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Application Form

4thCall for proposal

1. Project Identification

1.1. Main data

Call for proposal ID Project acronym

Project title

Application ID

Priority

Areas of Intervention

1.2.Project summary

Project Lead Partner (official name in English)

Lead Partner’s country

1.3. Financial summary

Total budget 0.00 EUR

Requested ERDF contribution

0.00 EUR ERDF contribution rate

85.00 %

Requested IPA contribution 0.00 EUR IPA contribution rate

85.00 %

Requested ENPI contribution 0.00 EUR ENPI contribution rate

90.00 %

10% flexibility rule (amount) 0.00 EUR 10% flexibility rule (%/ERDF total budget)

0.00 %

20% flexibility rule (amount) 0.00 EUR 20% flexibility rule (%/ERDF total budget)

0.00 %

1.4. Project duration

From month/year To month/year

Duration

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Document reg. no.:000000000

2. Partnership

2.1. Project partners (calculation: All financing partners and ASPs)

Number of partners

Total number of Project Partners

2.2. List of Project Partners

Partner role Official name in English Abbreviation Country

LP

ERDF PP1

ERDF 20% PP1

IPA PP1

ENPI PP 1

EU ASP1

20% ASP1

10% ASP1

Observer 1

2.3. Description of the Partnership

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2.4. Project parners data

2.4.1 LP

2.4.1.1. Legal Identification Data

Official name in English

Full name in original language

Abbreviation Country

NUTS II Region NUTS III Region

Type of institution

Legal status

National tax number

Official address

Phone Mobile

Fax e-mail

Homepage

Legal representative

Name of the legal representative

Position of legal representative

Phone Mobile

Fax e-mail

Contact Person

Name of contact person in project

Position of contact person in project

Phone Mobile

Fax e-mail

2.4.1.3. Geographic scope of the LP activities

2.4.1.4. Relevance of the proposed LP in this project (thematic competence)

2.4.1.5. Description of the LP previous experience and resources available to ensure a proper management of international

partnership

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SEE Programme Document reg. no.:

2.4.1.6. Description of previous participation to other relevant EU funded projects

2.4. 1.7. Overview of the LP’s budget

ERDF Contribution State Contribution Other Public Contribution

Own Public Contribution

Total eligible budget

EUR % EUR % EUR % EUR % EUR

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Revenues generated by the LP

Amount: 0.00

Activities of the LP partner in non-EU countries of the Programme Area

Amount Rate

Description and location of the activities implemented by applying the 10% flexibility rule

Sponsored 10% ASP

Beneficiary partner

Amount Rate


Sponsored 20% ASP

Beneficiary partner

Amount Rate 0.00


Sponsored EU ASP

Beneficiary partner

Amount Rate

Description and location of the activities

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2.4.2 ERDF PP1






Type of institution

Legal status

National tax number

Official address

Phone Mobile

Fax e-mail

Homepage




Phone Mobile

Fax e-mail

Contact Person



Phone Mobile

Fax e-mail

2.4.2.3. Geographic scope of the ERDF PP1 activities

2.4.2.4. Relevance of the proposed ERDF PP1 in this project (thematic competence)

2.4.2.5. Description of previous participation in other relevant EU funded projects

2.4. 2.6. Overview of the ERDF PP1’s budget





0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

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Revenues generated by the project Amount: 0.00

Activities of the ERDF PP1 in non-EU countries of the Programme Area

Amount 0.00 Rate 0.00


Sponsored 10% ASP

Beneficiary partner

Amount Rate


Sponsored 20% ASP

Beneficiary partner

Amount Rate 0.00


Sponsored EU ASP

Beneficiary partner

Amount Rate

Description and location of the activities

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2.4.3 ERDF 20% PP1






Type of institution

Legal status

National tax number

Official address

Phone Mobile

Fax e-mail

Homepage




Phone Mobile

Fax e-mail

Contact Person



Phone Mobile

Fax e-mail

2.4.3.3. Geographic scope of the ERDF 20% PP1 activities

2.4.3.4. Relevance of the proposed ERDF 20% PP1 in this project (thematic competence)


2.4. 3.6. Overview of the ERDF 20% PP1’s budget





0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

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Revenues generated by ERDF 20% PP1 Amount: 0.00

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2.4.4 IPA PP1






Type of institution

Legal status

National tax number

Official address

Phone Mobile

Fax e-mail

Homepage




Phone Mobile

Fax e-mail

Contact Person



Phone Mobile

Fax e-mail

2.4.4.3. Geographic scope of the IPA PP1 activities

2.4.4.4. Relevance of the proposed IPA PP1 in this project (thematic competence)


2.4. 4.6. Overview of the IPA PP1 budget

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IPA Contribution State Contribution Other Public Contribution




