Contracting Authority: European Union Office in Kosovo*Civil society grant scheme for the NorthGrant Application FormBudget line: BGUE-B2013-22.020200-C1-ELARG DELKOS Reference: EuropeAid13!-0!3DDAC"#KDe$dline %or &u'(i&&ion o% )on)ept note&: 1* +une 201,- 1*.00.r&"o redu)e e/pen&e $nd 0$&te- 0e &trongl1 re)o((end t.$t 1ou u&e onl1 p$per %or 1our %ile 2no pl$&ti)%older& or di3ider&4. 5le$&e $l&o u&e dou'le-&ided printing i% po&&i'le"itle o% t.e $)tion:Lo)$tion2&4 o% t.e $)tion:

6$(e o% t.e $ppli)$nt6$tion$lit1 o% t.e $ppli)$nt

7".i& de&ign$tion i& 0it.out pre8udi)e to po&ition& on &t$tu&- $nd i& in line 0it. U6SCR 1299 $nd t.e :;+ Opinion on t.e Ko&o3o De)l$r$tion o% :ndependen)e.1An org$ni&$tion9,>3.do)Content&$AR& A. CONCE$& NO&E................................................................................................5 /nstructions for %rafting the concept note.............................................................................01.1. Su(($r1 o% t.e $)tion.................................................................................................................. ,1.2. De&)ription o% t.e $)tion 2($/ 1 p$ge4.........................................................................................*1.3. Rele3$n)e o% t.e $)tion 2($/ 3 p$ge&4.........................................................................................*! Chec1list for the concept note................................................................................................23 4eclaration 'y the applicant for &5E concept note..........................................................."# Assessment gri% for the concept note...................................................................................$AR& 6. FU77 A$$7/CA&/ON FOR8...........................................................................12 General information..............................................................................................................!! &he action...............................................................................................................................32.1. De&)ription o% t.e A)tion............................................................................................................132.3. A%%ili$ted entit12ie&4e/perien)e 2i% $ppli)$'le4.........................................................................1>3 &he applicant..........................................................................................................................!"3.1. :dentit1....................................................................................................................................... 203.2. 5ro%ile......................................................................................................................................... 213.3. C$p$)it1 to ($n$ge $nd i(ple(ent $)tion&................................................................................2>3.9. Li&t o% t.e ($n$ge(ent 'o$rd)o((ittee o% 1our org$ni&$tion..................................................31# &he Co,applicant9s:...............................................................................................................3!9.1. C$p$)it1 to ($n$ge $nd i(ple(ent $)tion&................................................................................339.2. E/perien)e '1 &e)tor................................................................................................................... 330 AFF/7/A&E4 EN&/&;9ies: participating in the action....................................................3 Assessment gri% FOR the full application form.................................................................#0!"# 5$ge , o% 9*5$ge , o% 9*2!=1>9,>3.do)$AR& A. CONCE$& NO&E.. INSTRUCTIONS FOR DRAFTING THE CONCEPT NOTE5le$&e note t.$t i% t.i& i& $ re&tri)ted )$ll- onl1 t.e )on)ept note &.ould 'e &u'(itted in t.e %ir&t &t$ge 2no%ull $ppli)$tion4. :% t.i& i& $n open )$ll- 'ot. t.e )on)ept note $nd t.e %ull $ppli)$tion &.$ll 'e &u'(itted $tt.e &$(e ti(e. ".ere i& no &pe)i%i) te(pl$te %or t.e Con)ept 6ote 'ut t.e $ppli)$nt (u&t en&ure t.$t t.e te/t: doe&not e/)eed,%ull p$ge&2A9&iKe4 o% Ari$l 10).$r$)ter&0it.2)(($rgin&- &ingleline&p$)ingB pro3ide& t.e in%or($tion reFue&ted under t.e .e$ding& 'elo0- in t.e order in 0.i). it i& reFue&ted-$nd in proportion to it& rel$ti3e i(port$n)e 2&ee t.e rele3$nt &)ore& &et out in t.e e3$lu$tion grid$nd in t.e Guideline&4B pro3ide& %ull in%or($tion 2$& t.e e3$lu$tion grid 0ill 'e $pplied &olel1 on t.e in%or($tion in t.e)on)ept note4B i& dr$%ted $& )le$rl1 $& po&&i'le to en$'le it to 'e e3$lu$ted.1.1.1. ?U88AR; OF &5E AC&/ON=5le$&e )o(plete t.e t$'le 'elo0- 0.i). &.ould not e/)eed 1 p$ge."itle o% t.e $)tion:Lo)$tion2&4 o% t.e $)tion: Q specify country(ies), region(s) that will benefit from the action6ort. Ko&o3o R 6ort. Hitro3i)$"ot$l dur$tion o% t.e $)tion 2months4:EU %in$n)ing reFue&ted 2$(ount4SEUR / currency of the Contracting Authority TEU %in$n)ing reFue&ted $& $ per)ent$geo%tot$l 'udget o% t.e A)tion 2indi)$ti3e4 U O'8e)ti3e& o% t.e $)tion S!erall ob"ecti!e(s)TS#pecific ob"ecti!e(s)T"$rget group2&4>?in$l 'ene%i)i$rie&=E&ti($ted re&ult&H$in $)ti3itie&!Co3er p$ge $& per te(pl$te in p$ge 1 &.ould 'e $tt$).ed $& 0ell>V"$rget group&W $re t.e group&entitie& 0.o 0ill dire)tl1 'ene%it %ro( t.e $)tion $t t.e $)tion purpo&e le3el.