Fillable N4G Commitment Registration Form (Nutrition For Growth)

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N4G Commitment Registration Form (Nutrition For Growth)

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1
N4G Commitment Registration Form
Thank you for your SMART commitment to step up the efforts on
achieving the global targets and ending malnutrition in all its forms.
The f
orm below -structured in three sections- is intended to help you register the concrete action(s) that your
Government or organisation is committing to undertake to improve nutrition. Multiple commitments are encouraged
across all five thematic areas. The completion of the form is required in order to register your commitment(s).
Pledges can be made at any point in 2021 and can be publicly announced at key N4G Events. All commitments will
be recorded in the Compact, the outcome document of the Tokyo N4G Summit. Commitments will be also shared
publicly by the Global Nutrition Report that will be tracking and reporting their progress annually.
Please contact N4G@globalnutritionreport.org
with any questions relating to the form or the registration process.
Section 1. Commitment-Making Entity
Please choose the stakeholder group that best describes your organisation (select one answer):
National government, ministry or body
Donor
Private sector business
Civil society organization (CSO) or non-governmental organization (NGO)
United Nations (UN) agency
Academic or non-academic research institution
Other, please specify
Name of entity
Full name of entity making the commitment
Country
City
Country entity is located
Name of authorized
representative
First name
Last name
Position
Designation, position and/or role of authorized representative
Email
Telephone
Email(s) of the authorized representative
Telephone number of the authorized
representative, including country code
Address
Physical address at which the authorized representative may be contacted
Additional information
Any supplemental instructions on how or when to contact the authorized representative (e.g., name and contact details of
secretary/ assistant)
Current date
Today’s date (DD/ MM/ YYYY)
Number of commitments you will be registering:
If more than 1, please register each commitment separately.
This form accommodates the registration of up to 10 commitments (4 included in the main form and 6 in the Annex). If
you wish to register more than 10 commitments, please download this form again, use the Annex to register your
additional commitments and email both forms to us.
Global Nutrition Report – N4G Commitment Registration Form
2
Section 2. Commitment Formulation & Registration
1
st
Commitment
Part I. Commitment Criteria, Type & Focus
Please confirm that your commitment meets the below four criteria (
all should be met to qualify as an N4G
commitment
):
Is SMART (completion of this form enables that)
Aligns with national priorities
(as outlined in the N4G Commitment Registration Guide)
Aligns with the N4G Principles for Engagement (as outlined in the N4G Commitment Registration Guide)
Progress towards your commitment will be reported annually to the Global Nutrition Report
Please specify whether you already report on the progress of your commitment to another tracking/ accoun
tability
mechanism:
No
Yes, please specify where
Please choose the type that best describes your commitment (select one, as each would need to get recorded
separately; for definitions please refer to the N4G Commitment Registration Guide):
Political and governance
Financial
Monitoring, reporting and research
Policy
Operational
Impact
Other, please specify
Please choose the thematic area of your commitment (select all that apply; for definitions please refer to the N4G
Commitment Registration Guide):
Health
Diet
Resilience
Data
Financing
Other, please specify
If multiple thematic areas have been select
ed, please specify which is the primary one:
Given the COVID-19 pandemic, some commitments may have been developed to address nutrition-related impacts.
This is not a qualifying criterion or a requirement for the Summit, it’s purely for reporting purposes. Please let us know
if your commitment was developed in response to COVID-19:
Yes
No
Part II. Commitment Ingredients
Please specify each of the below ingredients of your commitment. For instructions and examples, please refer to the
Annex of
the N4G Commitment Registration Guide. If a particular ingredient (row) does not apply to your commitment,
please indicate as N/A (not applicable). If for an ingredient the relevant details will be developed at a later stage and
prior to the Tokyo Summit, please indicate as TBD (to be developed) and email us when these details are finalised.
Primary signatory entity
Full name of primary responsible party making the commitment and ensuring it is upheld and reported on
regularly
Additional signatory entities
If multiple entities are involved (that is, a joint commitment), please provide the name of each additional entity
Goal
The overall goal of the commitment, further specifying the direction of the goal where relevant
Action plan
The action plan to achieve your goal
Global Nutrition Report – N4G Commitment Registration Form
3
Setting
The setting in which the commitment will be implemented, such as global, regional, national or subnational, with
additional specifications, for example across districts with high prevalence of [X] indicator
Target population
The targeted population, including sample size if known. Please further specify if you are adopting a differential
approach for population subgroups (
such as children versu
s adults) or applying an equity lens (gender, disability or
social or economic disparity) where p
ossible, for instance by considering hard-to-
reach areas, vulnerable people or
other
Primary indicator
Name, definition and unit of the primary indicator used to measure goal. If a financial pledge, please specify
whether a financial disbursement (
that is, actual expenditure) or a financial commitment (that is, legal decision to
fund) and use local currency for the amount
Baseline (current) level of indicator, using same unit as above
Targeted level of indicator, using same unit as above. Please further specify if key milestones (interim targets)
are set to be achieved within the commitment period
How progress will be assessed. Please also provide related source/ reference
Total costs
How much the commitment is going to cost in total – that should be ideally secured. Please specify amount in
local currency
The funding mechanism used to support costs associated with the implementation of the commitment
Commitment period
Start date (DD/MM/YYYY)
End date (DD/MM/YYYY)
Other
Any additional specifications that are relevant to the commitment
Part III. Full Commitment
Please specify your full commitment, using each of the above ingredients as appropriate to facilitate the
formulation.
