Beneficiary selection and support record

Use a confidential identifier where possible; retain only necessary personal information.

Adapted preparation format, not a prescribed form or professional certificate. Type in the yellow fields, then use Save completed copy. Entries are not uploaded or automatically saved. Calculations are manual. Keep completed confidential records securely on your own device.

Editable wording and instructions

Selection declaration: The decision was made against policy [version] using evidence [references]. Any interest or exception is disclosed above. Publication of a story or photograph requires an appropriate separate permission; receipt of support does not by itself authorise public disclosure of private records.

Record / entry

Project / selection policy
Beneficiary ID / village
Eligibility evidence
Producer activity / need
Selection decision and reasons
Conflicts disclosed
Support approved / value
Support delivered / date
Acknowledgement / evidence
Follow-up outcome
Complaint / correction
Reviewer / record access

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