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## 1 SUBMITTED by (i.e. the identity of the Tenderer) 

<img src='content_image/482626.jpg'>

## 2 CONTACT PERSON (for this tender) 

<img src='content_image/482627.jpg'>

## 3 ECONOMIC AND FINANCIAL CAPACITY $^{3}$ 

Please complete the following table of financial data 4 based on your annual accounts and your latest projections. If annual accounts are not yet available for this year or last year, please provide your latest estimates, clearly identifying estimated figures in italics. Figures in all columns must be on the same basis to allow a direct, year-on-year comparison to be made (or, if the basis has changed, an explanation of the change must be provided as a footnote to the table). Any clarification or explanation which is judged necessary may also be provided. In case of applicant being a public body, equivalent information should be provided. 

<img src='content_image/482628.jpg'>