The full formulation will be recorded in the Compact and will be also shared publicly by the Global Nutrition Report
that will be tracking and reporting their progress annually.
Please feel free to attach along with the form any resources that are relevant to your commitment.
If you do not have another commitment to register, please go to Section 3 of the form.
2
nd
Commitment
Part I. Commitment Criteria, Type & Focus
Please confirm that your commitment meets the below four criteria (all should be met to qualify as an N4G
commitment):
Is SMART (completion of this form enables that)
Aligns
with national priorities (as outlined in the N4G Commitment Registration Guide)
Aligns with the N4G Principles for Engagement (as outlined in the N4G Commitment Registration Guide)
Progress towards your commitment will be reported annually to the Global Nutrition Report
Please specify whether you already report on the progress of your commitment to another tracking/ accountability
mechanism:
Global Nutrition Report – N4G Commitment Registration Form
4
No
Yes, please specify where
Please choose the type that best describes your commitment (select one, as each would need to get recorded
separately; for definitions please refer to the N4G Commitment Registration Guide):
Political and governance
Financial
Monitoring, reporting and research
Policy
Operational
Impact
Other, please specify
Please choose the thematic area of your commitment (select all that apply; for definitions please refer to the N4G
Commitment Registration Guide):
Health
Diet
Resilience
Data
Financing
Other, please specify
If multiple thematic areas have been selected, please specify which is the primary one:
Given the COVID-19 pandemic, some commitments may have been developed to address nutrition-related impacts.
This is not a qualifying criterion or a requirement for the Summit, it’s purely for reporting purposes. Please let us know
if your commitment was developed in response to COVID-19:
Yes
No
Part II. Commitment Ingredients
Please specify each of the below ingredients of your commitment. For instructions and examples, please refer to the
Annex of the N4G Commitment Registration Guide. If a particular ingredient (row) does not apply to your commitment,
please indicate as N/A (not applicable). If for an ingredient the relevant details will be developed at a later stage and
prior to the Tokyo Summit, please indicate as TBD (to be developed) and email us when these details are finalised.
Primary signatory entity
Full name of primary responsible party making the commitment and ensuring it is upheld and reported on
regularly
Additional signatory entities
If multiple entities are involved (that is, a joint commitment), please provide the name of each additional entity
Goal
The overall goal of the commitment, further specifying the direction of the goal where relevant
Action plan
The action plan to achieve your goal
Setting
The setting in which the commitment will be implemented, such as global, regional, national or subnational, with
additional specifications, for example across districts with high prevalence of [X] indicator
Target population
The targeted population, including sample size if known. Please further specify if you are adopting a differential
approach for population subgroups (
such as, children versus adults) or applying an equity lens (gender, disability
or social or economic
disparity) where possible, for instance by considering hard-to-
reach areas, vulnerable people
or other
Primary indicator
Name, definition and unit of the primary indicator used to measure goal. If a financial pledge, please specify
whether a financial
disbursement (that is, actual expenditure) or a financial commitment (that is, legal decision to
fund) and use local currency for the amount
Baseline (current) level of indicator, using same unit as above
Targeted level of indicator, using same unit as above. Please further specify if key milestones (interim targets)
are set to be achieved within the commitment period
Global Nutrition Report – N4G Commitment Registration Form
5
How progress will be assessed. Please also provide related source/ reference
Total costs
How much the commitment is going to cost in total – that should be ideally secured. Please specify amount in
local currency
The funding mechanism used to support costs associated with the implementation of the commitment
Commitment period
Start date (DD/MM/YYYY)
End date (DD/MM/YYYY)
Other
Any additional specifications that are relevant to the commitment
Part III. Full Commitment
Please specify your full commitment, using each of the above ingredients as appropriate to facilitate the formulation.
The full formulation will be recorded in the Compact and will be also shared publicly by the Global Nutrition Report
that will be tracking and reporting their progress annually.
Please feel free to attach along with the form any resources that are relevant to your commitment.
If you do not have another commitment to register, please go to Section 3 of the form.
