Professional Documents
Culture Documents
APPLICATION FORM
Application reference: VP/2014/001/0153
Form incomplete
This form as such is not finished and, consequently, not admissible.
To finalise the form, you must:
1.
2.
3.
Eventually, you will be able to print the finished form from which the watermark "NOT VALID"
will have disappeared.
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Applicant
A: Applicant
A.1: Applicant organisation
A.1.1 Name of the organisation......
A.1.2
Abbreviation.....................
A.1.3
Departments.....................
Address...........................
A.1.6
Postal code.......................
A.1.7
City................................
A.1.8
Country...........................
A.1.9
Telephone........................
A.1.10
Fax...............................
Web site.........................
Title................................
A.2.2
Surname..........................
A.2.3
Forename.........................
A.2.4
Gender............................
A.2.5
Function..........................
Telephone........................
A.2.8
Fax.................................
Title................................
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A.3.2
Surname..........................
A.3.3
Forename.........................
A.3.4
Gender............................
A.3.5
Function..........................
Telephone........................
A.3.8
Fax.................................
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Co-Applicants
B: Co-Applicants involved in the action
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Affiliated Entities
C: Affiliated Entities
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Action
E: Information on the action for which the grant is requested
E.1
Title..................................
Duration of activities
E.4.1
Start................................
E.4.2
End ................................
E.4.3
Months............................ 0.00
Workplan............................
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Annexes
F: Annexes
F.1 Detailed work programme........
F.2 Letters of commitment for third
parties......................................
F.3 Contracts for implementing the
action.......................................
F.4 Supplementary space for
additional documents (if needed).....
F.5 Supplementary space for
additional documents (if needed).....
F.6 Supplementary space for
additional documents (if needed).....
F.7 Supplementary space for
additional documents (if needed).....
F.8 Budget Explanation................
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Budget
Total cost of the action
0.00
0.00
0.00
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0.00
Heading 5 - Overheads
Total overheads............................................................................................ ............................... 0.00
Error!
Income
Error!
Income
Total contribution in cash................................................................................ ............................. Error!
Revenue generated by the action................................................................... .....................................
Union Grant................................................................................................... ............................. Error!
Total Income................................................................................................. ............................ Error!
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Heading 5 - Overheads
Applicant's overheads [ No data entered ]
Total............................................................................................................... .............................................. 0.00
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Heading 6 - Income
Total Income (T) ........................................................................................................ Error!
Revenue generated by the action (R).................................................................................................
Union grant (S = T - C - R)................................................................... ..................................... Error!
Total contribution in cash (C = C1 + C2 + C3).................................... ..................................... Error!
Applicant's contribution (C1).................................................. .....................................................................
Co-applicants' contribution (C2) [ No data entered ]
Please, be aware that the contribution of a co-applicant has to include the amount of its affiliated entities participating in this action
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Error!
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Signature
H: Signature of the legal representative
Warning : Failure to sign by the lead applicant, will entail the Commission to automatically reject the application.
H.1
Name
H.2
H.3
Signature
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