0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Revenues generated by the project Amount: 0.00

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2.4.4 ENPI PP1






Type of institution

Legal status

National tax number

Official address

Phone Mobile

Fax e-mail

Homepage




Phone Mobile

Fax e-mail

Contact Person



Phone Mobile

Fax e-mail

2.4.4.3. Geographic scope of the ENPI PP1 activities

2.4.4.4. Relevance of the proposed ENPI PP1 in this project (thematic competence)


2.4. 4.6. Overview of the ENPI PP1’s budget

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ENPI Contribution State Contribution Other Public Contribution Own Contribution Total eligible budget


0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

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2.4.5 EU ASP1






Type of institution

Legal status

National tax number

Official address

Phone Mobile

Fax e-mail

Homepage




Phone Mobile

Fax e-mail

Contact Person



Phone Mobile

Fax e-mail

2.4.5.3. Geographic scope of the EU ASP1 activities

2.4.5.4. Relevance of the proposed EU ASP1 in this project (thematic competence)

2.4.5.5. Description of the involvement of the partner in the project

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2.4.6 20% ASP1






Type of institution

Legal status

National tax number

Official address

Phone Mobile

Fax e-mail

Homepage




Phone Mobile

Fax e-mail

Contact Person



Phone Mobile

Fax e-mail

2.4.6.3. Geographic scope of the 20% ASP1 activities

2.4.6.4. Relevance of the proposed 20% ASP1 in this project (thematic competence)

2.4.6.5. Description on the involvement of the partner in the project

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2.4.7 10% PP1






Type of institution

Legal status

National tax number

Official address

Phone Mobile

Fax e-mail

Homepage




Phone Mobile

Fax e-mail

Contact Person



Phone Mobile

Fax e-mail

2.4.7.3. Geographic scope of the 10% PP1 activities

2.4.7.4. Relevance of the proposed 10% PP1 in this project (thematic competence)


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2.4.7 Observer PP1






Type of institution

Legal status

National tax number

Official address

Phone Mobile

Fax e-mail

Homepage




Phone Mobile

Fax e-mail

Contact Person



Phone Mobile

Fax e-mail

2.4.7.3. Geographic scope of Observer PP1 activities

2.4.7.4. Relevance of the proposed Observer PP1 in this project (thematic competence)


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3. Project description

3.1. Project background

Description of the project background, specifically for each one of the partners involved and the entire project area. Explanation on the

problem relevance for the whole SEE Programme area

3.2. Problem or challenge to be addressed

Please explain the specific problems and challenges that the project wants to tackle and how the involved territories represent the best

territorial framework for it, within the SEE Programme area.

3.3. Objectives of the project

Please, explain the main and specific objectives of the project in relation to the mentioned problems and/or challenges.

3.4. Methodological approach

Please, describe the sequence and the combination of the project activities that will lead to reach the planned outputs and results.

3.5. Transnational approach

Please, explain the transnational value added of the project how it will be achieved. Please clarify why transnational cooperation is

necessary for tackling the detected problems and challenges.

3.6. Expected outcomes and durability

Please describe the main results of the project and the positive impact it will have in the long run

3.7. Target groups/ stakeholders involvement

Please, indicate the key stakeholders and target groups and explain how their involvement in the project as well as their uptake of

project deliverables will be ensured.

3.8. Capitalisation of results

Please, describe the specific results of topic-related previously implemented projects or initiatives, which will be taken into account

3.9. Possible internal or external constraints during and after project implementation and solutions foreseen (example:

prefinancing and cofinancing problems, delays in starting up the activities, partners withdrawing…)

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3.10. Contribution to the Community Cohesion Policy and the Programme's overall objective/strategy

3.11. Contribution to the specific objective of the Programme's selected Priority and AoI

3.12. Consistency of the project with EU horizontal policy on environmental sustainability

Environmental sustainability

Description

3.13. Consistency of the project with EU horizontal policy on equal opportunities and non-discrimination

Equal opportunities

Description

3.14. Level of joint cooperationThe potential beneficiaries will cooperate in at least two of the following ways:

Joint development of the project’s idea Explanation

Joint implementation of the activities

Joint staffing

Joint financing

3.15. Innovative character

Please describe which are its innovative elements in terms of focus, methodology, approach and in the territories that the project brings

in tackling the problems described, compared to previous initiatives in this direction and how it avoids duplication of previous initiatives

3.16. Synergies with other policies, programmes and projects

Please describe how the project is synergic with other policies, programmes, projects, but also relevant network and actors, to ensure

coordination and impact of the results and to avoid duplication with current initiatives