3
rd
Commitment
Part I. Commitment Criteria, Type & Focus
Please confirm that your commitment meets the below four
criteria (all should be met to qualify as an N4G
commitment
):
Is SMART (completion of this form enables that)
Aligns w
ith national priorities (as outlined in the N4G Commitment Registration Guide)
Aligns with the N4G Principles for Engagement (as outlined in the N4G Commitment Registration Guide)
Progress towards your commitment will be reported annually to the Global Nutrition Report
Please specify whether you already report on the progress of your commitment to another tracking/ accountability
mechanism:
No
Yes, please specify where
Please choose the type that best describes your commitment (select one, as each would need to get recorded
separately; for definitions please refer to the N4G Commitment Registration Guide):
Political and governance
Financial
Monitoring, reporting and research
Policy
Operational
Impact
Other, please specify
Please choose the thematic area of your commitment (select all that apply; for definitions please refer to the N4G
Commitment Registration Guide):
Health
Diet
Resilience
Data
Financing
Other, please specify
If multiple thematic areas have been selected, please specify which is the primary one:
Global Nutrition Report – N4G Commitment Registration Form
6
Given the COVID-19 pandemic, some commitments may have been developed to address nutrition-related impacts.
This is not a qualifying criterion or a requirement for the Summit, it’s purely for reporting purposes. Please let us know
if
your commitment was developed in response to COVID-19:
Yes
No
Part II. Commitment Ingredients
Please specify each of the below ingredients of your commitment. For instructions and examples, please refer to the
Annex of the N4G Commitment Registration Guide. If a particular ingredient (row) does not apply to your commitment,
please indicate as N/A (not applicable). If for an ingredient the relevant details will be developed at a later stage and
prior to the Tokyo Summit, please indicate as TBD (to be developed) and email us when these details are finalised.
Primary signatory entity
Full name of primary responsible party making the commitment and ensuring it is upheld and reported on
regularly
Additional signatory entities
If multiple entities are involved (that is, a joint commitment), please provide the name of each additional entity
Goal
The overall goal of the commitment, further specifying the direction of the goal where relevant
Action plan
The action plan to achieve your goal
Setting
The setting in which the commitment will be implemented, such as global, regional, national or subnational, with
additional specifications, for example across districts with high prevalence of [X] indicator
Target population
The targeted population, including sample size if known. Please further specify if you are adopting a differential
approach for population subgroups (
such as, children versus adults) or applying an equity lens (gender, disability
or social or economic
disparity) where possible, for instance by considering hard-to-
reach areas, vulnerable people
or other
Primary indicator
Name, definition and unit of the primary indicator used to measure goal. If a financial pledge, please specify
whether a financial
disbursement (that is, actual expenditure) or a financial commitment (that is, legal decision to
fund) and use local currency for the amount
Baseline (current) level of indicator, using same unit as above
Targeted level of indicator, using same unit as above. Please further specify if key milestones (interim targets)
are set to be achieved within the commitment period
How progress will be assessed. Please also provide related source/ reference
Total costs
How much the commitment is going to cost in total – that should be ideally secured. Please specify amount in
local currency
The funding mechanism used to support costs associated with the implementation of the commitment
Commitment period
Start date (DD/MM/YYYY)
End date (DD/MM/YYYY)
Other
Any additional specifications that are relevant to the commitment
Part III. Full Commitment
Please specify your full commitment, using each of the above ingredients as appropriate to facilitate the
formulation.
The full formulation will be recorded in the Compact and will be also shared publicly by the Global Nutrition Report
that will be tracking and reporting their progress annually.
Global Nutrition Report – N4G Commitment Registration Form
7
Please feel free to attach along with the form any resources that are relevant to your commitment.
If you do not have another commitment to register, please go to Section 3 of the form.
4
th
Commitment
Part I. Commitment Criteria, Type & Focus
Please confirm that your commitment meets the below four
criteria (all should be met to qualify as an N4G
commitment
):
Is SMART (completion of this form enables that)
Aligns w
ith national priorities (as outlined in the N4G Commitment Registration Guide)
Aligns with the N4G Principles for Engagement (as outlined in the N4G Commitment Registration Guide)
Progress towards your commitment will be reported annually to the Global Nutrition Report
Please specify whether you already report on the progress of your commitment to another tracking/ accountability
mechanism:
No
Yes, please specify where
Please choose the type that best describes your commitment (select one, as each would need to get recorded
separately; for definitions please refer to the N4G Commitment Registration Guide):
Political and governance
Financial
Monitoring, reporting and research
Policy
Operational
Impact
Other, please specify
Please choose the thematic area of your commitment (select all that apply; for definitions please refer to the N4G
Commitment Registration Guide):
Health
Diet
Resilience
Data
Financing
Other, please specify
If multiple thematic areas have been select
ed, please specify which is the primary one:
Given the COVID-19 pandemic, some commitments may have been developed to address nutrition-related impacts.
This is not a qualifying criterion or a requirement for the Summit, it’s purely for reporting purposes. Please let us know
if your commitment was developed in response to COVID-19:
Yes
No
Part II. Commitment Ingredients
P
lease specify each of the below ingredients of your commitment. For instructions and examples, please refer to the
Annex of the N4G Commitment Registration Guide. If a particular ingredient (row) does not apply to your commitment,
please indicate as N/A (not applicable). If for an ingredient the relevant details will be developed at a later stage and
prior to the Tokyo Summit, please indicate as TBD (to be developed) and email us when these details are finalised.