=V?in$l 'ene%i)i$rie&W $re t.o&e 0.o 0ill 'ene%it %ro( t.e $)tion in t.e long ter( $t t.e le3el o% t.e &o)iet1 or&e)tor $t l$rge.!"# 5$ge * o% 9*5$ge * o% 9*2!=1>9,>3.do)..!. 4E?CR/$&/ON OF &5E AC&/ON 98A@$AGE:5le$&e pro3ide $ll t.e %ollo0ing in%or($tion:Gi3e t.e '$)Lground to t.e prep$r$tion o% t.e $)tion.E/pl$in t.e o'8e)ti3e& o% t.e $)tion gi3en in t.e t$'le in Se)tion 1.1.De&)ri'e t.e Le1 &t$Le.older group&- t.eir $ttitude& to0$rd& t.e $)tion $nd $n1 )on&ult$tion& .eld 0it.t.e(.Brie%l1 &t$te t.e t1pe o% $)ti3itie& propo&ed $nd &pe)i%1 rel$ted output& $nd re&ult&- in)luding $ de&)riptiono% linL$ge&rel$tion&.ip& 'et0een $)ti3it1 )lu&ter&.St$te t.e 'ro$d ti(e%r$(e %or t.e $)tion $nd de&)ri'e $n1 &pe)i%i) %$)tor t.$t .$& 'een t$Len into $))ount...3. RE7EAANCE OF &5E AC&/ON 98A@ 3 $AGE?:..3.. Relevance to the o'BectivesCsectorsCthemesCspecific priorities of the call for proposals5le$&e pro3ide $ll t.e %ollo0ing in%or($tion:De&)ri'e t.e rele3$n)e o% t.e $)tion to t.e o'8e)ti3e2&4 $nd priorit1 2ie&4 o% t.e )$ll %or propo&$l&.De&)ri'et.erele3$n)eo% t.e$)tionto$n1&pe)i%i)&u't.e(e&&e)tor&$re$& $nd$n1ot.er &pe)i%i)reFuire(ent& &t$ted in t.e Guideline& %or t.e )$ll- e.g. lo)$l o0ner&.ip et).De&)ri'e 0.i). p$rti)ul$r e/pe)ted re&ult& re%erred to in t.e Guideline& %or t.e )$ll 0ill 'e $ddre&&ed.6B: :n e/)eption$l )$&e& 0.ere it i& i(po&&i'le to in3ol3e n$tion$l org$ni&$tion&10 %ro( t.e t$rget )ountr1'e)$u&e o% t.e p$rti)ul$r &itu$tion in t.$t )ountr1- t.e $ppli)$nt (u&t pro3ide e/pl$n$tion&- 0.i). 0ill 'ee/$(ined 0.en $ppl1ing )riterion 1.1 o% t.e e3$lu$tion grid to t.e Con)ept 6ote...3.!. Relevance to the particular nee%s an% constraints of the target countryCcountries+ region9s: an%Cor relevant sectors 9inclu%ing synergy -ith other EU initiatives an% avoi%ance of %uplication:5le$&e pro3ide all t.e %ollo0ing in%or($tion:St$te)le$rl1t.e&pe)i%i)pre-pro8e)t &itu$tionint.et$rget )ountr1)ountrie&- region2&4$ndor&e)tor&2in)lude Fu$nti%ied d$t$ $n$l1&i& 0.ere po&&i'le4.5ro3ide $ det$iled $n$l1&i& o% t.e pro'le(& to 'e $ddre&&ed '1 t.e $)tion $nd .o0 t.e1 $re interrel$ted $t$ll le3el&.Re%er to $n1 &igni%i)$nt pl$n& undert$Len $t n$tion$l- region$l $ndor lo)$l le3el rele3$nt to t.e $)tion $ndde&)ri'e .o0 t.e $)tion 0ill rel$te to &u). pl$n&.D.ere t.e $)tion i& t.e )ontinu$tion o% $ pre3iou& $)tion- )le$rl1 indi)$te .o0 it i& intended to 'uild ont.e $)ti3itie&re&ult& o% t.i& pre3iou& $)tionB re%er to t.e ($in )on)lu&ion& $nd re)o((end$tion& o% $n1e3$lu$tion& )$rried out.D.ere t.e $)tion i& p$rt o% $ l$rger progr$((e-)le$rl1 e/pl$in .o0 it %it& or i& )oordin$ted 0it. t.$tprogr$((e or $n1ot.er pl$nnedpro8e)t. Spe)i%1t.e potenti$l &1nergie& 0it.ot.er initi$ti3e&- inp$rti)ul$r '1 t.e Europe$n Co((i&&ion...3.3. 4escri'e an% %efine the target groups an% final 'eneficiaries+ their nee%s an% constraints+ an% state ho- the action -ill a%%ress these nee%s5le$&e pro3ide $ll t.e %ollo0ing in%or($tion:Gi3e$de&)riptiono% e$).o% t.et$rget group& $nd%in$l 'ene%i)i$rie& 2Fu$nti%ied0.erepo&&i'le4-in)luding &ele)tion )riteri$.10See %ootnote 1.!"# 5$ge ! o% 9*5$ge ! o% 9*2!=1>9,>3.do):denti%1 t.e need& $nd )on&tr$int& o% e$). o% t.e t$rget group& $nd %in$l 'ene%i)i$rie&.De(on&tr$tet.erele3$n)eo%t.epropo&$ltot.eneed&$nd)on&tr$int&o%t.et$rgetgroup&$nd%in$l'ene%i)i$rie&.E/pl$in $n1 p$rti)ip$tor1 pro)e&& en&uring p$rti)ip$tion '1 t.e t$rget group& $nd %in$l 'ene%i)i$rie&...3.#. $articular a%%e%,value elements:ndi)$te $n1 &pe)i%i) $dded-3$lue ele(ent&- e.g. t.e pro(otion or )on&olid$tion o% pu'li)-pri3$tep$rtner&.ip&- inno3$tion$nd'e&t pr$)ti)e- orot.er)ro&&-)uttingi&&ue&&u).$&en3iron(ent$l i&&ue&-pro(otiono% gender eFu$lit1$ndeFu$l opportunitie&- t.e need& o% di&$'ledpeople- t.e rig.t& o%(inoritie& $nd t.e rig.t& o% indigenou& people&.!"# 5$ge > o% 9*5$ge > o% 9*2!=1>9,>3.do).!. CHECKLIST FOR THE CONCEPT NOTEEURO$EA/4C3=,"=3C44CAC&C@K+ C/A/7 ?OC/E&; GRAN& ?C5E8E FOR &5E NOR&5+ 6GUE,6!"3,!!."!"!"",C,E7ARG 4E7KO? A48/N/?&RA&/AE 4A&A "o 'e %illed in '1 t.e $ppli)$ntName of the ApplicantEuropeAi% /4 num'erNationality11CCountry an% %ate of registration127egal Entity File num'er137egal status19Co,applicant 0Name of the co,applicantEuropeAi% /4 num'erNationalityCCountry an% %ate of registration7egal Entity File num'er7egal statusAffiliate% Entity< Name of the Affiliate%,Entity EuropeAi% /4 num'erNationalityCCountry an% %ate of registration7egal status:?pecifyto-hichentityyouareaffiliate%9applicant an%Cor the co,applicant:.?pecify the 1in%of affiliationyouhave-ith that entity.11?or indi3idu$l&.12?or org$ni&$tion&.13:% t.e $ppli)$nt .$& $lre$d1 &igned $ )ontr$)t 0it. t.e Europe$n Co((i&&ion.19E.g. non-pro%it- go3ern(ent$l 'od1- or intern$tion$l org$ni&$tion.1,Add $& ($n1 ro0& $& )o-$ppli)$nt2&41*Add $& ($n1 ro0& $& $%%ili$ted entitie&!"# 5$ge = o% 9*5$ge = o% 9*2!=1>9,>3.do)6EFORE ?EN4/NG ;OUR CONCE$& NO&E+ $7EA?E C5ECK &5A& EAC5 OF &5E CR/&ER/A 6E7O* 5AAE 6EEN 8E& /N FU77 AN4 &/CK &5E8 OFF&ic1 theitems off'elo-&itle of the $roposal: ;es No$AR&9A48/N/?&RA&/AE:. &he /nstructions for the Concept Note have 'een follo-e%. !. &he 4eclaration 'y the Applicant has 'een fille% in an% signe%.3. &he proposal is type% an% is in English.#. One original an% 3 copies are inclu%e%0. An electronic version of the concept note 9C4,Rom: is enclose%.$AR& ! 