Development of digital platform for hosting the mHealth Assessment and Planning for Scale (MAPS) Toolkit Bid Ref RFP_2015-FWC-HRP-GM003 Acknowledgement Form Development of digital platform for hosting the mHealth Assessment and Planning for Scale (MAPS) Toolkit: Bid Ref RFP_2015-FWC-HRP-GM003 Acknowledgement Form Please check the appropriate box (see below) and email this acknowledgement form immediately upon receipt to: Email: maps.toolkit@gmail.com World Health Organization 20, Avenue Appia CH-1211 Geneva 27 Switzerland Bid Ref: 2015-FWC-HRP-GM003 Intention To Submit A Proposal We hereby acknowledge receipt of the RFP. We have perused the document and advise that we intend to submit a proposal on or before 15 January 2016 at 17:00 hours (Geneva) time CET. Non-Intention To Submit A Proposal We hereby acknowledge receipt of the RFP. We have perused the document and advise that we do not intend to submit a proposal for the following reasons: (insert reason here) Bidder's Contact Information is as follows: Entity Name: Contact Person: Mailing Address: Telephone No: Fax No: E-mail Address: Name and Title of Authorising Officer: Signature: Date: Doc. Ref: RFP V-1-2011