Primary signatory entity
Full name of primary responsible party making the commitment and ensuring it is upheld and reported on
regularly
Additional signatory entities
If multiple entities are involved (that is, a joint commitment), please provide the name of each additional entity
Global Nutrition Report – N4G Commitment Registration Form
8
Goal
The overall goal of the commitment, further specifying the direction of the goal where relevant
Action plan
The action plan to achieve your goal
Setting
The setting in which the commitment will be implemented, such as global, regional, national or subnational, with
additional specifications, for example across districts with high prevalence of [X] indicator
Target population
The targeted population, including sample size if known. Please further specify if you are adopting a differential
approach for population subgroups (
such as, children versus adults) or applying an equity lens (gender, disability
or social or economic disparity) where
possible, for instance by considering hard-to-
reach areas, vulnerable people
or other
Primary indicator
Name, definition and unit of the primary indicator used to measure goal. If a financial pledge, please specify
whether a financial
disbursement (that is, actual expenditure) or a financial commitment (that is, legal decision to
fund) and use local currency for the amount
Baseline (current) level of indicator, using same unit as above
Targeted level of indicator, using same unit as above. Please further specify if key milestones (interim targets)
are set to be achieved within the commitment period
How progress will be assessed. Please also provide related source/ reference
Total costs
How much the commitment is going to cost in total – that should be ideally secured. Please specify amount in
local currency
The funding mechanism used to support costs associated with the implementation of the commitment
Commitment period
Start date (DD/MM/YYYY)
End date (DD/MM/YYYY)
Other
Any additional specifications that are relevant to the commitment
Part III. Full Commitment
Please specify your full commitment, using each of the above ingredients as appropriate to facilitate the
formulation.
The full formulation will be recorded in the Compact and will be also shared publicly by the Global Nutrition Report
that will be tracking and reporting their progress annually.
Please feel free to attach along with the form any
resources that are relevant to your commitment.
If you have more commitments to register, please complete Section 3 and then go to the Annex of the form.
Section 3. Feedback
Please let us know your thoughts on completing this form, including accessibility, clarity and ease of use. Your
feedback is important to us and will be used to strengthen and improve the registration form and wider registration
process.
Thank you for taking the time to complete this form. You will receive notification of
receipt within five working days through N4G@globalnutritionreport.org.
Global Nutrition Report – N4G Commitment Registration Form
9
Annex
5
th
Commitment
Part I. Commitment Criteria, Type & Focus
Please confirm that your commitment meets the
below four criteria (all should be met to qualify as an N4G
commitment
):
Is SMART (completion of this form enables that)
Aligns
with national priorities (as outlined in the N4G Commitment Registration Guide)
Aligns with the N4G Principles for Engagement (as outlined in the N4G Commitment Registration Guide)
Progress towards your commitment will be reported annually to the Global Nutrition Report
Please specify whether you already report on the progress of your commitment to another tracking/ accountability
mechanism:
No
Yes, please specify where
Please choose the type that best describes your commitment (select one, as each would need to get recorded
separately; for definitions please refer to the N4G Commitment Registration Guide):
Political and governance
Financial
Monitoring, reporting and research
Policy
Operational
Impact
Other, please specify
Please choose the thematic area of your commitment (select all that apply; for definitions please refer to the N4G
Commitment Registration Guide):
Health
Diet
Resilience
Data
Financing
Other, please specify
If multiple thematic areas have been selected, please specify which is the primary one:
Given the COVID-19 pandemic, some commitments may have been developed to address nutrition-related impacts.
This is not a qualifying criterion or a requirement for the Summit, it’s purely for reporting purposes. Please let us know
if your commitment was developed in response to COVID-19:
Yes
No
Part II. Commitment Ingredients
Please specify each of the below ingredients of your commitment. For instructions and examples, please refer to the
Annex of the N4G Commitment Registration Guide. If a particular ingredient (row) does not apply to your commitment,
please indicate as N/A (not applicable). If for an ingredient the relevant details will be developed at a later stage and
prior to the Tokyo Summit, please indicate as TBD (to be developed) and email us when these details are finalised.
