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Donation Report
Please fill this report within 5 days of facilitating a donation.
1
Beneficiary organisation information
2
Donation details
(1) Contact information of organisation/school who received the kits:
Organisation Name
*
Address/Geographical Area of Recipient Site
Main Contact Person
*
First
Last
Phone Number(s)
*
Email Address(es)
*
Website (if applicable)
Date of Donation
*
DD dash MM dash YYYY
(2) Describe the recipient of the donation
i.e., school, organisation, and details
(3) Why did the organisation request a donation of AFRIpads Menstrual Kits?
Please fill out the reason of donation request
(4) Beneficiary demographic information
Please fill out the table
Age 10-14 (out of school) - Number of kits given: Age 15-19 (out of school) - Number of kits given: Age 20+ (out of school) - Number of kits given: P4 - Number of kits given: P5 - Number of kits given: P6 - Number of kits given: P7 - Number of kits given: S1 - Number of kits given: S2 - Number of kits given: S3 - Number of kits given: S4 - Number of kits given: S5 - Number of kits given: S6 - Number of kits given: Teachers - Number of kits given: -- Total number of kits given:
Describe the beneficiaries and how they were chosen (schoolgirls, women’s groups, etc.)
(5) Stories and Photos
Description of Distribution and Beneficiary Stories
Please describe more details of what the event was like. Include quotes from participants and organisers where possible and if there are individual stories about a beneficiary that they gave permission to tell, you can include that as well. Use the questions below to guide you: - How did you distribute the pads? - What other contributions or activities did the organisation add to this menstrual hygiene intervention? - How did the beneficiaries respond to the donation?
Upload your Photos
Max. file size: 256 MB.
Name
This field is for validation purposes and should be left unchanged.
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