3.17. Consistency with the local, regional and national policies of the involved partners

Please explain how the project takes into consideration each partner country’s relevant local, regional and national policies

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4. Work packages and activities

4.0. wp0 – Preparation activities

4.0.1.Work Package Main Data

Title Preparation activities

Responsible Partner

WP Total 0.00 EURWP Total ERDF partners 0.00 EUR

WP Total IPA partners 0.00 EUR

4.0.2. Description

4.0.3. Activities of ERDF & IPA partners

act 0.1

Title

Timeframe Amount 0.00 EUR

Description of the activity

Role of each partner

Geographical location

4.0.4. Qualitative and quantitative description of the outputs and results

Type Description Partner Contributing Partner

Measurement unit Base value Target

valuePeriod of delivery

output 0.00

0.00

result 0.00

0.00

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4.1. wp1 – Transnational project and financial management


Title Transnational project and financial management

Responsible Partner

WP Total including ENPI

partners

0.00 EURWP Total ERDF partners 0.00 EUR


4.1.2. Description


act 1.1

Title





act 1.2

Title





4.1.4. ENPI partners activities in the Work package

act 1.1

Description of ENPI partners activities in the Work package

Role of each ENPI partner

Amount 0.00 EUR

4.1.5. Additional information

Will the activities related to transnational management and coordination be sub-contracted?

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Will the activities related to transnational financial mangament be sub-contracted?

Description of project management:





output 0.00

0.00

result 0.00

0.00

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4.2. wp2 – Communication activities


Title Communication activities

Responsible Partner

WP Total including ENPI partners

0.00 EUR WP Total ERDF partners 0.00 EUR


4.2.2. Description


act 2.1

Title






act 2.1



Amount 0.00 EUR

4.2.5. Additional information

Will the activities related to communication and dissemmination be sub-contracted?





output 0.00

0.00

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4.3. wp3 – Content


Title

Responsible Partner

WP Total including ENPI

partners

0.00 EURWP Total ERDF partners 0.00 EUR


4.3.2. Description


act 3.1

Title






act 3.1



Amount 0.00 EUR





output 0.00

0.00

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5. Project Budget

5.1. Source of co-financing per partners (ERDF + IPA+ENPI)

Partner role and abbreviation

ERDF Contribution IPA Contribution ENPI Contribution State Contribution Other Public Contribution Own Contribution Total PP

Budget

EUR % EUR % EUR % EUR % EUR % EUR % EUR

LP 0.00 0.00 0.00 0.00 0.00 0.

00 0.00 0.00 0.00 0.00 0.00 0.

00 0.00

ERDF PP1 0.00 0.00 0.00 0.00 0.00 0.

00 0.00 0.00 0.00 0.

00 0.00 0.00 0.00

ERDF 20% PP1 0.00 0.00 0.00 0.

00 0.00 0.00 0.00 0.0

0 0.00 0.00 0.00 0.

00 0.00

IPA PP1 0.00

0.00 0.00 00

0 0.00 0.00 0.00 0.00 0.00 0.

00 0.00 0.00 0.00

ENPI PP1 0.00

0.00 0.00 00

0 0.00 0.00 0.00 0.00 0.00 0.

00 0.00 0.00 0.00

Total 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.0

0 0.00 0.00 0.00 0.

00 0.00

5.2. Total project budget per Project Partners and Work Packages

Partner role and abbreviation WP0 WP1 WP2 WP3 WP4 WP5 WP6 WP7 WP8 TOTAL

LP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

ERDF PP1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

ERDF 20% PP1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

WP Totals of ERDF partners 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

IPA PP1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

WP Totals of IPA partners 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

WP Totals of ENPI partners 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

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SEE Programme Document reg. no.: 5.3. Total budget overview for ERDF partners per budget lines and WP

WP0 WP1 WP2 WP3 WP4 WP5 WP6 WP7 WP8 TOTAL

1. Staff 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000 0.00

2. Overheads 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

3. Travel and accommodation costs

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

4. External expertise and services

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

5. Equipment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

6. Small scale investment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

7. Financial charges and guarantee costs

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

5.4. Total spending forecast for ERDF partners per WP and period


period01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

period02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

period03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

period04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

period05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

period06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

TOTAL0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

5.5. Total budget overview for IPA partners per budget lines and WP

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1. Staff 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000 0.00

