . ^ . t # .

o' *a*R V

Community Needs Identification - Monitoring GuideDate;....< 2 .^ t!......2 - 0 ) 4 ........................................................

Community:....A ^ f l y v j : q ...... M j . i X i k S ..... C ^fW <VVuftC •

W ard:. J s s q ^ a j L s l . .... . 4 ............................ L.G .A .....O .b .ftfcj.a ,.............

Total No. of Participants present to identify Com m unity Needs:.........

Total no. of fem ale Participants.... .............& . . Q . .............................................................

Total no. of Male participants:..... £ 3 ...........................................................................................................................................................................

Disaggregate: youths into fem ale and m ale and total.

Youths Tota l:. . 1 . 2 . 1 .................... Female ............. M ale:.. . i 3 f ................................................

A n y disabled? Yes/No. (if yes count and record)... ....... e _ ...............................

Did the right signatories sign the C om m unity need tem plate: Y e s ....... N o ..........

Subm it picture of the process:

Submit picture of the current status of selected project: (if close to the arena o f

com m unity engagem ent)

Com m ent/Rem ark:

Signature of C D O .............................. Signature of CSO.

: . . . . Q . f a O $ A ............... T W G C o m m i t t e e i . - C l t X a J i ^ ^LGA

Community Needs Identification - Monitoring Guide

D ate:........ ............................................................................. ...........................

.......... ..............................................

W ard:.. .... ...........................................J ............................L .G .A ..... ..............................................

Total No. of Participants present to identify Com m unity Needs:...............................

Total no. of female Participants..............1...0...0...............................................................Total no. of Male participants:.... .......................................£ & ..................................................................................................................................................................................

Disaggregate: youths into fem ale and male and total.

Youths Total:. J M ........................................... .... F e m a le . J X ............... M a le :

A ny disabled? Yes/No. (if yes count and re c o rd )....Q .....^ ..\ :.v C „vh........................

Did the right signatories sign the C om m unity need tem plate: Yes ...v f. N o .........

Subm it picture of the process: ^ O j ^ T

Submit picture of the current status of selected project: (if close to the arena o f

com m unity engagem ent)

Com m ent/Rem ark:

Signature of CSO.........................................

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