02 Annex A2.
02 Annex A2.
02 Annex A2.
Reference:
EuropeAid/182790/DD/ACT/ID
Dossier No
(for official use only)
1An organisation’s statutes must show that it was established under the national law of the
country concerned and that the head office is located in an eligible country. Any organisation
established in a different country cannot be considered an eligible local organisation. See the
footnotes to the guidelines for the call.
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NOTICE
If processing your reply to the call for proposals involves the recording and processing of personal
data (such as names, contact details and CVs), they will be processed 2 solely for the purposes of
the management and monitoring of the calls for proposals and of the contract by the data
controller without prejudice to possible transmission to the bodies in charge of monitoring or
inspection tasks in application of EU law. In addition, as the contract relates to an external action
in Partner Countries outside the EU and as the EU, represented by the European Commission, is
acting as contracting authority on behalf and for the benefit of the Partner Countries, transmission
of personal data may occur to the Partner Country, solely for the purpose of complying with its
obligations under the applicable legislative framework and under the financing agreement
concluded between the EU and the Partner Country with regard to this grant award procedure.
Details concerning processing of your personal data are available on the privacy statement at
https://wikis.ec.europa.eu/display/ExactExternalWiki/Annexes#Annexes-
AnnexesA(Ch.2):General 3
In cases where you are processing personal data in the context of participation to a grant award
procedure (e.g. contact details of legal representatives of co-applicants, CVs) and/or of the
implementation of a contract you shall accordingly inform the data subjects of the details of the
processing and communicate the above mentioned privacy statement to them.
The controller of call for proposals is the head of legal affairs unit of DG International
Partnerships.
2Pursuant to Regulation (EU) 2018/1725 of the European Parliament and of the Council of 23
October 2018 on the protection of natural persons with regard to the processing of personal data
by the Union institutions, bodies, offices and agencies and on the free movement of such data,
and repealing Regulation (EC) No 45/2001 and Decision No 1247/2002/EC, OJ L 205 of
21.11.2018, p. 39.
3This link will lead you to the "EuropeAid privacy statement" published in the Practical Guide
General Annexes (see Annexe A13).
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Table of contents
1 General information.................................................................................................................4
2 The action..................................................................................................................................4
2.1. Description of the action................................................................................................................4
2.1.1. Description (max 13 pages).............................................................................................................4
2.1.2. Methodology (max 5 pages)............................................................................................................5
2.1.3. Indicative action plan for implementing the action (max 4 pages)..................................................5
2.1.4. Sustainability of the action (max 3 pages).......................................................................................7
2.1.5. Logical Framework..........................................................................................................................7
2.1.6. Budget, amount requested from the contracting authority and other expected sources of funding.7
2.2. Experience......................................................................................................................................7
5 Declarations.............................................................................................................................12
5.1. Declaration by the lead applicant (full application).....................................................................12
5.2. Mandate (for co-applicant(s)).......................................................................................................14
5.3. Affiliated entity(ies) statement.....................................................................................................15
1 General information...............................................................................................................16
2 The action................................................................................................................................16
2.1. Description of the Action..............................................................................................................16
2.1.1. Description (max 13 pages)...........................................................................................................16
2.1.2. Implementation approach (max 5 pages).......................................................................................17
2.1.3. Indicative action plan for implementing the action (max 4 pages)................................................17
2.1.4. Sustainability of the action (max 3 pages).....................................................................................18
2.1.5. Logical Framework........................................................................................................................18
2.1.6. Budget, amount requested from the contracting authority and other expected sources of funding...
18
2.1.7. PADOR-registration form..............................................................................................................19
2.2. Experience....................................................................................................................................19
5 Declarations.............................................................................................................................20
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FULL APPLICATION FORM
You must follow the instructions at the end of this document on how to fill in the full application
1 General information
Reference of the call for proposals Enter EuropeAid reference for the call for proposals
Location of the action [Do not fill in here if you are applying via PROSPECT]
specify country(ies) region(s) that will benefit from the action
Duration of the action [Do not fill in here if you are applying via PROSPECT]
2 The action 5
4When the contracting authority has evaluated the concept note it informs the lead applicant of
the outcome and allocates a proposal number.
5 The evaluation committee will refer to information provided in the concept note as regards
objectives and the relevance of the action.
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2.2.2. Indicative action plan for implementing the action (max 4 pages)
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Year 1
Half-year 1 Half-year 2
Activity Month 1 2 3 4 5 6 7 8 9 10 11 12 Implementing body
Example example Example
Preparation Activity 1 (title) co-applicant and/or affiliated entity
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2.2.3. Sustainability of the action (max 3 pages)
2.2.5. Budget, amount requested from the contracting authority and other expected sources of
funding
2.3. Experience
The below information will be used to assess whether you have sufficient and stable experience of managing
actions in the same sector and of a comparable scale to the one for which a grant is being requested.
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(i) Experience in similar actions in the past 3 years (Maximum 1 page per action)
Location of the Cost of the action Role: coordinator, Donors to the action Amount contributed Dates (from..to)
action (EUR) co-beneficiary, affiliated entity (name)6 (by donor) dd/mm/yyyy
… … … … … …
(ii) Experience in other actions in the past 3 years (Max. 1 page per action and max. 10 actions)
6If the donor is the European Union or an EU Member State, please specify the EU budget line, EDF or EU Member State
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Name of the organisation:
Lead applicant Co-applicant Affiliated entity
Project title: Sector (ref. list of sectors in Sectorial experience in PADOR):
Location of the Cost of the action Role: coordinator, Donors to the action Amount contributed Dates (from..to)
action (EUR) co-beneficiary, affiliated entity (name)7 (by donor) dd/mm/yyyy
… … … … … …
7If the donor is the European Union or an EU Member State, please specify the EU budget line, EDF or EU Member State.