2. Overheads 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00


0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00


0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

5. Equipment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

6. Small scale investment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00


0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

5.6. Total spending forecast for IPA partners per WP and period


period01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

period02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

period03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

period04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

period05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

period06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

TOTAL0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

5.7. ERDF/ IPA partners’ budgets per budget lines and per WP

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LP WP0 WP1 WP2 WP3 WP4 WP5 WP6 WP7 WP8 TOTAL

1. Staff 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

2. Overheads 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %


0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %


0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

5. Equipment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

6. Small scale investment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %


0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

TOTAL0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

ERDF PP1 WP0 WP1 WP2 WP3 WP4 WP5 WP6 WP7 WP8 TOTAL

1. Staff 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

2. Overheads 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %


0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %


0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

5. Equipment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %



0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

TOTAL0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

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ERDF 20% PP1 WP0 WP1 WP2 WP3 WP4 WP5 WP6 WP7 WP8 TOTAL

1. Staff 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

2. Overheads 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %


0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %


0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

5. Equipment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %



0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

TOTAL0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

IPA PP1 WP0 WP1 WP2 WP3 WP4 WP5 WP6 WP7 WP8 TOTAL

1. Staff 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

2. Overheads 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %


0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %


0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

5. Equipment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %



0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

TOTAL0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

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5.8. ERDF Partners’ spending forecast per WP and per period

LP WP0 WP1 WP2 WP3 WP4 WP5 WP6 WP7 WP8 TOTAL

period01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

period02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

period03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

period04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

period05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

period06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

TOTAL0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,000.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

ERDF PP1 WP0 WP1 WP2 WP3 WP4 WP5 WP6 WP7 WP8 TOTAL

period01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

period02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

period03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

period04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

period05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

period06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

TOTAL0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,000.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

ERDF 20% PP1 WP0 WP1 WP2 WP3 WP4 WP5 WP6 WP7 WP8 TOTAL

period01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

period02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

period03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

period04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

period05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

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period06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

TOTAL0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,000.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

IPA PP1 WP0 WP1 WP2 WP3 WP4 WP5 WP6 WP7 WP8 TOTAL

period01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

period02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

period03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

period04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

period05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

period06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 %

TOTAL0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,000.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

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5.7. Equipments (ERDF + IPA)

WP Description of the equipment Responsible partner Quantity Unit rate AmountEUR

wp 0.00 0.00

WP total 0.00

Total equipments 0.00

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5.8. Small scale investments

Investment name

Responsible partner WP ID

Involved partners

Description

Location

Transnational character of the investment

Financial, institutional and political sustainability of the investment after project's end

Duration (from and to month/year) from to Duration (number of months)

Costs of the investment per partners

Partner role Partner abbreviation Total costs

LP 0.00

ERDF PP 0.00

ERDF 20% PP 0.00

IPA PP 0.00

Total 0.00

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5.10. Project Budget of ENPI partners (to be filled in by ENPI PPs)

ENPI PP 1 All Years 2011 2012 2013Expenses Unit # of

unitsUnit

rate (in EUR)

Costs (in

EUR)

Unit # of units

Unit rate (in EUR)

Costs (in

EUR)

Unit # of units

Unit rate (in EUR)

Costs (in

EUR)

Unit # of units

Unit rate (in EUR)

Costs (in

EUR)1. Human Resources1.1. Salaries (gross amounts, local staff)

0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

1.1.1. Technical Per month

0 0.00 0.00 Per month

0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

1.1.2. Administrative/ support staff

0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

1.2. Salaries (gross amounts, expat/int. staff)

0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

1.3. Per diems for missions/travel

0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

1.3.1. Abroad (staff assigned to the Action)

0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

1.3.2. Local (staff assigned to the Action)

0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

1.3.3. Seminar/conference participants

0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

Subtotal 1. Human Resources

0.00 0.00 0.00 0.00

2. Travel2.1. International travel 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.002.2. Local transportation 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00Subtotal 2. Travel 0.00 0.00 0.00 0.003. Equipment and supplies3.1. Purchase or rent of vehicles

0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

3.2. Furniture, computer equipment

N/A 0 0.00 0.00 N/A 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

3.3. Machines and tools 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.003.4. Spare parts/equipment for machines, tools

0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

3.5. Other (please specify)

0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

Subtotal 3. Equipment and supplies

0.00 0.00 0.00 0.00

4. Local office4.1. Vehicle costs 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.004.2. Office rent 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

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SEE Programme Document reg. no.: 4.3. Consumables - office supplies

0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

4.4. Other services (tel/fax, electricity/heating, maintenance)

0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

Subtotal 4. Local office 0.00 0.00 0.00 0.005. Other costs, services5.1. Publications 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.005.2. Studies, research 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.005.3. Auditing costs 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.005.4. Evaluation costs 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.005.5. Translation, interpreters