Primary signatory entity
Full name of primary responsible party making the commitment and ensuring it is upheld and reported on
regularly
Additional signatory entities
If multiple entities are involved (that is, a joint commitment), please provide the name of each additional entity
Goal
The overall goal of the commitment, further specifying the direction of the goal where relevant
Action plan
The action plan to achieve your goal
Global Nutrition Report – N4G Commitment Registration Form
10
Setting
The setting in which the commitment will be implemented, such as global, regional, national or subnational, with
additional specifications, for example across districts with high prevalence of [X] indicator
Target population
The targeted population, including sample size if known. Please further specify if you are adopting a differential
approach for population subgroups (
such as, children versus adults) or applying an equity lens (gender, disability
or social or economic disparity) where
possible, for instance by considering hard-to-
reach areas, vulnerable people
or other
Primary indicator
Name, definition and unit of the primary indicator used to measure goal. If a financial pledge, please specify
whether a financial
disbursement (that is, actual expenditure) or a financial commitment (that is, legal decision to
fund) and use local currency for the amount
Baseline (current) level of indicator, using same unit as above
Targeted level of indicator, using same unit as above. Please further specify if key milestones (interim targets)
are set to be achieved within the commitment period
How progress will be assessed. Please also provide related source/ reference
Total costs
How much the commitment is going to cost in total – that should be ideally secured. Please specify amount in
local currency
The funding mechanism used to support costs associated with the implementation of the commitment
Commitment period
Start date (DD/MM/YYYY)
End date (DD/MM/YYYY)
Other
Any additional specifications that are relevant to the commitment
Part III. Full Commitment
Please specify your full commitment, using each of the above ingredients as appropriate to facilitate the
formulation.
The full formulation will be recorded in the Compact and will be also shared publicly by the Global Nutrition Report
that will be tracking and reporting their progress annually.
Please feel free to attach along with the form any
resources that are relevant to your commitment.
6
th
Commitment
Part I. Commitment Criteria, Type & Focus
Please confirm that your commitment meets the below four criteria (all should be met to qualify as an N4G
commitment):
Is SMART (completion of this form enables that)
Aligns with national priorities (as outlined in the N4G Commitment Registration Guide)
Aligns with the N4G Principles for Engagement (as outlined in the N4G Commitment Registration Guide)
Progress towards your commitment will be reported annually to the Global Nutrition Report
Please specify whether you already report on the progress of your commitment to another tracking/ accountability
mechanism:
No
Yes, please specify where
Global Nutrition Report – N4G Commitment Registration Form
11
Please choose the type that best describes your commitment (select one, as each would need to get recorded
separately; for definitions please refer to the N4G Commitment Registration Guide):
Political and governance
Financial
Monitoring, reporting and research
Policy
Operational
Impact
Other, please specify
Please choose the thematic area of your commitment (select all that apply; for definitions please refer to the N4G
Commitment Registration Guide):
Health
Diet
Resilience
Data
Financing
Other, please specify
If multiple thematic areas have been select
ed, please specify which is the primary one:
Given the COVID-19 pandemic, some commitments may have been developed to address nutrition-related impacts.
This is not a qualifying criterion or a requirement for the Summit, it’s purely for reporting purposes. Please let us know
if your commitment was developed in response to COVID-19:
Yes
No
Part II. Commitment Ingredients
Please specify each of the below ingredients of your commitment. For instructions and examples, please refer to the
Annex of the N4G Commitment
Registration Guide. If a particular ingredient (row) does not apply to your commitment,
please indicate as N/A (not applicable). If for an ingredient the relevant details will be developed at a later stage and
prior to the Tokyo Summit, please indicate as TBD (to be developed) and email us when these details are finalised.
Primary signatory entity
Full name of primary responsible party making the commitment and ensuring it is upheld and reported on
regularly
Additional signatory entities
If multiple entities are involved (that is, a joint commitment), please provide the name of each additional entity
Goal
The overall goal of the commitment, further specifying the direction of the goal where relevant
Action plan
The action plan to achieve your goal
Setting
The setting in which the commitment will be implemented, such as global, regional, national or subnational, with
additional specifications, for example across districts with high prevalence of [X] indicator
Target population
The targeted population, including sample size if known. Please further specify if you are adopting a differential
approach for population subgroups (
such as, children versus adults) or applying an equity lens (gender, disability
or social or economic disparity) where
possible, for instance by considering hard-to-
reach areas, vulnerable people
or other
Primary indicator
Name, definition and unit of the primary indicator used to measure goal. If a financial pledge, please specify
whether a financial disbursement (
that is, actual expenditure) or a financial commitment (that is, legal decision to
fund) and use local currency for the amount
Baseline (current) level of indicator, using same unit as above
Targeted level of indicator, using same unit as above. Please further specify if key milestones (interim targets)
are set to be achieved within the commitment period
How progress will be assessed. Please also provide related source/ reference
Total costs
Global Nutrition Report – N4G Commitment Registration Form
12
How much the commitment is going to cost in total – that should be ideally secured. Please specify amount in
local currency
The funding mechanism used to support costs associated with the implementation of the commitment
Commitment period
Start date (DD/MM/YYYY)
End date (DD/MM/YYYY)
Other
Any additional specifications that are relevant to the commitment
Part III. Full Commitment
Please specify your full commitment, using each of the above ingredients as appropriate to facilitate the
formulation.
The full formulation will be recorded in the Compact and will be also shared publicly by the Global Nutrition Report
that will be tracking and reporting their progress annually.
Please feel free to attach along with the form any
resources that are relevant to your commitment.
