Requester Information: (*) is a mandatory field
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Requestor’s Name(*): Md. Rafiqul Islam
Requestor’s Email Address(*): rafiqul.islam@asggermany.de ; info@asggermany.de
Your Organization(*): Aloghar Support Group (ASG) – Germany e.V.
Organization Website / Facebook: www.asggermany.de ;  www.facebook.com/ASGGermany/
Your Labdoo account user name (https://www.labdoo.org/user/register):
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Project Site: Khulna University, Khulna, Bangladesh. 
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1. Project title or name of your school, project, or NGO - A short title or description for your project(*):
	Project title : “ASG initiative for access to computers for those in sever need at Khulna University, Bangladesh (ASACKUB)”
2. Project Description - Please explain about your project and how you will use the laptops (*):
	COVID has transformed the teaching and learning environment. Teaching has moved (slowly) to e-learning based on ZOOM and Google-Class Room. But several students are suffering for not having personal computer. With mobile and subsidized internet data they can listen to lecturers. But they can’t complete their assignments. Under program, ‘Education and Capacity Development’ ASG-Germany e.V. wants to help those students of the Department of Urban and Rural Planning of Khulna university  who can’t afford to have a computer during this COVID era.
3. Number of students(*): 140
4. Number of teachers(*): 18
5. Claimed IT equipments (*): Laptop, Smart phones
5.1 Number of Laptops needed(*):  20
5.2 Number of eBook Reader needed:
5.3 Others needed (Tablet-PCs etc):
5.4 Additional comments:
6. On Site Contact Information / project manager. Please provide at least one way to contact (*):
6.1 Full Name(*): Professor Md Ahsanul Kabir
6.2 Phone(*): +8801711375181
6.3 Email(*):ahsanul.kabir@urp.ku.ac.bd
6.4 Physical address of Organization (street, city, zip code, country...)(*): URP Discipline, Khulna University, Gollamari, Khulna 9208, Bangladesh  
6.5 GPS coordinates (click the link to find the coordinates: https://www.gps-coordinates.net or https://support.google.com/maps/answer/18539) (*): 22.801382, 89.534285
7. Language
7.1 Local / Preferred language(s)(*): Bangla/English
7.2 Additional information about language(s): Everyone can speak English. 
8. Project Location - street, city, state/province, country, zip code(*):URP Discipline, Khulna University, Gollamari, Khulna 9208, Bangladesh  

9. Access to Internet(*)?
9.1 Access to internet (yes/no) Yes
9.2 Wired/cable (yes/no): No
9.3 Wireless (yes/no): Yes
10. Conditions about the room where the laptops will be installed:<depends>
10.1 Is the room secure? [yes / no + brief explanation]: Yes, It’s a secured room within the university building. 
10.2 Can the room be locked in a way that the supervisors (e.g. teachers) can control access? [yes / no + brief explanation] Yes, The teachers have keys to open the rooms. 
10.3. Is the room weather-proof? (e.g. does the room protect the laptops from rain, sand, etc?) [yes / no + brief explanation] Yes, It’s a permanent building of the university
11. How did you hear about Labdoo?: 
--Search Engine (e.g. Google)
--At local Conference,
--At online Conference,
--From other organizations/companies,
--Facebook
--Instagram
--Other (please describe): ASG representatives met Labdoo representatives at Dortmund Fair Trade, 2018
12. Picture(s) of the school, students, teacher, etc with this Request Form. Please send as file(s) (*):
The picture will be uploaded to your project site


***The solicitation of a Labdoo laptop request implies that, upon receiving the laptops, the recipient agrees with the "Labdoo Laptop Recipient Agreement".