0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

5.6. Financial services (bank guarantee costs etc.)

0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

5.7. Costs of conferences/seminars

0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

5.8. Visibility actions 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00Subtotal 5. Other costs, services

0.00 0.00 0.00 0.00

6. Other6.1. Other (Please specify)

0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

Subtotal 6. Other 0.00 0.00 0.00 0.007. Total direct eligible costs of the Action (1-6)8. Administrative costs9. Total eligible costs (7+8)

0.00 0.00 0.00 0.00

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6. Timeplan

Activities 2012 2013

Janu

ary

Febr

uary

Mar

ch

Apr

il

May

June

July

Aug

ust

Sept

embe

r

Oct

ober

Nov

embe

r

Dec

embe

r

Janu

ary

Febr

uary

Mar

ch

Apr

il

May

June

July

Aug

ust

Sept

embe

r

Oct

ober

Nov

embe

r

Dec

embe

r

act 0.1

act 1.1

act 1.2

act 2.1

act 3.1

Activities 2014 2015

This document has been generated automatically based on the data recorded until 08/06/2010 1:36 PM

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Janu

ary

Febr

uary

Mar

ch

Apr

il

May

June

July

Aug

ust

Sept

embe

r

Oct

ober

Nov

embe

r

Dec

embe

r

Janu

ary

Febr

uary

Mar

ch

Apr

il

May

June

July

Aug

ust

Sept

embe

r

Oct

ober

Nov

embe

r

Dec

embe

r

act 0.1

act 1.1

act 1.2

act 2.1

act 3.1


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7. Indicators

7.1. Output

Description Type Mandatory Measurement unit Base value Target value

Indicators

01. No of articles/appearances published in the press and in other media (including online media, TV, radio)

output No no. 0.00 0.00

02. No of press conferences output No no. 0.00 0.00

03. Average of hits per month on the project?s website


04. No of publications produced (editions, specify: e.g. folder, newsletter, brochure, report, guideline, handbook), No of copies disseminated


05. No of transnational events implemented, no of participants involved


06. No of national events implemented, no of participants involved


07. No of regional events implemented, no of participants involved


08. No of study visits organised, no of participants involved


09. No of studies produced output No no. 0.00 0.00

10. No of guidelines produced output No no. 0.00 0.00

11. No of management plans developed


12. No of joint action plans produced


13. No of databases created or improved


14. No of training events, seminars organised


15. No of participants involved in trainings and seminars


16. No of individuals that participated in exchange schemes


17. No of promotion concepts output No no. 0.00 0.00

18. No of promotion actions output No no. 0.00 0.00

19. No of services developed output No no. 0.00 0.00

20. No of small scale infrastructure projects


21. No of person in charge for administration of projects


22. No of project meetings held output No no. 0.00 0.00

Project specific indicators

7.2. Result


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Indicators

01. No of permanent information sources / channels in project (e.g. websites, regular publications)

result No no. 0.00 0.00

02. No of individuals reached directly through dissemination outputs in the co-operation area


03. No of administrative actors reached directly through dissemination outputs in the co-operation area


04. No of private sector actors reached directly through dissemination outputs in the co-operation area


05. No of SME reached directly through dissemination outputs in the co-operation area


06. No of advanced tools and methodologies adopted to increase the projects visibility among experts and wider communities, the public (additionally description necessary)


07. No of common positions / agreements formulated


08. No of common methodologies adopted


09. No of strategies adopted at governmental level


10. No of innovative products developed


11. No of regional/local policies and instruments improved or developed


12. No of common standards established (e.g. through new guidelines)


13. No of new tools / instruments developed


14. No of impact studies on environmental issues carried out (e.g. in pre-investment projects)


15. No of pilot actions prepared (first application)


16. No of pilot actions implemented (first application)


17. No permanent exchange programmes established


18. No of staff members with increased capacity (awareness / knowledge / skills)


19. No of advanced tools and methodologies adopted to improve knowledge management within the partnership (additionally description necessary)


20. No of regions proactively promoted


21. No of common management structures / systems established



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22. No of individuals benefiting directly from new / improved services


23. No of investment proposals developed (if possible specify volume of investment)


24. No of private market reactions achieved (e.g. private activities mobilized)


25. No of investment projects implemented (specify volume of investment)


26. No of infrastructures of common interest improved


27. No of successfully implemented projects


Project specific indicators

0.00 0.00


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8. Other Data

8.1. Codes for the Priority Theme Dimension

8.2. Keywords


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9. Checklist

Check Fulfilled (YES/NO)


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10. Annexes

Code Name Mandatory Channel Attached/Sent Piece


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