9E7/G/6/7/&;:9,>3.do)$AR& 6. FU77 A$$7/CA&/ON FOR8only to 'e complete% 'y applicants -ho receive an invitation to su'mit a full proposal 9atthe time of the invitation:"o redu)e e/pen&e $nd 0$&te- 0e &trongl1 re)o((end t.$t 1ou u&e onl1 p$per %or 1our %ile 2no pl$&ti)%older& or di3ider&4. 5le$&e $l&o u&e dou'le-&ided printing i% po&&i'le1 GENERAL INFORMATIONReference of the Call for $roposals Enter EuropeAi$ reference for the Call for %roposals&itle of the Call for $roposals Enter the title of the Call for %roposalsName of the applicantNum'er of the proposal1!&umber&itle of the action7ocation of the action,specify country(ies) region(s) that will benefit from the action1!?or re&tri)ted pro)edure& onl1B 0.en t.e Contr$)ting Aut.orit1 .$& e3$lu$ted t.e Con)ept 6ote it in%or(& t.e$ppli)$nt o% t.e out)o(e $nd $llo)$te& $ propo&$l nu('er.!"# 5$ge 13 o% 9*2!=1>9,>3.do).. THE ACTION 21.1.1. 4E?CR/$&/ON OF &5E AC&/ON.... 4escription 9ma( 3 pages:5ro3ide $ de&)ription o% t.e propo&ed $)tion- in)luding $ll t.e in%or($tion reFue&ted 'elo0- re%erringto t.e o3er$ll o'8e)ti3e2&4 $nd &pe)i%i) o'8e)ti3e2&4- output& $nd re&ult& de&)ri'ed in t.e )on)ept note: E/pl$in t.e &pe)i%i) re&ult& e/pe)ted- &t$ting .o0 t.e $)tion 0ill i(pro3e t.e &itu$tion o% t.e t$rgetgroup& $nd %in$l 'ene%i)i$rie& $nd t.e te).ni)$l $nd ($n$ge(ent )$p$)itie& o% t$rget group& $ndor$n1 lo)$l )o-$ppli)$nt& $nd $%%ili$ted entit12ie&4. :denti%1 $nd de&)ri'e in det$il e$). $)ti3it1 2or 0orL p$)L$ge4 to 'e undert$Len to produ)e re&ult&-8u&ti%1ingt.e).oi)eo%$)ti3itie&$nd&pe)i%1ingt.eroleo%e$).)o-$ppli)$nt2&4$nd$%%ili$tedentit12ie&4 2$nd $&&o)i$te& or )ontr$)tor& or &u'-gr$ntee& 0.ere $ppli)$'le4 in t.e $)ti3itie&. Do notrepe$t t.e $)tion pl$n to 'e pro3ided in Se)tion 2.1.3- 'ut de(on&tr$te )o.eren)e $nd )on&i&ten)1o% pro8e)t de&ign. :n p$rti)ul$r- li&t $n1 pu'li)$tion& propo&ed. :% %in$n)i$l &upport i& $llo0ed'1t.eGuideline& %or Appli)$nt&- $ppli)$nt& 0i&.ingtogi3e%in$n)i$l &upport to t.ird p$rtie& (u&t de%ine- in line 0it. t.e )ondition& &et '1 t.e Guideline& %orAppli)$nt& t.e o'8e)ti3e& $nd re&ult& to 'e o't$ined 0it. %in$n)i$l &upport- t.e di%%erent t1pe& o%$)ti3itie& eligi'le %or %in$n)i$l &upport- on t.e '$&i& o% $ %i/ed li&t- t.e t1pe& o% entit1 eligi'le or)$tegorie& o% per&on& 0.i). ($1 re)ei3e %in$n)i$l &upport- t.e )riteri$ %or &ele)ting t.e&e entitie&$nd gi3ing t.e %in$n)i$l &upport- t.e )riteri$ %or deter(ining t.e e/$)t $(ount o% %in$n)i$l &upport%or e$). t.ird entit1- $nd t.e($/i(u( $(ount 0.i). ($1 'e gi3en. De&)ri'e.ig.lig.t e3entu$l ).$nge& o% t.e in%or($tion pro3ided in t.e )on)ept note....!. 8etho%ology 9ma( 0 pages:De&)ri'e in det$il: t.e (et.od& o% i(ple(ent$tion $nd r$tion$le %or &u). (et.odolog1B 0.ere t.e $)tion )ontinue& $ pre3iou& $)tion- de&)ri'e .o0 t.e $)tion i& intended to 'uild ont.ere&ult&o%t.epre3iou&$)tion2gi3et.e($in)on)lu&ion&$ndre)o((end$tion&o%$n1e3$lu$tion& )$rried out4B 0.ere t.e $)tion i& p$rt o% $ l$rger progr$((e- e/pl$in .o0 it %it& or i& )oordin$ted 0it. t.i&progr$((eor $n1ot.er po&&i'l1pl$nnedpro8e)t 2ple$&e&pe)i%1potenti$l &1nergie&0it.ot.er initi$ti3e&- in p$rti)ul$r '1 t.e Europe$n Union4B t.e pro)edure& %or %ollo0 up $nd intern$le/tern$l e3$lu$tionB t.e role $nd p$rti)ip$tion in t.e $)tion o% t.e 3$riou& $)tor& $nd &t$Le.older& 2)o-$ppli)$nt2&4-$%%ili$tedentit12ie&4- t$rget group&- lo)$l $ut.oritie&- et).4- $ndt.ere$&on&0.1t.e&erole&.$3e 'een $&&igned to t.e(B t.e org$ni&$tion$l &tru)ture $nd t.e te$( propo&ed %or t.e i(ple(ent$tion o% t.e $)tion 2'1%un)tion: t.ere i& no need to in)lude t.e n$(e& o% indi3idu$l&4B t.e($in(e$n&propo&ed%ort.ei(ple(ent$tiono%t.e$)tion2eFuip(ent- ($teri$l&- $nd&upplie& to 'e $)Fuired or rented4B t.e $ttitude& o% $ll &t$Le.older& to0$rd& t.e $)tion in gener$l $nd t.e $)ti3itie& in p$rti)ul$rB1> ".e e3$lu$tion )o((ittee 0ill re%er to in%or($tion pro3ided in t.e Con)ept 6ote $& reg$rd& o'8e)ti3e& $ndt.e rele3$n)e o% t.e $)tion.!"# 5$ge 19 o% 9*2!=1>9,>3.do) t.e pl$nned $)ti3itie& in order to en&ure t.e 3i&i'ilit1 o% t.e $)tion $nd t.e EU %unding....3. 4uration an% in%icative action plan for implementing the action 9ma( # pages:".e dur$tion o% t.e $)tion 0ill 'e S#T (ont.&.Appli)$nt& &.ould not gi3e $ &pe)i%i) &t$rt-up d$te %or t.e i(ple(ent$tion o% t.e $)tion 'ut &i(pl1re%er to A(ont. 1 = 10 :(ple(enting 'od1E/$(ple E/$(ple E/$(pleE/e)ution A)ti3it1 1 2title4)o-$ppli)$nt $ndor$%%ili$ted entit1!"# 5$ge 1, o% 9*2!=1>9,>3.do)E/e)ution A)ti3it1 2 2title4)o-$ppli)$nt $ndor$%%ili$ted entit15rep$r$tion A)ti3it1 3 2title4)o-$ppli)$nt $ndor$%%ili$ted entit1Et)....#. ?ustaina'ility of the action 9ma( 3 pages:5ro3ide all the in%or($tion reFue&ted 'elo0: De&)ri'et.ee/pe)tedi(p$)t o% t.e$)tion0it.Fu$nti%iedd$t$0.erepo&&i'le- $t te).ni)$l-e)ono(i)- &o)i$l- $ndpoli)1le3el& 20ill it le$dtoi(pro3ed legi&l$tion- )ode& o% )ondu)t-(et.od&- et).N4. De&)ri'e$di&&e(in$tionpl$n$ndt.epo&&i'ilitie&%orrepli)$tion$nde/ten&iono%t.e$)tionout)o(e& 2(ultiplier e%%e)t&4- )le$rl1 indi)$ting $n1 intended di&&e(in$tion ).$nnel. 5ro3ide $ det$iled ri&L $n$l1&i& $nd )ontingen)1 pl$n. ".i& &.ould in)lude $ li&t o% ri&L& $&&o)i$ted0it.e$). propo&ed$)tion-$))o(p$nied '1 rele3$nt(itig$tion (e$&ure&. A good ri&L $n$l1&i&0ill in)lude $ r$nge o% ri&L t1pe& in)luding p.1&i)$l- en3iron(ent$l- politi)$l- e)ono(i) $nd &o)i$lri&L&. De&)ri'e t.e ($in pre)ondition& $nd $&&u(ption& during $nd $%ter t.e i(ple(ent$tion p.