FINANCIAL PROPOSAL FORM

From: (Please, Indicate full name):

Date:

Signature:

Reference:

Herewith I confirm my intent on provision of services in accordance with Terms

of Reference.

Given the above, please see below my financial proposal and its breakdown

Description of services/travel expenses Amount (USD)

Fee requested for completion of XXX as per TOR

(XXX working days)
Fee requested for completion of XXX as per TOR
(XXX working days)
Fee requested for completion of XXX as per TOR
(XXX working days)
Fee requested for completion of XXX as per TOR
(XXX working days)
Total fee for completion of services
Per diems and air ticket cost (from XXX to XXX)
for 1st travel
(XXX days for completion of XXX, approximately
“month/year”)
Other travel expenses for 1st travel from XXX to
XXX (e.g. visa, terminals, where applicable)
Per diems and air ticket cost (from XXX to XXX)
for 2nd travel
(XXX days for completion of XXX, approximately
approximately “month/year”)
Other travel expenses to for 2nd travel from
XXX to XXX (e.g. visa, terminals, where
applicable)
Total travel expenses
Grand Total
*please indicate travel destination and number of days for travel

Prices should be in USD and include all expenses related to the assignment.
Contractor is responsible for payment of all relevant taxes.