7
th
Commitment
Part I. Commitment Criteria, Type & Focus
Please confirm that your commitment meets the below four criteria (
all should be met to qualify as an N4G
commitment
):
Is SMART (completion of this form enables that)
Aligns
with national priorities (as outlined in the N4G Commitment Registration Guide)
Aligns with the N4G Principles for Engagement (as outlined in the N4G Commitment Registration Guide)
Progress towards your commitment will be reported annually to the Global Nutrition Report
Please specify whether you already report on the progress of your commitment to another tracking/ accountability
mechanism:
No
Yes, please specify where
Please choose the type that best describes your commitment (select one, as each would need to get recorded
separately; for definitions please refer to the N4G Commitment Registration Guide):
Political and governance
Financial
Monitoring, reporting and research
Policy
Operational
Impact
Other, please specify
Please choose the thematic area of your commitment (select all that apply; for definitions please refer to the N4G
Commitment Registration Guide):
Health
Diet
Resilience
Data
Financing
Other, please specify
If multiple thematic areas have been select
ed, please specify which is the primary one:
Given the COVID-19 pandemic, some commitments may have been developed to address nutrition-related impacts.
This is not a qualifying criterion or a requirement for the Summit, it’s purely for reporting purposes. Please let us know
if your commitment was developed in response to COVID-19:
Yes
No
Global Nutrition Report – N4G Commitment Registration Form
13
Part II. Commitment Ingredients
Please specify each of the below ingredients of your commitment. For instructions and examples, please refer to the
Annex of the N4G Commitment Registration Guide. If a particular ingredient (row) does not apply to your commitment,
please indicate as N/A (not applicable). If for an ingredient the relevant details will be developed at a later stage and
prior to the Tokyo Summit, please indicate as TBD (to be developed) and email us when these details are finalised.
Primary signatory entity
Full name of primary responsible party making the commitment and ensuring it is upheld and reported on
regularly
Additional signatory entities
If multiple entities are involved (that is, a joint commitment), please provide the name of each additional entity
Goal
The overall goal of the commitment, further specifying the direction of the goal where relevant
Action plan
The action plan to achieve your goal
Setting
The setting in which the commitment will be implemented, such as global, regional, national or subnational, with
additional specifications, for example across districts with high prevalence of [X] indicator
Target population
The targeted population, including sample size if known. Please further specify if you are adopting a differential
approach for population subgroups (
such as, children versus adults) or applying an equity lens (gender, disability
or social or economic disparity) where
possible, for instance by considering hard-to-
reach areas, vulnerable people
or other
Primary indicator
Name, definition and unit of the primary indicator used to measure goal. If a financial pledge, please specify
whether a financial disbursement (
that is, actual expenditure) or a financial commitment (that is, legal decision to
fund) and use local currency for the amount
Baseline (current) level of indicator, using same unit as above
Targeted level of indicator, using same unit as above. Please further specify if key milestones (interim targets)
are set to be achieved within the commitment period
How progress will be assessed. Please also provide related source/ reference
Total costs
How much the commitment is going to cost in total – that should be ideally secured. Please specify amount in
local currency
The funding mechanism used to support costs associated with the implementation of the commitment
Commitment period
Start date (DD/MM/YYYY)
End date (DD/MM/YYYY)
Other
Any additional specifications that are relevant to the commitment
Part III. Full Commitment
Please specify your full commitment, using each of the above ingredients as appropriate to facilitate the
formulation.
The full formulation will be recorded in the Compact and will be also shared publicly by the Global Nutrition Report
that will be tracking and reporting their progress annually.
Please feel free to attach along with the form any
resources that are relevant to your commitment.
Global Nutrition Report – N4G Commitment Registration Form
14
8
th
Commitment
Part I. Commitment Criteria, Type & Focus
Please confirm that your commitment meets the below four criteria (all should be met to qualify as an N4G
commitment):
Is SMART (completion of this form enables that)
Aligns
with national priorities (as outlined in the N4G Commitment Registration Guide)
Aligns with the N4G Principles for Engagement (as outlined in the N4G Commitment Registration Guide)
Progress towards your commitment will be reported annually to the Global Nutrition Report
Please specify whether you already report on the progress of your commitment to another tracking/ accountability
mechanism:
No
Yes, please specify where
Please choose the type that best describes your commitment (select one, as each would need to get recorded
separately; for definitions please refer to the N4G Commitment Registration Guide):
Political and governance
Financial
Monitoring, reporting and research
Policy
Operational
Impact
Other, please specify
Please choose the thematic area of your commitment (select all that apply; for definitions please refer to the N4G
Commitment Registration Guide):
Health
Diet
Resilience
Data
Financing
Other, please specify
If multiple thematic areas have been selected, please specify which is the primary one:
Given the COVID-19 pandemic, some commitments may have been developed to address nutrition-related impacts.