$&e. E/pl$in .o0t.e $)tion 0ill 'e ($de &u&t$in$'le $%ter)o(pletion.".i&($1 in)lude ne)e&&$r1%ollo0-up $)ti3itie&- 'uilt-in &tr$tegie&- o0ner&.ip- )o((uni)$tion pl$n- et). Di&tingui&. 'et0een%our t1pe& o% &u&t$in$'ilit1:$. ?in$n)i$l &u&t$in$'ilit1: e.g. %in$n)ing o% %ollo0-up $)ti3itie&- &our)e& o% re3enue %or)o3ering $ll %uture oper$ting $nd ($inten$n)e )o&t&.'. :n&titution$l &u&t$in$'ilit1: e.g. &tru)ture& t.$t 0ould$llo0t.ere&ult& o% t.e $)tionto)ontinue to 'e in pl$)e $%ter t.e end o% t.e $)tion- )$p$)it1 'uilding- $gree(ent& $nd lo)$lAo0ner&.ip< o% $)tion out)o(e&.). 5oli)1le3el &u&t$in$'ilit1: e.g.- 0.ere$ppli)$'le- &tru)tur$li(p$)t 2i(pro3edlegi&l$tion-)on&i&ten)1 0it. e/i&ting %r$(e0orL&- )ode& o% )ondu)t- or (et.od&4.d. En3iron(ent$l &u&t$in$'ilit1: 0.$t i(p$)t 0ill t.e $)tion .$3e on t.e en3iron(ent Q .$3e)ondition& 'een put in pl$)e to $3oid neg$ti3e e%%e)t& on t.e n$tur$l re&our)e& on 0.i). t.e$)tion depend& $nd on t.e 'ro$der n$tur$l en3iron(entN...0. 7ogical Frame-or15le$&e %ill in Anne/ C1= to t.e Guideline& %or Appli)$nt&..1=E/pl$n$tion& )$n 'e %ound $t t.e %ollo0ing $ddre&&: .ttp:e).europ$.eueurope$id$nnu$l-report&@en.!"# 5$ge 1* o% 9*2!=1>9,>3.do)... o% 9*2!=1>9,>3.do)5le$&e pro3ide $ det$iled de&)ription o% ot.er $)tion& ($n$ged '1 1our org$ni&$tion in t.e p$&t t.ree 1e$r&. H$/i(u( 1 p$ge per $)tion $nd ($/i(u( 10 $)tion&.Name of the co,applicant:$roBect title: ?ector 9see ?ection 3.!.! of ?ection 3::7ocation ofthe actionCost ofthe action9EUR:Role in theaction:Coor%inator+ co,applicant+affiliate% entity 4onors to theaction9name:23Amountcontri'ute%9'y %onor:4ates 9from%%CmmCyyyy to%%CmmCyyyy:X X X X X XO'Bectives an% results ofthe action!.#. AFF/7/A&E4 EN&/&;9/E?:E@$ER/ENCE 9/F A$$7/CA67E:".i& in%or($tion 0ill 'e u&ed to $&&e&& 0.et.er 1ou .$3e &u%%i)ient $nd &t$'le e/perien)e o% ($n$ging$)tion& in t.e &$(e &e)tor $nd o% $ )o(p$r$'le &)$le to t.e one %or 0.i). $ gr$nt i& 'eing reFue&ted.i4 ?or &i(il$r $)tion&.5le$&e pro3ide $ det$iled de&)ription o% $)tion& in t.e &$(e &e)tor $nd o% $ )o(p$r$'le &)$le to t.e one%or 0.i). $ gr$nt i& 'eing reFue&ted ($n$ged '1 1our org$ni&$tion in t.e p$&t t.ree 1e$r&. H$/i(u( 1 p$ge per $)tion.Name of the affiliate% entity:$roBect title: ?ector 9see ?ection 3.!.! of ?ection 3::7ocation ofthe actionCost ofthe action9EUR:Role inthe action:Coor%inator+ co,applicant+ affiliate%entity 4onors to theaction 9name:29Amountcontri'ute% 9'y%onor:4ates 9from%%CmmCyyyyto%%CmmCyyyy:X X X X X XO'Bectives an% results ofthe actionii4 Ot.er $)tion&23:% t.e donor i& t.e Europe$n Union or $n EU He('er St$te- ple$&e &pe)i%1 t.e EU 'udget line- ED? or EUHe('er St$te.29:% t.e donor i& t.e Europe$n Union or $n EU He('er St$te- ple$&e &pe)i%1 t.e EU 'udget line- ED? or EUHe('er St$te.!"# 5$ge 1= o% 9*2!=1>9,>3.do)5le$&e pro3ide $ det$iled de&)ription o% ot.er $)tion& ($n$ged '1 1our org$ni&$tion in t.e p$&t t.ree 1e$r&. H$/i(u( 1 p$ge per $)tion $nd ($/i(u( 10 $)tion&Name of the affiliate% entity:$roBect title: ?ector 9see ?ection 3.!.! of ?ection 3::7ocation ofthe actionCost ofthe action9EUR:Role in theaction:Coor%inator+co,applicant+affiliate% entity4onors tothe action9name:2,Amountcontri'ute% 9'y%onor:4ates 9from%%CmmCyyyy to%%CmmCyyyy:X X X X X XO'Bectives an% results ofthe action2,:% t.e donor i& t.e Europe$n Union or $n EU He('er St$te- ple$&e &pe)i%1 t.e EU 'udget line- ED? or EUHe('er St$te.!"# 5$ge 20 o% 9*2!=1>9,>3.do).!. THE APPLICANTEuropeAi% /4 num'er2*Name of the organisation.!.. /4EN&/&;&he applicant)s contact %etails forthe purpose of this action7egal Entity File num'er2!A''reviationRegistration num'er 9or eDuivalent:4ate of registration$lace of registrationOfficial a%%ress of registrationCountry of registration2>C Nationality 2=*e'site an% E,mail a%%ress of the organisation&elephone num'er: Countr1 )ode C)it1 )ode C nu('erFa(num'er:Countr1)odeC)it1)ode C nu('er&heContracting Authoritymust'enotifie%ofanychangeina%%resses+ phonenum'ers+ fa(num'ers an% e,mail+ in particular. &he Contracting Authority -ill not 'e hel% responsi'le in theevent that it cannot contact an applicant.&heContracting Authoritymust'enotifie%ofanychangeina%%resses+ phonenum'ers+ fa(num'ers an% e,mail+ in particular. &he Contracting Authority -ill not 'e hel% responsi'le in the2*".i& nu('er i& $3$il$'le to $n org$ni&$tion 0.i). regi&ter& it& d$t$ in 5ADOR. ?or (ore in%or($tion $nd toregi&ter- ple$&e 3i&it.ttp:e).europ$.eueurope$idt$g&p$dor@en".i& in%or($tion doe& not need to 'epro3ided in )$&e o% )$ll& 0.ere t.e Europe$n Co((i&&ion i& not t.e Contr$)ting Aut.orit1.2!:% t.e $ppli)$nt .$& $lre$d1 &igned $ )ontr$)t 0it. t.e Europe$n Co((i&&ion.2>?or org$ni&$tion&. Y:% not in one o% t.e )ountrie& li&ted in Se)tion 2.1.1 o% t.e Guideline&- ple$&e gi3ere$&on& %or it& lo)$tionZ.2=?or indi3idu$l&. Y:% not in one o% t.e )ountrie& li&ted in Se)tion 2.1.1 o% t.e Guideline&- ple$&e gi3e re$&on&%or it& lo)$tionZ.!"# 5$ge 21 o% 9*2!