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Part B. Full Application FormThe European Union represented by the European Commission Support to Ukraine's regional development policy Grant Application Form Budget line: 19.080103 Reference:EuropeAid/134171/LACT/UA
Deadline for submission of concept notes: 1 July 2013 To reduce expense and waste, we strongly recommend that you use only paper for your file (no plastic folders or dividers). Please also use double-sided printing if possible
Any change in the addresses, phone numbers, fax numbers or e-mail, must be notified in writing to the Contracting Authority. The Contracting Authority will not be held responsible in the event that it cannot contact an applicant. NOTICE When processing your application, any personal data (e.g. names, addresses and CVs), will be recorded and processed if necessary in accordance with Regulation (EC) No 45/2001 on the protection of individuals with regard to the processing of personal data by the Community institutions and bodies and on the free movement of such data. Unless otherwise specified, your replies to the questions and any personal data are required only to evaluate your proposal in accordance with the Guidelines for the call for proposal and will be processed solely for that purpose by the data controller. Details concerning processing of your personal data are available in the privacy statement at http://ec.europa.eu/dataprotectionofficer/privacystatement_publicprocurement_en.pdf]
Contents Part A. CONCEPT NOTE.. 5 1 Instructions for drafting the concept note. 5 Summary of the action. 5 Description of the action (max 1 page) 6 Relevance of the action (max 3 pages) 6 2 Checklist for the concept note. 8 3 Declaration by the applicant for the concept note. 10 4 Assessment grid for the concept note. 11 Part B. Full Application Form... 12 1 General information. 12 2 The action. 13 Description of the Action. 13 Budget, amount requested from the Contracting Authority and other expected sources of funding 16 Applicant’s experience of similar actions. 16 2.2. Co-applicant(s)'s experience of similar actions. 17 2.3. Affiliated entitiy(ies) experience of similar actions (if applicable) 18 3 The applicant 20 Identity. 20 Profile. 21 Capacity to manage and implement actions. 29 List of the management board/committee of your organisation. 32 4 The Co-applicant(s) 33 Identity. . Profile. 34 5 AFFILIATED ENTITY(ies) participating in the action. 35 Description of the affiliated entity(ies) 35 ÂAffiliated entity(ies)'s Statement . Mandate. 37 Affiliated entity(ies)'s Statement 38 6 Associates of the applicant participating in the action. 39 7 Checklist for the full application form.. 40 8 Declaration by the applicant 43 9 Assessment grid FOR the full application form.. 44 Part B. Full Application Form Date: 2015-12-17; view: 1185
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