-
8/22/2019 Part 3. 2013AZE
1/3
Part A: IDENTIFICATION OF THE PROMOTER
Promoter
Role in the application Promoter (PROM)
Promoters legal name (nationallanguage)
Promoters legal name (latincharacters)
Acronym, if applicable
National ID number, if applicable
Department, if applicable
Legal address
Postal code
City
Country
Region
Web site
Email
Telephone
Fax
Person authorised to legally commit the promoter (legal
respresentative)
Title
Family name
First name
Position
Email
Same address as the organisation
Telephone
Fax
Person responsible for the implementation of the action (contact
person)
Title
Family name
First name
Position
Email
Same address as the organisation
Telephone
Fax
1/3
-
8/22/2019 Part 3. 2013AZE
2/3
PART B. PROFILE OF THE PROMOTER
Status Private (PR) Public (PB)
Type Non profit/non governmentalorganisation (NFP-NGO)
Informal group of young people (NFP- IGYP)
Body active at Europeanlevel in the youth field (NFP-ENGYO)
Activity level Local (L) Regional (R) National (N) European
(E)
International (I)
Objectives and activities of the promoter
Please provide a short presentation of your organisation/group
(usual activities, affiliations, etc.) inrelation to the field
covered by the project.
Please describe the role of your organisation/group in the
project.
Other community funding
Please give information about any type of Community grant your
organsiation/group hasreceived/applied for in the last financial
year.
Programme or initiative Identification/contractnumber
Contracting promoter Title of the project
2/3
-
8/22/2019 Part 3. 2013AZE
3/3
Preliminary agreement of the partner (To be completed and signed
in the paper form)
I, the undersigned, on behalf of
Ireli Public Union
confirm our participation in each stage of the project (repeat
the title of the project as stated in Part I):FIRST AID AND
DISASTER MANAGEMENT
I declare having reached an agreement with all the promoters
involved in the project with regard tothe share of EU grant my
organisation/group is entitled to receive in order to implement the
project.
Furthermore, I confirm my undertaking to ensure visibility of
the European Union support for theproject and to ensure
dissemination and exploitation of its results.
Name in capital letters:
Place:
Date:
Signature:
Please find below the translation of the section above in the
language of this applicationform.Daha iyi anlalmas iin, yukardaki
blmn Trke evirisini aada bulabilirsiniz.
Ortan n anlama formu (kt formatnda imzalanmal ve
doldurulmaldr)
Aada imzas olan ben
. (Ortan Ad)
adna aada ismi yer alan projenin her aamasna katlacamz taahht
ederim.
... (Projenin Ad)
Projeyi uygulamak zere kuruluuma/grubuma verilen AB hibesinin
paylam konusunda projedeyeralan tm ortaklarla birlikte anlamaya
varm olduumu beyan ederim.
Kuruluumun/grubumun, bu proje iin baka bir Ulusal Ajans'a ya da
Yrtme Ajans'na fon temin
etmek zere bavuruda bulunmadn taahht ederim.Ayrca, proje iin
Avrupa Birlii tarafndan verilen destei grnebilir klmay ve proje
sonularnyaygnlatrmay ve kullanmay taahht ederim.
Byk harflerle Ad Soyad:
Yer:
Tarih:
mza:
3/3
