1. NPA Application Section B Christopher Parker, Programme Secretariat How to Apply Seminar 4th February 2015, Copenhagen, Denmark

2. Lead partner information

3. Legal statusPublic/Private (See Annex 1) Organisation Procurement Status Co-Financing Source ERDF Norway ERDF equivalent Iceland ERDF equivalent (Select only one) Type of partner See Annex 1 – Type of partner and target group classification) VAT Number Partner Budget Total eligible budget of the lead partner

4. Lead partner information Which are the organisation’s competences and experiences relevant for the project? Add role in the project. Max 1000 crt If applicable, describe the organisation’s experience in participating in and/or managing EU co-financed projects or other international projects. Max 1000 crt

5. Lead partner information Bank Name Bank Address Bank SWIFT CODE BANK IBAN

6. Lead partner information I, the signing authority for the Lead Partner organisation, certify that the information in this proposal is accurate and that my organisation has agreed to co-ordinate the activities and carry the full responsibility of the project if this proposal is awarded funds from the Northern Periphery and Arctic Programme 2014-2020. I certify that the project will be implemented in accordance with national laws and EU regulations, and I especially acknowledge the rules considering public tendering, competition policy and eligible costs. To the best of my knowledge, a proposal with similar content, with the involvement of any of the partners has not been submitted to other EU-funded programme. ______________________________________________________________________________ DateSignatureFull NamePosition

7. Project partner information B.2 Project Partner (x) Name of organisation in English preferably using the official translation Name of organisation in original language Abbreviation of organisation Department/unit/division Beneficiary ID Official use only Address street, postcodetown, country, homepage Person Responsible. contact details - name, e-mail address, telephone Contact person contact details - name, e-mail address, telephone NUTS3 code number and name of the region

8. Project partner information Legal statusPublic/private (See Annex 1) Organisation Procurement Status Co-Financing Source ERDF ERDF 20% (Partners outside programme area) Norway ERDF equivalent Iceland ERDF equivalent Faroe Islands ERDF equivalent Greenland ERDF equivalent (Select one) Type of partner VAT number

9. Project partner information Partner Budget Insert Total eligible budget of the partner Which are the organisation’s competences and experiences relevant for the project? Add role in the project. Max 1000 crt If applicable, describe the organisation’s experience in participating in and/or managing EU co-financed projects or other international projects. Max 1000 crt

10. Associated Project partner information B.3 Associated Partner (x) Name of organisation in English preferably using the official translation Name of organisation in original language Abbreviation of organisation Address street, postcode,town, country, homepage Person Responsible contact details - name, e-mail address, telephone Contact person contact details - name, e-mail address, telephone Project Partner affiliation Which project partner the associated partner is connected Associated Partners role in project

11. Overview of Project partner information Partner NumberProject partner titleAbbreviation of organisation CountryPartner total eligible budget Partner status

12. Thank you for listening! Christopher Parker Joint Secretariat Tel.: +45 3283 3782 E-mail: christopher.parker@northernperiphery.eu  www.interreg-npa.eu