District Social Welfare Department (Questionnaire For NGOs)

District Social Welfare Department
District Mirpurkhas
Collection of Information from INGOs/NGOs/CSOs w.r.t. Emergency
Response and Disaster Management
A.
Organization Brief Profile (please also attach the printed profile, if available):
1. Full Name in Capital Letters (as per registration, if registered):
Acronym:
2. Contact Information:
a) Postal Address:
b) Tel Phone:
c) Fax:
d) Cell:
e) Email:
f) Website:
3. Registration Information:
a) Year of Establishment:
b) Registration No:
c) Registered with (name of department and place) /under the Act or Law :
d) Please list down thematic areas of operations as per registration (for example, DRR/Emergency
response, health, education, etc.):
Page 1 of 5
4. Type of Organization:
a) UN Agency
b) INGO
c) NGO
d) Local NGO/CSO
e) Other (please specify): ___________________________________________________________
5. Year of operation started in Mirpurkhas:
6. Size of organization (human resources):
a) Within Pakistan / Sindh Province:
___________________
b) Within Mirpurkhas District:
________________________
7. What is your major source of funding?
8. List of major projects conducted during last 3 years:

9. Project Title
Donor (s)
Implementation
Area
(Taulka/UC/Village)
No. of
Beneficiaries
Start and
end
date/year
i.
ii.
iii.
iv.
v.
vi.
vii.
Page 2 of 5
B.
10.
C.
Expertise and experience of emergency response and disaster management, particularly in

District Mirpurkhas:
1) Floods 2010 (type of activities, and target groups)
Area (district / Taulka / UC /

Village etc.)

Village etc.)

Village etc.)
4) Any other disaster

Village etc.)
Available capacity for response to any future emergency/disaster in District Mirpurkhas:
a. Are any dedicated disaster management or emergency response unit available?

Yes/No
If yes, please provide details:
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
Page 3 of 5
b. Do you have trained Emergency Response Team (s) / Volunteers available?

Yes / No
If yes, please provide details in the table below:
Type of team
Strength
(Male &
female)
Male:
Location
Female:
2
Male:
Female:
Male:
Female:
Please attach the list of teams, if possible.

c. Do you have existing collaboration with other INGOs/NGOs/CSO or government
departments for launching emergency response and recovery activities?
Yes / No
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
d. Have your organization allocated dedicated funds for emergency response and
recover y for any future potential disaster in District Mirpurkhas?
Yes / No
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
Page 4 of 5
D.
Would you like to have any formal collaboration arrangement (MOU/Agreement/LOA etc.) with
District Government of Mirpurkhas for any joint emergency response and recover programmes
/ activities?
If yes, please provide details of proposed arrangements:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
E.
Does your organization have any Monsoon Contingency Plan for District Mirpurkhas?
If yes, please provide brief overview (please provide a copy of the plan as well):
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
F.
What would be your services for District Mirpurkhas in case of any emergency situation during
Monsoon 2013?
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Thank You for your cooperation.
Page 5 of 5

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District Social Welfare Department

1. Full Name in Capital Letters (as per registration, if registered):

8. List of major projects conducted during last 3 years:

Expertise and experience of emergency response and disaster management, particularly in

Area (district / Taulka / UC /

2) Floods 2011 (type of activities, and target groups)

Area (district / Taulka / UC /

3) Floods 2012 (type of activities, and target groups)

Area (district / Taulka / UC /

4) Any other disaster

Area (district / Taulka / UC /

Available capacity for response to any future emergency/disaster in District Mirpurkhas:

a. Are any dedicated disaster management or emergency response unit available?

b. Do you have trained Emergency Response Team (s) / Volunteers available?

Please attach the list of teams, if possible.

Thank You for your cooperation.

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