Nama Proyek / Name of Project :

Nama Lembaga / Name of Organization:

Jumlah /

QuantityUnit

Jumlah /

QuantityUnit EoJ

Organisasi /

Organization

Masyarakat /

Community

Pemerintah /

Government Lain / Others

Contoh: Kegiatan I / Activity I : Pelatihan Teknis Manajemen Keuangan

Contoh:

Honor Fasilitator 2 orang 3 hari 300,000Rp 1,800,000Rp 1,800,000Rp -Rp -Rp -Rp -Rp

Honor Panitia 5 orang 3 hari 200,000Rp 3,000,000Rp -Rp 3,000,000Rp -Rp -Rp -Rp

Uang saku peserta 100 orang 3 hari 25,000Rp 7,500,000Rp -Rp -Rp -Rp 7,500,000Rp -Rp

Materi Pelatihan 100 orang 1 kali 30,000Rp 3,000,000Rp 3,000,000Rp -Rp -Rp -Rp -Rp

-Rp -Rp -Rp -Rp -Rp

15,300,000Rp 4,800,000Rp 3,000,000Rp -Rp 7,500,000Rp -Rp

Contoh: Kegiatan II / Activity II : Pembuatan Bak Penampung Air

Contoh:

Semen 100 sack 60,000Rp 6,000,000Rp 6,000,000Rp -Rp -Rp -Rp -Rp

Pasir 25 truck 100,000Rp 2,500,000Rp -Rp -Rp 2,500,000Rp -Rp -Rp

Upah tukang 100 orang 7 hari 10,000Rp 7,000,000Rp 3,500,000Rp 3,500,000Rp -Rp -Rp -Rp

15,500,000Rp 9,500,000Rp 3,500,000Rp 2,500,000Rp -Rp -Rp

Contoh: Kegiatan I / Activity I : Pembangunan Sekolah Dasar

Contoh (Jika Pembangunan dengan Kontraktor):

Pembangunan Sekolah 1 Paket 500,000,000Rp 500,000,000Rp

Pengadaan Alat Perlengkapan 1 Paket 250,000,000Rp 250,000,000Rp

750,000,000Rp 750,000,000Rp -Rp -Rp -Rp -Rp

1 Kegiatan II / Activity II :

-Rp -Rp -Rp -Rp -Rp -Rp

2 Kegiatan III / Activity III:

-Rp -Rp -Rp -Rp -Rp -Rp

3 Kegiatan IV / Activity IV:

-Rp -Rp -Rp -Rp -Rp -Rp

4 Kegiatan V / Activity V:

-Rp -Rp -Rp -Rp -Rp -Rp

5 Kegiatan VI / Activity VI:

-Rp -Rp -Rp -Rp -Rp -Rp

6 Kegiatan VII / Activity VII:

-Rp -Rp -Rp -Rp -Rp -Rp

7 Kegiatan VIII / Activity VIII:

-Rp -Rp -Rp -Rp -Rp -Rp

-Rp

Frequency Kontribusi / Contribution

Sub-Total VIII

GRAND TOTAL

Sub-Total IV

Sub-Total V

Sub-Total VI

Sub-Total VII

Sub-Total I

Sub-Total II

Anggaran Rincian Proyek / Detailed Project Budget

Application Form for Japan’s Grant Assistance for Grassroots Human Security Projects

Sub-Total I

Sub-Total II

Sub-Total III

Rincian Anggaran Proyek / Detailed Project Budget

Kegiatan / Activities Harga Satuan

/ Cost per UnitTOTALNo

Frequency