=1>9,>3.do)event that it cannot contact an applicant.".e $ppli)$nt (u&t enter t.e in%or($tion in point& 3.2- 3.3 $nd 3.9 0.en regi&tering in 5ADOR- &ot.e1neednot )o(pletet.e&eint.ep$per$ppli)$tion. See$l&oSe)tion2.2o%t.eGuideline&%orAppli)$nt&..!.!. $ROF/7E7egal status$rofit,8a1ing[ Ie&[ 6oNGO[ Ie&[ 6oAalue 'ase%30 [ 5oliti)$l[ Religiou&[ Ou($ni&ti)[ 6eutr$l/s yourorganisationlin1e%-ithanother entityH I Ie&- p$rent entit1: 2ple$&e &pe)i%1 it& EuropeAid :D:XXXXXXXXXX4I Ie&- )ontrolled entit12ie&4I Ie&- %$(il1 org$ni&$tionnet0orL entit131I 6o- independent.!.!.. CategoryCategory32 $u'licI 5u'li) Ad(ini&tr$tion I De)entr$li&ed repre&ent$ti3e& o% So3ereign St$te&I :ntern$tion$l Org$ni&$tionI +udi)i$l :n&titutionI Lo)$l Aut.orit1I :(ple(ent$tion Agen)1I Uni3er&it1Edu)$tionI Re&e$r). :n&tituteI ".inL "$nLI ?ound$tionI A&&o)i$tionI Hedi$I 6et0orL?eder$tionI 5ro%e&&ion$l $ndor :ndu&tri$l Org$ni&$tionI "r$de UnionI Cultur$l Org$ni&$tionI Co((er)i$l Org$ni&$tion$rivate :(ple(ent$tion Agen)1 Uni3er&it1Edu)$tion Re&e$r). :n&titute ".inL "$nL ?ound$tion A&&o)i$tion Hedi$ 6et0orL?eder$tion 5ro%e&&ion$l $ndor :ndu&tri$l Org$ni&$tion "r$de Union Cultur$l Org$ni&$tion Co((er)i$l Org$ni&$tion Ot.er 6on-St$te A)tor305le$&e ).oo&e onl1 one &et o% 3$lue&.31E.g. )on%eder$tion%eder$tion$lli$n)e.325le$&e&pe)i%1214t.e&e)torto0.i).1ourorg$ni&$tion'elong&- $&de%inedinit&&t$tute&2oreFui3$lentdo)u(ent4: pu'li) 2e&t$'li&.ed $ndor %unded '1 $ pu'li) 'od14 OR pri3$te 2e&t$'li&.ed $ndor %unded '1 $pri3$te entit14B 224 in t.e $ppropri$te )olu(n- t.e )$tegor1 to 0.i). 1our org$ni&$tion 'elong& 2one ).oi)eonl14.!"# 5$ge 22 o% 9*2!=1>9,>3.do).!.!.!. ?ector9s:33[ 11 Edu)$tion[ 111 Edu)$tion- le3el un&pe)i%ied[ 11110 Edu)$tion 5oli)1 \ Ad(in. H$n$ge(ent[ 11120 Edu)$tion ?$)ilitie& And "r$ining[ 11130 "e$).er "r$ining[ 111>2 Edu)$tion$l Re&e$r).[ 112 B$&i) edu)$tion[ 11220 5ri($r1 Edu)$tion[ 11230 B$&i) li%e &Lill& %or 1out. $nd $dult&[ 11290 E$rl1 ).ild.ood edu)$tion[ 113 Se)ond$r1 edu)$tion[ 11320 Se)ond$r1 edu)$tion[ 11330 Eo)$tion$l "r$ining[ 119 5o&t-&e)ond$r1 edu)$tion[ 11920 Oig.er Edu)$tion[ 11930 Ad3$n)ed "e).. \ H$n$geri$l "r$ining[ 12 Oe$lt.[ 121 Oe$lt.- gener$l[ 12110 Oe$lt. 5oli)1 \ Ad(in. H$n$ge(ent[ 121>1 Hedi)$l edu)$tiontr$ining[ 121>2 Hedi)$l Re&e$r). [ 121=1 Hedi)$l Ser3i)e&[ 122 B$&i) .e$lt.[ 12220 B$&i) Oe$lt. C$re[ 12230 B$&i) Oe$lt. :n%r$&tru)ture[ 12290 B$&i) 6utrition[ 122,0 :n%e)tiou& Di&e$&e Control[ 122*1 Oe$lt. Edu)$tion[ 122>1 Oe$lt. 5er&onnel De3elop(ent[ 13 5opul$tion progr$((e&[ 130 5opul$tion poli)e&progr$((e& $nd reprodu)ti3e .e$lt.[ 13010 5opul$tion 5oli)1 And Ad(in. Hg(t[ 13020 Reprodu)ti3e Oe$lt. C$re[ 13030 ?$(il1 pl$nning[ 13090 Std Control :n)luding O:EAid&[ 130>1 5er&onnel de3elop(ent %or popul$tion \ reprodu)ti3e .e$lt.[ 19 D$ter Suppl1 $nd S$nit$tion[ 190 D$ter &uppl1 $nd &$nit$tion[ 19010 D$ter Re&our)e& 5oli)1Ad(in. Hg(t[ 1901, D$ter Re&our)e& 5rote)tion[ 19020 D$ter &uppl1 \ &$nit$tion Q L$rge &1&te(&[ 19030 B$&i) drinLing 0$ter &uppl1 \ '$&i) &$nit$tion[ 19090 Ri3er De3elop(ent[ 190,0 D$&te H$n$ge(entDi&po&$l[ 190>1 Edu)$tion \ tr$ining in 0$ter &uppl1 $nd &$nit$tion[ 1, Go3ern(ent $nd Ci3il So)iet1[ 1,1 Go3ern(ent $nd )i3il &o)iet1- gener$l[ 1,110 E)ono(i) $nd de3elop(ent poli)1pl$nning33 5le$&e ti)L t.e 'o/ %or e$). &e)tor 1our org$ni&$tion .$& 'een $)ti3e in t.e p$&t ! 1e$r&. ".e &e)tor& )o(e%ro( t.e DAC li&t &et up '1 t.e OECD.!"# 5$ge 23 o% 9*2!=1>9,>3.do)[ 1,120 5u'li) &e)tor %in$n)i$l ($n$ge(ent[ 1,130 Leg$l $nd 8udi)i$l de3elop(ent[ 1,190 Go3ern(ent $d(ini&tr$tion[ 1,1,0 Strengt.ening )i3il &o)iet1[ 1,1*1 Ele)tion&[ 1,1*2 Ou($n Rig.t&[ 1,1*3 ?ree ?lo0 O% :n%or($tion[ 1,1*9 Do(en1 Agri)ultur$l Edu)$tion"r$ining[ 311>2 Agri)ultur$l Re&e$r).[ 311=1 Agri)ultur$l &er3i)e&[ 311=2 5l$nt $nd po&t-.$r3e&t prote)tion $nd pe&t )ontrol[ 311=3 Agri)ultur$l %in$n)i$l &er3i)e&[ 311=9 Agri)ultur$l )ooper$ti3e&[ 311=, Li3e&to)LEeterin$r1 Ser3i)e&[ 312 ?ore&tr1[ 31210 ?ore&tr1 5oli)1 \ Ad(in. H$n$ge(ent[ 31220 ?ore&tr1 de3elop(ent[ 312*1 ?uel 0ood).$r)o$l[ 312>1 ?ore&tr1 edu)$tiontr$ining[ 312>2 ?ore&tr1 re&e$r).[ 312=1 ?ore&tr1 &er3i)e&[ 313 ?i&.ing[ 31310 ?i&.ing 5oli)1 And Ad(in. H$n$ge(ent[ 31320 ?i&.er1 de3elop(ent[ 313>1 ?i&.er1 edu)$tiontr$ining[ 313>2 ?i&.er1 re&e$r).[ 313=1 ?i&.er1 &er3i)e&[ 32 :ndu&tr1- Hining $nd Con&tru)tion[ 321 :ndu&tr1[ 32110 :ndu&tri$l 5oli)1 And Ad(in. Hg(t!"# 5$ge 2, o% 9*2!=1>9,>3.do)[ 32120 :ndu&tri$l de3elop(ent[ 32130 S($ll $nd (ediu(-&iKed enterpri&e& 2SHE4 de3elop(ent[ 32190 Cott$ge indu&trie& $nd .$ndi)r$%t[ 321*1 Agro-:ndu&trie&[ 321*2 ?ore&t indu&trie&[ 321*3 "e/tile& Q le$t.er \ &u'&titute&[ 321*9 C.e(i)$l&[ 321*, ?ertili&er pl$nt&[ 321** Ce(entli(epl$&ter[ 321*! Energ1 ($nu%$)turing[ 321*> 5.$r($)euti)$l produ)tion[ 321*= B$&i) (et$l indu&trie&[ 321!0 6on-%errou& (et$l indu&trie&[ 321!1 Engineering[ 321!2 "r$n&port eFuip(ent indu&tr1[ 321>2 "e).nologi)$l re&e$r). $nd de3elop(ent[ 322 Hiner$l re&our)e& $nd (ining[ 32210 Hiner$lHining 5oli)1 \ Ad(in. Hg(t[ 32220 Hiner$l 5ro&pe)tion And E/plor$tion[ 322*1 Co$l[ 322*2 Oil $nd g$&[ 322*3 ?errou& (et$l&[ 322*9 6on-%errou& (et$l&[ 322*, 5re)iou& (et$l&($teri$l&[ 322** :ndu&tri$l (iner$l&[ 322*! ?ertili&er (iner$l&[ 322*> O%%&.ore (iner$l&[ 323 Con&tru)tion[ 32310 Con&tru)tion 5oli)1 And Ad(in. Hg(t[ 33 "r$de $nd "ouri&([ 331 "r$de poli)1 $nd regul$tion[ 33110 "r$de 5oli)1 And Ad(in. H$n$ge(ent[ 33120 "r$de %$)ilit$tion[ 33130 Region$l tr$de $gree(ent& 2R"A&4[ 33190 Hultil$ter$l tr$de negoti$tion[ 331>1 "r$de edu)$tion \ tr$ining[ 332 "ouri&([ 33210 "ouri&( 5oli)1 And Ad(in. H$n$ge(ent[ 91 Gener$l En3iron(ent 5rote)tion[ 910 Gener$l en3iron(ent$l prote)tion[ 91010 En3iron(ent$l 5oli)1 And Ad(in. Hg(t[ 91020 Bio&p.ere prote)tion[ 91030 Bio-di3er&it1[ 91090 Site 5re&er3$tion[ 910,0 ?lood 5re3entionControl[ 910>1 En3iron(ent$l edu)$tiontr$ining[ 910>2 En3iron(ent$l re&e$r).