Fax: E-mail address: Website: 1.2.3 CONTACT PERSON RESPONSIBLE FOR THE PROPOSAL Family name: First Name: Position/Function: Telephone: Mobile: Fax: E-mail address: 1.2.4 LEGAL REPRESENTATIVE Family name: First Name: Position/Function/|Mandate: Telephone: Mobile: Fax: E-mail address: 1.2.5 PROFILE OF THE APPLICANT GENERAL AIMS AND ACTIVITIES — [Year of foundation]: The entity shall state his legal status by ticking one or several options Public body International Organisation Non-profit making organisation Social Partner Educational and training establishment Research Centre/Institute Others (please specify) SME Natural Persons Companies other than SMEs The applicant should provide here a description of the organisation/group, including affiliated entities, showing that they are active in the relevant field(s) as indicated in section 6.2.3 of the call for proposals. Where appropriate, include information on membership, with respect to the eligibility criteria indicated in the specific call. 1.2.6 APPLICANT’S STRUCTURE List the organisations and/or natural persons holding capital or shares in the applicant, appropriate specifying the proportion held (insert rows if necessary) Organisation/Natural person Proportion held 1.2.7 APPLICANT’S MANAGEMENT List the members of the applicant’s administrative or equivalent body, specifying their profession and position (insert rows if necessary)
Fax: E-mail address: Website: 1.2.3 CONTACT PERSON RESPONSIBLE FOR THE PROPOSAL Family name: First Name: Position/Function: Telephone: Mobile: Fax: E-mail address: 1.2.4 LEGAL REPRESENTATIVE Family name: First Name: Position/Function/|Mandate: Telephone: Mobile: Fax: E-mail address: 1.2.5 PROFILE OF THE APPLICANT — GENERAL AIMS AND ACTIVITIES [Year of foundation]: The entity shall state his legal status by ticking one or several options Public body International Organisation Non-profit making organisation Social Partner Educational and training establishment Research Centre/Institute Others (please specify) SME Natural Persons Companies other than SMEs The applicant should provide here a description of the organisation/group, including affiliated entities, showing that they are active in the relevant field(s) as indicated in section 6.2.3 of the call for proposals. Where appropriate, include information on membership, with respect to the eligibility criteria indicated in the specific call. 1.2.6 APPLICANT’S STRUCTURE List the organisations and/or natural persons holding capital or shares in the applicant, appropriate specifying the proportion held (insert rows if necessary) Organisation/Natural person Proportion held 1.2.7 APPLICANT’S MANAGEMENT List the members of the applicant’s administrative or equivalent body, specifying their profession and position (insert rows if necessary)
2017-1.2.1.1-grant_application_form.docx