OFFER OF ASSISTANCE FOR THE PEOPLE AFFECTED BY EARTHQUAKE AND TSUNAMI IN SULAWESI - October 2018
This form is created by the ASEAN Coordinating Centre for Humanitarian Assistance on disaster management. Humanitarian and diplomatic partners who wish to provide support for the Government-led emergency response in regards to the recent earthquakes and tsunami in Sulawesi, can register the types and amount of assistance to be consolidated by the AHA Centre. For further information, please contact us at eoc@ahacentre.org
Email address *
Name of Assisting Entity *
Name of the Organisation's Focal Point *
Designation *
Address
Phone/Fax
Email *
General Description of Assistance Offered *
Types of Assistance Offered *
Offered Resources- Personnel (please indicate the skills, numbers of personnel and remarks)
Offered Resources- Equipment and materials (please indicate the types, amount, and remarks)
Maximum duration of assistance (i.e.: 30 days, 90 days, etc)
Location of Operations/ Where Will the Assistance be provided? (Please indicate the name of districts/ sub-districts/ villages - preferably with P-Codes. You may also upload any supporting document for the locations at th end of this form) *
Funding arrangment (please indicate the funding arrangements, such as whether the assisting party will shoulder the costs related to the use of the resources or whether the Receiving Party will need to shoulder some of the costs) *
Terms and Conditions (please indicate the receiving party to use the personnel and equipment/materials, such as arrangement for maintenance/ usage of the equipment, limits of liability, protection of personnel and equipment, local services and facilities for personal, etc) *
Supporting document 1 (i.e.: sitrep)
Supporting document 2 (i.e.: tables of the provided assistance)
Suporting document 3 (i.e.: Location of Operations - preferably with P-Codes)
Submit
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