[ 93 Ot.er (ulti&e)tor[ 930 Ot.er (ulti&e)tor[ 93010 Hulti&e)tor Aid[ 93030 Ur'$n De3elop(ent And H$n$ge(ent[ 93090 Rur$l De3elop(ent[ 930,0 6on-$gri)ultur$l $ltern$ti3e de3elop(ent!"# 5$ge 2* o% 9*2!=1>9,>3.do)[ 930>1 Hulti&e)tor edu)$tiontr$ining[ 930>2 Re&e$r).&)ienti%i) in&titution&[ ,1 Gener$l 'udget &upport[ ,10 Gener$l 'udget &upport[ ,1010 Gener$l 'udget &upport[ ,2 De3elop(ent %ood $id%ood &e)urit1[ ,20 De3elop(ent %ood $id%ood &e)urit1 $&&i&t$n)e[ ,2010 ?ood Aid?ood Se)urit1 5rogr$((e&[ ,3 Ot.er )o((odit1 $&&i&t$n)e[ ,30 Ot.er )o((odit1 $&&i&t$n)e[ ,3030 :(port &upport 2)$pit$l good&4[ ,3090 :(port &upport 2)o((oditie&4[ *0 A)tion rel$ting to de't[ *00 A)tion rel$ting to de't[ *0010 A)tion rel$ting to de't[ *0020 De't %orgi3ene&&[ *0030 Relie% o% (ultil$ter$l de't[ *0090 Re&).eduling $nd re%in$n)ing[ *00*1 De't %or de3elop(ent &0$p[ *00*2 Ot.er de't &0$p[ *00*3 De't 'u1-'$)L[ !2 E(ergen)1 $nd di&tre&& relie%[ !20 E(ergen)1 $nd di&tre&& relie%[ !2010 H$teri$l relie% $&&i&t$n)e $nd &er3i)e&[ !2090 E(ergen)1 %ood $id[ !20,0 Relie% )oordin$tionB prote)tion $nd &upport &er3i)e&[ !3 Re)on&tru)tion relie% $nd re.$'ilit$tion[ !30 Re)on&tru)tion relie% $nd re.$'ilit$tion[ !3010 Re)on&tru)tion relie% $nd re.$'ilit$tion[ !9 Di&$&ter pre3ention $nd prep$redne&&[ !90 Di&$&ter pre3ention $nd prep$redne&&[ !9010 Di&$&ter pre3ention $nd prep$redne&&[ =1 Ad(ini&tr$ti3e )o&t& o% donor&[ =10 Ad(ini&tr$ti3e )o&t& o% donor&[ =1010 Ad(ini&tr$ti3e Co&t&[ =2 Support to 6GO[ =20 Support to 6GO[ =2010 Support to n$tion$l 6GO&[ =2020 Support to intern$tion$l 6GO&[ =2030 Support to lo)$l $nd region$l 6GO& [ =3 Re%ugee&[ =30 Re%ugee& 2in donor )ountrie&4[ =3010 Re%ugee& 2in donor )ountrie&4[ == Un$llo)$tedun&pe)i%ied[ ==> Un$llo)$tedun&pe)i%ied[ ==>10 Se)tor& 6ot Spe)i%ied[ ==>20 5ro(otion o% De3elop(ent A0$rene&&!"# 5$ge 2! o% 9*2!=1>9,>3.do).!.!.3. &arget group9s: [ All[ C.ild &oldier&[ C.ildren 2le&& t.$n 1> 1e$r& old4[ Co((unit1 B$&ed Org$ni&$tion2&4[ Con&u(er&[ Di&$'led[ Drug )on&u(er&[ Edu)$tion$l org$ni&$tion& 2&).ool- uni3er&itie&4[ Elderl1 people[ :llne&& $%%e)ted people 2H$l$ri$- "u'er)ulo&i&- O:EA:DS4[ :ndigenou& people&[ Lo)$l $ut.oritie&[ Higr$nt&[ 6on-Go3ern(ent$l Org$ni&$tion&[ 5ri&oner&[ 5ro%e&&ion$l )$tegor1[ Re%ugee& $nd di&pl$)ed[ Re&e$r). org$ni&$tion&Re&e$r).er&[ SHESH:[ Student&[ Ur'$n &lu( d0eller&[ Ei)ti(& o% )on%li)t&di&$&ter&[ Do(en[ Ioung people[ Ot.er 2ple$&e &pe)i%14: XXXXXXXXXXX..!"# 5$ge 2> o% 9*2!=1>9,>3.do).!.3. CA$AC/&; &O 8ANAGE AN4 /8$7E8EN& AC&/ON?.!.3.. E(perience 'y sectorSe)torIe$r2&4 o%E/perien)eE/perien)e in t.ep$&t ! 1e$r&6u('er o%5ro8e)t& in t.ep$&t ! 1e$r&E&ti($ted $(ount2in t.ou&$nd euro&4 int.e p$&t ! 1e$r&[ Le&& t.$n 1[ 1 to 3 1e$r&[ 9 to ! 1e$r&[ ! 1e$r& C[ Le&& t.$n 1 1e$r[ 1 to 3 1e$r&[ 9 to ! 1e$r&[ ! 1e$r& C[ 1 to ,[ * to 10[ 11 to 20[ 21 to ,0[ ,1 to 200[ 200 to ,00[ ,00C[ Le&& t.$n 1[ 1 to ,[ , to 20[ 20 to ,0[ ,0 to 100[ 100 to 300[ 300 to 1.000[ 1000C[ UnLno0n[ Le&& t.$n 1[ 1 to 3 1e$r&[ 9 to ! 1e$r&[ ! 1e$r& C[ Le&& t.$n 1 1e$r[ 1 to 3 1e$r&[ 9 to ! 1e$r&[ ! 1e$r& C[ 1 to ,[ * to 10[ 11 to 20[ 21 to ,0[ ,1 to 200[ 200 to ,00[ ,00C[ Le&& t.$n 1[ 1 to ,[ , to 20[ 20 to ,0[ ,0 to 100[ 100 to 300[ 300 to 1.000[ 1000C[ UnLno0n[ Le&& t.$n 1[ 1 to 3 1e$r&[ 9 to ! 1e$r&[ ! 1e$r& C[ Le&& t.$n 1 1e$r[ 1 to 3 1e$r&[ 9 to ! 1e$r&[ ! 1e$r& C[ 1 to ,[ * to 10[ 11 to 20[ 21 to ,0[ ,1 to 200[ 200 to ,00[ ,00C[ Le&& t.$n 1[ 1 to ,[ , to 20[ 20 to ,0[ ,0 to 100[ 100 to 300[ 300 to 1.000[ 1000C[ UnLno0n.!.3.!. E(perience 'y geographical area6ygeographicalarea 9countryor region:Ie$r2&4 o%e/perien)e6u('er o%pro8e)t& in t.i&geogr$p.i)$l$re$ in t.e p$&t! 1e$r&E&ti($ted$(ount2in t.ou&$ndeuro&4 in3e&tedin t.i&geogr$p.i)$l$re$ in t.e p$&t !1e$r&/n%icative list of regions Europe EU Europe non-EU E$&tern Europe Centr$l A(eri)$ Sout. A(eri)$ Sout.-E$&t A&i$ 6ort.-E$&t A&i$ Sout. A&i$ Centr$l A&i$ Hediterr$ne$n Gul% Countrie& E$&tern A%ri)$ Centr$l A%ri)$[ Le&& t.$n 1 1e$r[ 1 to 3 1e$r&[ 9 to ! 1e$r&[ ! 1e$r& C[ 1 to ,[ * to 10[ 11 to 20[ 21 to ,0[ ,1 to 200[ 200 to ,00[ ,00C[ Le&& t.$n 1[ 1 to ,[ , to 20[ 20 to ,0[ ,0 to 100[ 100 to 300[ 300 to 1.000[ 1000C[ UnLno0n!"# 5$ge 2= o% 9*2!=1>9,>3.do) De&tern A%ri)$ Sout.ern A%ri)$ :ndi$n O)e$n C$ri''e$n 5$)i%i)[ Le&& t.$n 1 1e$r[ 1 to 3 1e$r&[ 9 to ! 1e$r&[ ! 1e$r& C[ 1 to ,[ * to 10[ 11 to 20[ 21 to ,0[ ,1 to 200[ 200 to ,00[ ,00C[ Le&& t.$n 1[ 1 to ,[ , to 20[ 20 to ,0[ ,0 to 100[ 100 to 300[ 300 to 1.000[ 1000C[ UnLno0n[ Le&& t.$n 1 1e$r[ 1 to 3 1e$r&[ 9 to ! 1e$r&[ ! 1e$r& C[ 1 to ,[ * to 10[ 11 to 20[ 21 to ,0[ ,1 to 200[ 200 to ,00[ ,00C[ Le&& t.$n 1[ 1 to ,[ , to 20[ 20 to ,0[ ,0 to 100[ 100 to 300[ 300 to 1.000[ 1000C[ UnLno0nCross,reference of e(perience 'y sector an% 'y geographical area:Se)tor2&42$& &ele)ted in 3.2.24Geogr$p.i)$l $re$2&4 2)ountr1 or region- $& identi%iedpre3iou&l14.!.3.3. Resources Financial %ata%lease pro!i$e the following information, if applicable, on the basis of the profit an$ loss account an$ balance sheet of your organisation, amounts in thousan$s eurosIe$r "urno3er oreFui3$lent6et e$rning&or eFui3$lent"ot$l'$l$n)e&.eetS.