North Rift Valley Water Works Development Agency

Project Appraisal Request Form


    If "Any Other", Kindly Specify Below:

    Educational centres (Primary schools, Secondary Schools, Colleges, Universities etc)-indicate whether boarding or day, indicate specific number of boarded and day students separately)


    S/No Name of educational institution/facility Estimated No. of beneficiaries
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    Health facilities (Indicate whether inpatient or outpatient)-indicate approximate number of inpatients and outpatients separately, indicate the bed capacity for the inpatient facilities i.e number of wards, beds etc.)


    S/No Name of Healthy Facility Estimated No. of beneficiaries
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    Other Institutions (Churches, Mosques etc.), indicate the name and approximate number of attendants per religious institution


    S/No Name of Religious Institution Estimated No. of attendants
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    Industrial institutions such as cooling plants, manufacturing plants, Cereal millers etc.)


    S/No Name of Industrial Institution Estimated Area of Industry(in acres)
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    Livestock (Goats, sheep, cattle, donkeys, camels, Poultry, Pigs, etc), indicate number of livestock per household


    S/No Name of Households Estimated No. of livestock per household
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    Domestic demand (indicate the name of the village and estimated No. of Households for each village)


    S/No Village Name Estimated No. of Households
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    Other Institutions (Shops, Hotels etc.), indicate the estimated no of staff and visitors per day


    S/No Category of Commercial institution Estimated No. of staff and visitors per day
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    (Kindly sketch the project source, tank sites, distribution lines, storage tanks and communal water points/kiosks. Indicate tentative distances from one component to the other)

    I hereby certify that the particulars given above are correct and true to the best of my knowledge and belief

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