ANNEX 2 Anonymous copy of Masters diploma issued 3 Cost declaration for "students with special needs" (if more than one recipient, please use a separate declaration form for each recipient) Name and Acronym of the EMMC: FPA number: SGA number: Name of "special needs" recipient: Type of cost as listed in the Real cost incurred by Maximum amount covered by of SGA (e.g. therapy/ recipient/ project for the special needs grant (75% medication/equipment/etc.) special needs of eligible real costs incurred) EU funding for special needs Signature of the beneficiary's legal representative* Name and position (in capital letters): Date: Signature and stamp of institution:
ANNEX 2 Anonymous copy of Masters diploma issued 3 Cost declaration for "students with special needs" (if more than one recipient, please use a separate declaration form for each recipient) Name and Acronym of the EMMC: FPA number: SGA number: Name of "special needs" recipient: Type of cost as listed in the of SGA (e.g. therapy/ medication/equipment/etc.) Real cost incurred by recipient/ project for special needs Maximum amount covered by the special needs grant (75% of eligible real costs incurred) EU funding for special needs Signature of the beneficiary's legal representative* Name and position (in capital letters): Date: Signature and stamp of institution:
emmc_sga_second_pre-financing_request_and_final_report_version_feb_2018.docx