$re.older&9,>3.do)I ;es I NoAalue 'ase% [ 5oliti)$l[ Religiou&[ Ou($ni&ti)[ 6eutr$l/s yourorganisationlin1e%-ithanother entityHI Ie&- p$rent entit1: 2ple$&e &pe)i%1 it& EuropeAid :D:XXXXXXXXXX4I Ie&- )ontrolled entit12ie&4I Ie&- %$(il1 org$ni&$tionnet0orL entit13=I 6o- independent5istory of cooperation -ith theapplicantCategory 9Refer to ?ection 3.!.:?ector9s: 9Refer to ?ection 3.!.!:&argetgroup9s:9Referto?ection3.!.3:.3.. CA$AC/&; &O 8ANAGE AN4 /8$7E8EN& AC&/ON?.3.!. E@$ER/ENCE 6; ?EC&ORSe)torIe$r2&4 o%E/perien)eE/perien)e in t.ep$&t ! 1e$r&6u('er o%5ro8e)t& in t.ep$&t ! 1e$r&E&ti($ted $(ount2in t.ou&$nd euro&4 int.e p$&t ! 1e$r&[ Le&& t.$n 1[ 1 to 3 1e$r&[ 9 to ! 1e$r&[ ! 1e$r& C[ Le&& t.$n 1 1e$r[ 1 to 3 1e$r&[ 9 to ! 1e$r&[ ! 1e$r& C[ 1 to ,[ * to 10[ 11 to 20[ 21 to ,0[ ,1 to 200[ 200 to ,00[ ,00C[ Le&& t.$n 1[ 1 to ,[ , to 20[ 20 to ,0[ ,0 to 100[ 100 to 300[ 300 to 1.000[ 1000C[ UnLno0n[ Le&& t.$n 1[ 1 to 3 1e$r&[ 9 to ! 1e$r&[ ! 1e$r& C[ Le&& t.$n 1 1e$r[ 1 to 3 1e$r&[ 9 to ! 1e$r&[ ! 1e$r& C[ 1 to ,[ * to 10[ 11 to 20[ 21 to ,0[ ,1 to 200[ 200 to ,00[ ,00C[ Le&& t.$n 1[ 1 to ,[ , to 20[ 20 to ,0[ ,0 to 100[ 100 to 300[ 300 to 1.000[ 1000C[ UnLno0n[ Le&& t.$n 1[ 1 to 3 1e$r&[ 9 to ! 1e$r&[ ! 1e$r& C[ Le&& t.$n 1 1e$r[ 1 to 3 1e$r&[ 9 to ! 1e$r&[ ! 1e$r& C[ 1 to ,[ * to 10[ 11 to 20[ 21 to ,0[ ,1 to 200[ 200 to ,00[ ,00C[ Le&& t.$n 1[ 1 to ,[ , to 20[ 20 to ,0[ ,0 to 100[ 100 to 300[ 300 to 1.000[ 1000C3=!"# 5$ge 39 o% 9*2!=1>9,>3.do)[ UnLno0nE(perience 'y geographical area6ygeographicalarea 9countryor region:Ie$r2&4 o%e/perien)e6u('er o%pro8e)t& in t.i&geogr$p.i)$l$re$ in t.e p$&t! 1e$r&E&ti($ted$(ount2in t.ou&$ndeuro&4 in3e&tedin t.i&geogr$p.i)$l$re$ in t.e p$&t !1e$r&/n%icative list of regions Europe EU Europe non-EU E$&tern Europe Centr$l A(eri)$ Sout. A(eri)$ Sout.-E$&t A&i$ 6ort.-E$&t A&i$ Sout. A&i$ Centr$l A&i$ Hediterr$ne$n Gul% Countrie& E$&tern A%ri)$ Centr$l A%ri)$ De&tern A%ri)$ Sout.ern A%ri)$ :ndi$n O)e$n C$ri''e$n 5$)i%i)[ Le&& t.$n 1 1e$r[ 1 to 3 1e$r&[ 9 to ! 1e$r&[ ! 1e$r& C[ 1 to ,[ * to 10[ 11 to 20[ 21 to ,0[ ,1 to 200[ 200 to ,00[ ,00C[ Le&& t.$n 1[ 1 to ,[ , to 20[ 20 to ,0[ ,0 to 100[ 100 to 300[ 300 to 1.000[ 1000C[ UnLno0n[ Le&& t.$n 1 1e$r[ 1 to 3 1e$r&[ 9 to ! 1e$r&[ ! 1e$r& C[ 1 to ,[ * to 10[ 11 to 20[ 21 to ,0[ ,1 to 200[ 200 to ,00[ ,00C[ Le&& t.$n 1[ 1 to ,[ , to 20[ 20 to ,0[ ,0 to 100[ 100 to 300[ 300 to 1.000[ 1000C[ UnLno0n[ Le&& t.$n 1 1e$r[ 1 to 3 1e$r&[ 9 to ! 1e$r&[ ! 1e$r& C[ 1 to ,[ * to 10[ 11 to 20[ 21 to ,0[ ,1 to 200[ 200 to ,00[ ,00C[ Le&& t.$n 1[ 1 to ,[ , to 20[ 20 to ,0[ ,0 to 100[ 100 to 300[ 300 to 1.000[ 1000C[ UnLno0nCross,reference of e(perience 'y sector an% 'y geographical area:Se)tor2&42$& (entioned in t$'le $'o3e4Geogr$p.i)$l $re$2&4 2)ountr1 or region- $& identi%iedpre3iou&l14/mportant: &his application form must 'e accompanie% 'y a signe% an% %ate% 8an%ate from each co,applicant+ in accor%ance -ith the template provi%e% 'elo-.8an%ate 9for co,applicant9s::!"# 5$ge 3, o% 9*2!=1>9,>3.do)".e )o-$ppli)$nt2&4 $ut.ori&e t.e Appli)$nt Sindi)$te t.e n$(e o% t.e org$ni&$tionT to &u'(it on t.eir'e.$l% t.e pre&ent $ppli)$tion %or( %or $ppli)$nt $nd to &ign t.e &t$nd$rd gr$nt )ontr$)t 2Anne/ G o%t.e Guideline& %or Appli)$nt&- ]gr$nt )ontr$)t]4 0it. t.e Europe$n Union O%%i)e in Ko&o3o2]Contr$)ting Aut.orit1]4- $& 0ell $&- to 'e repre&ented '1 t.e Appli)$nt in $ll ($tter& )on)erning t.i&gr$nt )ontr$)t.: .$3ere$d$nd$ppro3edt.e)ontent&o% t.epropo&$l &u'(ittedtot.eContr$)tingAut.orit1. :undert$Le to )o(pl1 0it. t.e prin)iple& o% good p$rtner&.ip pr$)ti)e.6$(e:Org$ni&$tion:5o&ition:Sign$ture:D$te $nd pl$)e:!"# 5$ge 3* o% 9*2!=1>9,>3.do).#. AFFILIATED ENTITY(IES) PARTICIPATING IN THE ACTION1.4.1. 4E?CR/$&/ON OF &5E AFF/7/A&E4 EN&/&;9/E?:".i& &e)tion (u&t 'e )o(pleted %or e$). $%%ili$ted entit1 0it.in t.e (e$ning o% Se)tion 2.1.2 o% t.eGuideline& %or Appli)$nt&. Iou (u&t ($Le $& ($n1 )opie& o% t.i& t$'le $& ne)e&&$r1 to )re$te entrie&%or e$). $%%ili$ted entit1.A%%ili$ted entit1 no.1EuropeAi% /4 num'er90Full legal nameAll $%%ili$ted entit12ie&4 (u&t en)ode t.e in%or($tion 'elo0 under t.eir 5ADOR regi&tr$tion. See$l&o Se)tion 2.2 o% t.e Guideline& %or Appli)$nt&.4ate of Registration$lace of Registration7egal status $rofit,8a1ing I ;es I No. NGOI ;es I NoAalue 'ase% [ 5oliti)$l[ Religiou&[ Ou($ni&ti)[ 6eutr$l/f fulfilling the criteria an% con%itions to 'e consi%ere% as affiliate% entity9ies:# specify to -hich entity you are affiliate% 9applicantCco,applicant: %etailing the specific nature of the affiliation9i.e. parent entity+family organisation C net-or1 entity+ etc:an%+ if any+ its EuropeAi% /4Official a%%ress of Registration92Country of Registration93 Nationality 99Contact person&elephone num'er: )ountr1 )ode C )it1 )ode C nu('er90".i& nu('er i& $3$il$'le to $n org$ni&$tion 0.i). regi&ter& it& d$t$ in 5ADOR. ?or (ore in%or($tion $nd to regi&ter- ple$&e 3i&it .ttp&:e).europ$.eueurope$id&e$r).&itep$dor@en".i&in%or($tiondoe&notneedto'epro3idedin)$&eo%)$ll&0.eret.eEurope$nCo((i&&ioni&nott.eContr$)ting Aut.orit1.91 A& de&)ri'ed in point 2.1.2. o% t.e Guideline&.92:% not in one o% t.e )ountrie& li&ted in Se)tion 2.1.1 o% t.e Guideline&- ple$&e 8u&ti%1 it& lo)$tion.93?or org$ni&$tion&.99?or indi3idu$l&.!"# 5$ge 3! o% 9*2!=1>9,>3.do)Fa( num'er: )ountr1 )ode C)it1 )ode C nu('erE,mail a%%ressNum'er of employees5istory of cooperation -iththe applicantCco,applicantCategory 9refer to ?ection 3.!.:?ector9s: 9refer to ?ection 3.!.!:&arget group9s: 9refer to ?ection 3.!.3 3:1.4.2. CA$AC/&; &O 8ANAGE AN4 /8$7E8EN& AC&/ON?.