Requester Information: (*) is a mandatory field
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Requestor’s Name(*): Ash Moodley
Requestor’s Email Address(*): Ashailan.Moodley@bmw.co.za 
Your Organization(*): Berea-Hillbrow Home of Hope for Girls
Organization Website / Facebook:
Your Labdoo account user name (https://www.labdoo.org/user/register):
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Project Site:
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1. Project title or name of your school, project, or NGO - A short title or description for your project(*): Berea-Hillbrow Home of Hope for Girls
2. Project Description - Please explain about your project and how you will use the laptops (*): NGO established to rescue and rehabilitate sexual human trafficking victims
3. Number of students(*): 80
4. Number of teachers(*): 10
5. Claimed IT equipments (*)
5.1 Number of Laptops needed(*): 4
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(*):  Khanyi Motsa
6.2 Phone(*):    (0027) 281 336 7775
6.3 Email(*):      infohomehopeoffice01@gmail.com 
6.4 Physical address of Organization (street, city, zip code, country...)(*): Johannesburg, ZA (details not to be shared due to security reasons)
6.5 GPS coordinates (click the link to find the coordinates: https://www.gps-coordinates.net or https://support.google.com/maps/answer/18539) (*): https://www.homeofhopeforgirls.org.za/contact/contact-details 
7. Language
7.1 Local / Preferred language(s)(*): English
7.2 Additional information about language(s): Local ZA African languages
8. Project Location - street, city, state/province, country, zip code(*): Johannesburg, ZA (details not to be shared due to security reasons)
9. Access to Internet(*)?
9.1 Access to internet (yes/no) Yes, limited
9.2 Wired/cable (yes/no) No
9.3 Wireless (yes/no) Yes
10. Conditions about the room where the laptops will be installed:
10.1 Is the room secure? [yes / no + brief explanation] yes, locked gates, burglar bars and gate
10.2 Can the room be locked in a way that the supervisors (e.g. teachers) can control access? [yes / no + brief explanation] Yes, single entry point.
10.3. Is the room weather-proof? (e.g. does the room protect the laptops from rain, sand, etc?) [yes / no + brief explanation] Room is closed and free from external conditions. 
11. How did you hear about Labdoo?:
Personal contact
12. Picture(s) of the school, students, teacher, etc with this Request Form. Please send as file(s) (*): Please view the website for information. No pictures can be shared due to the sensitivity of the nature of the NGO. 
The picture will be uploaded to your project site
13. The data provided in this form will be made available from the Labdoo.org website to allow other web users to locate and contact your school. This data can be updated, modified, or deleted by logging to the platform with your Labdoo account username and password.
Do you allow to make this information available to other web users? (yes/no) (*). No.
***The solicitation of a Labdoo laptop request implies that, upon receiving the laptops, the recipient agrees with the "Labdoo Laptop Recipient Agreement".