This is not a qualifying criterion or a requirement for the Summit, it’s purely for reporting purposes. Please let us know
if your commitment was developed in response to COVID-19:
Yes
No
Part II. Commitment Ingredients
Please specify each of the below ingredients of your commitment. For instructions and examples, please refer to the
Annex of the N4G Commitment
Registration Guide. If a particular ingredient (row) does not apply to your commitment,
please indicate as N/A (not applicable). If for an ingredient the relevant details will be developed at a later stage and
prior to the Tokyo Summit, please indicate as TBD (to be developed) and email us when these details are finalised.
Primary signatory entity
Full name of primary responsible party making the commitment and ensuring it is upheld and reported on
regularly
Additional signatory entities
If multiple entities are involved (that is, a joint commitment), please provide the name of each additional entity
Goal
The overall goal of the commitment, further specifying the direction of the goal where relevant
Action plan
The action plan to achieve your goal
Setting
Global Nutrition Report – N4G Commitment Registration Form
15
The setting in which the commitment will be implemented, such as global, regional, national or subnational, with
additional specifications, for example across districts with high prevalence of [X] indicator
Target population
The targeted population, including sample size if known. Please further specify if you are adopting a differential
approach for population subgroups (
such as, children versus adults) or applying an equity lens (gender, disability
or social or economic disparity) where
possible, for instance by considering hard-to-
reach areas, vulnerable people
or other
Primary indicator
Name, definition and unit of the primary indicator used to measure goal. If a financial pledge, please specify
whether a financial disbursement (
that is, actual expenditure) or a financial commitment (that is, legal decision to
fund) and use local currency for the amount
Baseline (current) level of indicator, using same unit as above
Targeted level of indicator, using same unit as above. Please further specify if key milestones (interim targets)
are set to be achieved within the commitment period
How progress will be assessed. Please also provide related source/ reference
Total costs
How much the commitment is going to cost in total – that should be ideally secured. Please specify amount in
local currency
The funding mechanism used to support costs associated with the implementation of the commitment
Commitment period
Start date (DD/MM/YYYY)
End date (DD/MM/YYYY)
Other
Any additional specifications that are relevant to the commitment
Part III. Full Commitment
Please specify your full commitment, using each of the above ingredients as appropriate to facilitate the
formulation.
The full formulation will be recorded in the Compact and will be also shared publicly by the Global Nutrition Report
that will be tracking and reporting their progress annually.
Please feel free to attach along with the form any
resources that are relevant to your commitment.
9
th
Commitment
Part I. Commitment Criteria, Type & Focus
Please confirm that your commitment meets the below four criteria (
all should be met to qualify as an N4G
commitment
):
Is SMART (completion of this form enables that)
Aligns with national priorities (as outlined in the N4G Commitment Registration Guide)
Aligns with the N4G Principles for Engagement (as outlined in the N4G Commitment Registration Guide)
Progress towards your commitment will be reported annually to the Global Nutrition Report
Please specify whether you already report on the progress of your commitment to another tracking/ accountability
mechanism:
No
Yes, please specify where
Global Nutrition Report – N4G Commitment Registration Form
16
Please choose the type that best describes your commitment (select one, as each would need to get recorded
separately; for definitions please refer to the N4G Commitment Registration Guide):
Political and governance
Financial
Monitoring, reporting and research
Policy
Operational
Impact
Other, please specify
Please choose the thematic area of your commitment (select all that apply; for definitions please refer to the N4G
Commitment Registration Guide):
Health
Diet
Resilience
Data
Financing
Other, please specify
If multiple thematic areas have been select
ed, please specify which is the primary one:
Given the COVID-19 pandemic, some commitments may have been developed to address nutrition-related impacts.
This is not a qualifying criterion or a requirement for the Summit, it’s purely for reporting purposes. Please let us know
if your commitment was developed in response to COVID-19:
Yes
No
Part II. Commitment Ingredients
Please specify each of the below ingredients of your commitment. For inst
ructions and examples, please refer to the
Annex of the N4G Commitment Registration Guide. If a particular ingredient (row) does not apply to your commitment,
please indicate as N/A (not applicable). If for an ingredient the relevant details will be developed at a later stage and
prior to the Tokyo Summit, please indicate as TBD (to be developed) and email us when these details are finalised.