#.3. E@$ER/ENCE 6; ?EC&ORSe)torIe$r2&4 o%E/perien)eE/perien)e in t.ep$&t ! 1e$r&6u('er o%5ro8e)t& in t.ep$&t ! 1e$r&E&ti($ted $(ount2in t.ou&$nd euro&4 int.e p$&t ! 1e$r&[ Le&& t.$n 1[ 1 to 3 1e$r&[ 9 to ! 1e$r&[ ! 1e$r& C[ Le&& t.$n 1 1e$r[ 1 to 3 1e$r&[ 9 to ! 1e$r&[ ! 1e$r& C[ 1 to ,[ * to 10[ 11 to 20[ 21 to ,0[ ,1 to 200[ 200 to ,00[ ,00C[ Le&& t.$n 1[ 1 to ,[ , to 20[ 20 to ,0[ ,0 to 100[ 100 to 300[ 300 to 1.000[ 1000C[ UnLno0n[ Le&& t.$n 1[ 1 to 3 1e$r&[ 9 to ! 1e$r&[ ! 1e$r& C[ Le&& t.$n 1 1e$r[ 1 to 3 1e$r&[ 9 to ! 1e$r&[ ! 1e$r& C[ 1 to ,[ * to 10[ 11 to 20[ 21 to ,0[ ,1 to 200[ 200 to ,00[ ,00C[ Le&& t.$n 1[ 1 to ,[ , to 20[ 20 to ,0[ ,0 to 100[ 100 to 300[ 300 to 1.000[ 1000C[ UnLno0n[ Le&& t.$n 1[ 1 to 3 1e$r&[ 9 to ! 1e$r&[ ! 1e$r& C[ Le&& t.$n 1 1e$r[ 1 to 3 1e$r&[ 9 to ! 1e$r&[ ! 1e$r& C[ 1 to ,[ * to 10[ 11 to 20[ 21 to ,0[ ,1 to 200[ 200 to ,00[ ,00C[ Le&& t.$n 1[ 1 to ,[ , to 20[ 20 to ,0[ ,0 to 100[ 100 to 300[ 300 to 1.000[ 1000C[ UnLno0nE(perience 'y geographical area6yIe$r2&4 o% 6u('er o% E&ti($ted /n%icative list of regions!"# 5$ge 3> o% 9*2!=1>9,>3.do)geographicalarea 9countryor region:e/perien)epro8e)t& in t.i&geogr$p.i)$l$re$ in t.e p$&t! 1e$r&$(ount2in t.ou&$ndeuro&4 in3e&tedin t.i&geogr$p.i)$l$re$ in t.e p$&t !1e$r& Europe EU Europe non-EU E$&tern Europe Centr$l A(eri)$ Sout. A(eri)$ Sout.-E$&t A&i$ 6ort.-E$&t A&i$ Sout. A&i$ Centr$l A&i$ Hediterr$ne$n Gul% Countrie& E$&tern A%ri)$ Centr$l A%ri)$ De&tern A%ri)$ Sout.ern A%ri)$ :ndi$n O)e$n C$ri''e$n 5$)i%i)[ Le&& t.$n 1 1e$r[ 1 to 3 1e$r&[ 9 to ! 1e$r&[ ! 1e$r& C[ 1 to ,[ * to 10[ 11 to 20[ 21 to ,0[ ,1 to 200[ 200 to ,00[ ,00C[ Le&& t.$n 1[ 1 to ,[ , to 20[ 20 to ,0[ ,0 to 100[ 100 to 300[ 300 to 1.000[ 1000C[ UnLno0n[ Le&& t.$n 1 1e$r[ 1 to 3 1e$r&[ 9 to ! 1e$r&[ ! 1e$r& C[ 1 to ,[ * to 10[ 11 to 20[ 21 to ,0[ ,1 to 200[ 200 to ,00[ ,00C[ Le&& t.$n 1[ 1 to ,[ , to 20[ 20 to ,0[ ,0 to 100[ 100 to 300[ 300 to 1.000[ 1000C[ UnLno0n[ Le&& t.$n 1 1e$r[ 1 to 3 1e$r&[ 9 to ! 1e$r&[ ! 1e$r& C[ 1 to ,[ * to 10[ 11 to 20[ 21 to ,0[ ,1 to 200[ 200 to ,00[ ,00C[ Le&& t.$n 1[ 1 to ,[ , to 20[ 20 to ,0[ ,0 to 100[ 100 to 300[ 300 to 1.000[ 1000C[ UnLno0nCross,reference of e(perience 'y sector an% 'y geographical area:Se)tor2&42$& (entioned in t$'le $'o3e4Geogr$p.i)$l $re$2&4 2)ountr1 or region- $& identi%iedpre3iou&l14/mportant:&hisapplicationformmust 'eaccompanie%'yasigne%an%%ate%affiliate%entitiesG statement fromeachaffiliate%entity+ inaccor%ance -iththemo%elprovi%e%.!"# 5$ge 3= o% 9*2!=1>9,>3.do)1.4.4. AFF/7/A&E4 EN&/&;9/E?:G? ?&A&E8EN&"o en&ure t.$t t.e $)tion run& &(oot.l1- t.e Europe$n Union O%%i)e in Ko&o3o 2Contr$)ting Aut.orit14reFuire& $ll $%%ili$ted entit12ie&4 to $)Lno0ledge t.e prin)iple& o% &et out 'elo0.1. All $%%ili$ted entit12ie&4 (u&t .$3e re$d t.e guideline& %or $ppli)$nt& $nd $ppli)$tion %or($nd under&tood t.eir role in t.e $)tion 'e%ore t.e $ppli)$tion i& &u'(itted to t.eContr$)ting Aut.orit1. 2. All $%%ili$ted entit12ie&4 (u&t .$3e re$d t.e &t$nd$rd gr$nt )ontr$)t $nd under&tood 0.$tt.eir re&pe)ti3eo'lig$tion& under t.e)ontr$)t 0ill 'ei% t.egr$nt i& $0$rded. ".e1$ut.ori&e t.e entit1 to 0.i). t.e1 $re $%%ili$ted to &ign t.e )ontr$)t on t.eir 'e.$l% 0it. t.eContr$)ting Aut.orit1 $nd repre&ent t.e( in $ll de$ling& 0it. t.e Contr$)ting Aut.orit1 int.e )onte/t o% t.e $)tion9,>3.do).0. ASSOCIATES OF THE APPLICANT PARTICIPATINGIN THE ACTION".i& &e)tion (u&t 'e )o(pleted %or e$). $&&o)i$ted org$ni&$tion 0it.in t.e (e$ning o% Se)tion 2.1.3o% t.e Guideline& %or Appli)$nt&. Iou (u&t ($Le $& ($n1 )opie& o% t.i& t$'le $& ne)e&&$r1 to )re$teentrie& %or (ore $&&o)i$te&.A&&o)i$te 1Full legal name EuropeAi% /4 num'er9,Country of Registration7egal status9*Official a%%ressContact person&elephone num'er: )ountr1 )ode C )it1 )ode C nu('erFa( num'er: )ountr1 )ode C )it1 )ode C nu('erE,mail a%%ressNum'er of employeesE(perience of similar actions+ in relation to role in the implementation of the propose% action5istory of cooperation -ith the applicantsRole an% involvement in preparing the propose% actionRole an% involvement in implementing the propose% action9,".i& nu('er i& $3$il$'le to $n org$ni&$tion 0.i). regi&ter& it& d$t$ in 5ADOR. ?or (ore in%or($tion $nd to regi&ter- ple$&e 3i&it .ttp&:e).europ$.eueurope$id&e$r).&itep$dor@en9*E.g. non-pro%it- go3ern(ent$l 'od1 or intern$tion$l org$ni&$tion.!"# 5$ge 91 o% 9*2!=1>9,>3.do).9,>3.do)6EFORE ?EN4/NG ;OUR $RO$O?A7+ $7EA?E C5ECK &5A& EAC5 OF &5E FO77O*/NG CR/&ER/A 5AAE 6EEN 8E& /N FU77 AN4 &/CK &5E8 OFF&ic1 theitems off'elo-&itle of the $roposal: Jin$icate the title> ;es No$AR&9A48/N/?&RA&/AE:. &he correct grant application form has 'een use%. !. &he 4eclaration 'y the Applicant has 'een fille% in an% signe%.3. &he proposal is type% an% is in English.#. One original an% 3 copies are inclu%e%0. An electronic version of the proposal 9C4,Rom: is enclose%. &he logical frame-or1 has 'een complete% an% is enclose%.$AR& ! 9E7/G/6/7/&;:". &he %uration of the action is 'et-een ! months an% 2 months 9the minimum an% ma(imum allo-e%:.. &he reDueste% contri'ution is 'et-een !"+"""."" EURO an% 3"+"""."" EURO 9the minimum an% ma(imum allo-e%:.!. &he reDueste% contri'ution is 'et-een 00 L an% "" L of the estimate% total eligi'le costs 9minimum an% ma(imum percentage allo-e%:.3.&he total amount of financing reDueste% on the 'asis of simplifie% cost options %oes not e(cee% EUR 9,>3.do)