CDF Form B

OCEANAGOLD PHILIPPINES INC. (OGPI)

COMMUNITY DEVELOPMENT FUND (CDF)
DETAILED PROPOSAL FORMAT
A. PROPOSED PROFILE
1. PROJECT TITLE

2. PROPONENT
NAME SEX
Male Female

B. TIME FRAME
Duration (Number of Months) Project Start Date Project End Date

ADDRESS OF IMPLEMENTING OFFICE

Indicate here the name of office who will implement the project.

C. COLLABORATING AGENCY (If there are other agencies/offices that will be involved in funding and
implementing the project, their names and address must be indicated here. Otherwise, indicate none.)
Name of Agency Office Address

D. PROJECT SITE
Purok Barangay

Municipality Province

E. PROJECT CATEGORY (Put check F. CDF PILLARS (Put check mark on which pillars the project
to which project category fall belong)
under)

Capacity Building Capacity Building

Education Education
Health Enterprise Development
Infrastructure/Public UtilitiesEnvironment Disaster Response
Livelihood Health
Socio-Cultural Development Infrastructure
Socio-Cultural Development
G. EXECUTIVE SUMMARY (Not exceed 200 words)
This section should contain the narrative summary of what the project is all about. This should include the
rationale, general objective, how the project will be conducted/implemented, target beneficiaries/recipients,
expected output, expected outcome/impact, among others.

H. INTRODUCTION
1. RATIONALE/BACKGROUND (Not exceed 300 words) (This part must indicate the justification for
proposing the project)

2. OBJECTIVE OF THE PROJECT (The objectives of the project must be SMART, Simple/Specific,
Measurable, Attributable, Reasonable, and Timebound)

 GENERAL OBJECT (The general objective must state the overall output that can be generated from the
project)

 SPECIFIC OBJECTIVE (The specific objectives must include the expected specific output form the project.

I. METHODOLOGY/PROCEDURE (The process on how the project will be undertaken mus be indicated in
this section)
Note: The structural design of the proposed day-care building is attached

J. EXPECTED OUTPUT
This section shal contain the expected output from the proposed that will be subject for monitoring
and evaluation

K. EXPECTED OUTCOMES/IMPACTS
This part must indicate the expected outcome that will be monitored and evaluated form the output of
the project

L. TARGET BENEFICIARIES
The target beneficiaries or recepients of the output of the project must be mentioned here.

M. GENDER DIMENSION
This will include the gender sensitivity issue that may arose from the project.

N. SUSTAINABILITY PLAN
This section shall contain on how the project will be sustained. It will include mechanism/strategies on
how the out and outcome of the project can be sustained or continued.

O. LIST OF RISKS AND ASSUMPTIONS (List possible risks and assumptions in attaining target output
or objectives)
List here possible risks and assumptions in attaining target outputs or objectives.

P. PERSONNEL REQUIREMENT (List here the workers needed in the implementation of the project)
 POSITION RESPONSIBILITIES
1. 1.
2. 2.
3. 3.
4. 4.
5. 5.

Q. BUDGETARY REQUIREMENT (In PHP)

Budgetary Requirement (In PHP) If with partial funding from LGU/Other Sources
OGPI-CDF LGU
Personal Services

Maintenance and Operations (MOE)

(Provide detailed line items)

Administrative/Overhead Expenses (OE)

Capital Outlay

R. OTHER PROJECTS HANDLED BY PROPONENT (If any) (Use another sheet if needed)
 This will show if the proponent is handling other projects, whether private or public financed

I hereby certify the truth of the foregoing and have no pending and/or technical obligations from the
OGPI. I further certify that the proposed project is included in the BIDP and has counterpart/ no funds
allocation. Any willful omission/false statement shall be a basis of disapproval and cancellation of the
project.

SUBMITTED BY:

Proponent’s Name and Signature Designation Date

ENDORSED BY:

Brgy. Captain Name and Signature Designation Date

To be Filled in by OGPI-CDF Office

REFFERED TO: TWG-TECHNICAL EXPERTS

Name and Signature Designation Date