Primary signatory entity
Full name of primary responsible party making the commitment and ensuring it is upheld and reported on
regularly
Additional signatory entities
If multiple entities are involved (that is, a joint commitment), please provide the name of each additional entity
Goal
The overall goal of the commitment, further specifying the direction of the goal where relevant
Action plan
The action plan to achieve your goal
Setting
The setting in which the commitment will be implemented, such as global, regional, national or subnational, with
additional specifications, for example across districts with high prevalence of [X] indicator
Target population
The targeted population, including sample size if known. Please further specify if you are adopting a differential
approach for population subgroups (
such as, children versus adults) or applying an equity lens (gender, disability
or social or economic disparity) where
possible, for instance by considering hard-to-
reach areas, vulnerable people
or other
Primary indicator
Name, definition and unit of the primary indicator used to measure goal. If a financial pledge, please specify
whether a financial disbursement (
that is, actual expenditure) or a financial commitment (that is, legal decision to
fund) and use local currency for the amount
Baseline (current) level of indicator, using same unit as above
Targeted level of indicator, using same unit as above. Please further specify if key milestones (interim targets)
are set to be achieved within the commitment period
How progress will be assessed. Please also provide related source/ reference
Total costs
Global Nutrition Report – N4G Commitment Registration Form
17
How much the commitment is going to cost in total – that should be ideally secured. Please specify amount in
local currency
The funding mechanism used to support costs associated with the implementation of the commitment
Commitment period
Start date (DD/MM/YYYY)
End date (DD/MM/YYYY)
Other
Any additional specifications that are relevant to the commitment
Part III. Full Commitment
Please specify your full commitment, using each of the above ingredients as appropriate to facilitate the
formulation.
The full formulation will be recorded in the Compact and will be also shared publicly by the Global Nutrition Report
that will be tracking and reporting their progress annually.
Please feel free to attach along with the form any
resources that are relevant to your commitment.
10
th
Commitment
Part I. Commitment Criteria, Type & Focus
Please confirm that your commitment meets the below four criteria (
all should be met to qualify as an N4G
commitment
):
Is SMART (completion of this form enables that)
Aligns with national priorities (as outlined in the N4G Commitment Registration Guide)
Aligns with the N4G Principles for Engagement (as outlined in the N4G Commitment Registration Guide)
Progress towards your commitment will be reported annually to the Global Nutrition Report
Please specify whether you already report on the progress of your commitment to another tracking/ accountability
mechanism:
No
Yes, please specify where
Please choose the type that best describes your commitment (select one, as each would need to get recorded
separately; for definitions please refer to the N4G Commitment Registration Guide):
Political and governance
Financial
Monitoring, reporting and research
Policy
Operational
Impact
Other, please specify
Please choose the thematic area of your commitment (select all that apply; for definitions please refer to the N4G
Commitment Registration Guide):
Health
Diet
Resilience
Data
Financing
Other, please specify
If multiple thematic areas have been select
ed, please specify which is the primary one:
Given the COVID-19 pandemic, some commitments may have been developed to address nutrition-related impacts.
This is not a qualifying criterion or a requirement for the Summit, it’s purely for reporting purposes. Please let us know
if your commitment was developed in response to COVID-19:
Yes
No
Global Nutrition Report – N4G Commitment Registration Form
18
Part II. Commitment Ingredients
Please specify each of the below ingredients of your commitment. For instructions and examples, please refer to the
Annex of the N4G Commitment Registration Guide. If a particular ingredient (row) does not apply to your commitment,
please indicate as N/A (not applicable). If for an ingredient the relevant details will be developed at a later stage and
prior to the Tokyo Summit, please indicate as TBD (to be developed) and email us when these details are finalised.
Primary signatory entity
Full name of primary responsible party making the commitment and ensuring it is upheld and reported on
regularly
Additional signatory entities
If multiple entities are involved (that is, a joint commitment), please provide the name of each additional entity
Goal
The overall goal of the commitment, further specifying the direction of the goal where relevant
Action plan
The action plan to achieve your goal
Setting
The setting in which the commitment will be implemented, such as global, regional, national or subnational, with
additional specifications, for example across districts with high prevalence of [X] indicator
Target population
The targeted population, including sample size if known. Please further specify if you are adopting a differential
approach for population subgroups (
such as, children versus adults) or applying an equity lens (gender, disability
or social or economic disparity) where
possible, for instance by considering hard-to-
reach areas, vulnerable people
or other
Primary indicator
Name, definition and unit of the primary indicator used to measure goal. If a financial pledge, please specify
whether a financial disbursement (
that is, actual expenditure) or a financial commitment (that is, legal decision to
fund) and use local currency for the amount
Baseline (current) level of indicator, using same unit as above
Targeted level of indicator, using same unit as above. Please further specify if key milestones (interim targets)
are set to be achieved within the commitment period
How progress will be assessed. Please also provide related source/ reference
Total costs
How much the commitment is going to cost in total – that should be ideally secured. Please specify amount in
local currency
The funding mechanism used to support costs associated with the implementation of the commitment
Commitment period
Start date (DD/MM/YYYY)
End date (DD/MM/YYYY)
Other
Any additional specifications that are relevant to the commitment
Part III. Full Commitment
Please specify your full commitment, using each of the above ingredients as appropriate to facilitate the
formulation.
The full formulation will be recorded in the Compact and will be also shared publicly by the Global Nutrition Report
that will be tracking and reporting their progress annually.
Please feel free to attach along with the form any resources that are relevant to your commitment.
If you wish to register more commitments, please download this form again, use the Annex to register your additional
commitments and email both forms to us.
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N4G Commitment Registration Form (Nutrition For Growth)

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Completed 28 July 2021

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