Village Drill Summary Report

Drill Region, City & Community Name
Drill Location Coordinates
How Many People Will Benefit from This Well?
Community size, etc.
Brief Overview of Community & Need for Water
Date Started
MM slash DD slash YYYY
Date Completed
MM slash DD slash YYYY
Community Leader Name
Community Leader Phone Number
Community Leader Email
Community Leader Statement
Beneficiary Name
Beneficiary Statement
Budget for Project
Budget File Upload
Max. file size: 50 MB.
Upload document if applicable
Borehole Cost
Casing & Pump Cost
Water Tank Cost
Miscellaneous Cost
Project Total Cost
Project Cost File
Max. file size: 50 MB.
Upload document with final costs if applicable
Detailed Project Summary
Site Picture Before Drilling
Max. file size: 50 MB.
Site Picture During Drilling
Max. file size: 50 MB.
Site Picture After Drilling
Max. file size: 50 MB.
Group Picture of Community
Max. file size: 50 MB.
Drill Team Picture
Max. file size: 50 MB.
Short Video Clip (Less than 15 seconds)
Max. file size: 50 MB.