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3 The lead applicant, the co-applicant(s) and affiliated entities
[Delete this section if you are applying via PROSPECT]
8 For individuals.
9 For organisations.
10 If the applicant has already signed a contract with the European Commission.
11 E.g. non-profit, governmental body, or international organisation.
12 Add as many rows as co-applicant(s)
13 Add as many rows as affiliated entities
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Associate <…>
Full legal name
EuropeAid ID number14
Country of registration
Legal status15 Profit-Making □ Yes □ No
NGO □ Yes □ No
Official address
Contact person
Tel: country code + city code + number
Fax: country code + city code + number
E-mail address
Number of employees
Experience of similar actions, in relation to
role in implementing the proposed action
History of cooperation with the applicants
Role and involvement in preparing
the proposed action
Role and involvement in implementing
the proposed action
14 This number is available to an organisation which registers its data in PADOR. For more
information and to register, please visit https://wikis.ec.europa.eu/display/ExactExternalWiki/e-
Calls+PADOR .
15 E.g. non-profit, governmental body or international organisation.
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5 Declarations
The lead applicant, represented by the undersigned, being the authorised signatory of the applicant, in the
context of the present call for proposals, representing any co-applicant(s), affiliated entity(ies) in the
proposed action, hereby declares that
i. the lead applicant has the sources of financing specified in Section 2 of the guidelines for
applicants;
ii. the lead applicant has sufficient financial capacity to carry out the proposed action or work
programme;
iii. the lead applicant certifies the legal statutes of the lead applicant, of the co-applicant(s) and of the
affiliated entity(ies) as reported in part 3, 4, and 5 of this application;
iv. the lead applicant, the co-applicant(s) and the affiliated entity(ies) have the professional
competences and qualifications specified in Section 2 of the guidelines for applicants;
v. the lead applicant undertakes to comply with the obligations foreseen in the affiliated entity(ies)'s
statement of the grant application form and with the principles of good partnership practice;
vi. the lead applicant is directly responsible for the preparation, management and implementation of
the action with the co-applicant(s) and affiliated entity(ies), if any, and is not acting as an
intermediary;
vii. the lead applicant, the co-applicant(s) and the affiliated entity(ies) must fill in and sign a
declaration on honour (PRAG Annex A14) certifying that they are not in any of the situations
excluding them from participating in contracts which are listed in Section 2.6.10.1. of the
practical guide (available from the following internet address:
https://wikis.ec.europa.eu/display/ExactExternalWiki/2.+Basic+rules). Furthermore, it is
recognised and accepted that if the lead applicant, co-applicant(s) and affiliated entity(ies) (if
any) participate in spite of being in any of these situations, they may be excluded from other
procedures in accordance with the Financial Regulation in force;
viii. the lead applicant and each co-applicant and affiliated entity (if any) is in a position to deliver
immediately, upon request, the supporting documents stipulated under Section 2.4 of the
guidelines for applicants;
ix. the lead applicant and each co-applicant and affiliated entity (if any) are eligible in accordance
with the criteria set out under Sections 2.1.1 of the guidelines for applicants; if recommended to
be awarded a grant, the lead applicant, the co-applicant(s) and the affiliated entity(ies) accept the
contractual conditions as laid down in the standard grant contract annexed to the guidelines for
applicants (Annex G) (or the Contribution Agreement, where applicable).
These are the sources and amounts of Union funding received or applied for the action or part of the
action or for its functioning during the same financial year as well as any other funding received or
applied for the same action
list source and amount and indicate status (i.e. applied for or awarded)
The lead applicant is fully aware of the obligation to inform without delay the contracting authority to
which this application is submitted if the same application for funding made to other European
Commission departments or European Union institutions has been approved by them after the submission
of this grant application.
We acknowledge that if we participate in spite of being in any of the situations listed in Section 2.6.10.1
of the practical guide or if the declarations or information provided prove to be false we may be subject
to rejection from this procedure and to administrative sanctions in the form of exclusion and financial
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penalties up to 10 % of the total estimated value of the grant being awarded and that this information may
be published on the Commission website in accordance with the Financial Regulation in force. We are
aware that, for the purposes of safeguarding the EU’s financial interests, our personal data may be
transferred to internal audit services, to the early detection and exclusion system, to the European Court
of Auditors or to the European Anti-Fraud Office.
Name:
Position:
Signature:
Date and place:
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5.2. Mandate (for co-applicant(s))
Important: This application form must be accompanied by a signed and dated mandate from each
co-applicant, in accordance with the template provided below.
The co-applicant authorises the lead applicant <indicate the name of the organisation> to submit on its
behalf the present application form and to sign on its behalf the standard grant contract (Annex G of the
guidelines for applicants) (or a Contribution Agreement, where applicable) with the European
Commission (contracting authority), as well as, to be represented by the lead applicant in all matters
concerning this grant contract.
I have read and approved the contents of the proposal submitted to the contracting authority. I undertake
to comply with the principles of good partnership practice.
Name:
Organisation:
Position:
Signature:
Date and place:
5.3. Affiliated entity(ies) statement
Important: This application form must be accompanied by a signed and dated affiliated entities'
statement from each affiliated entity, in accordance with the template provided below.
To ensure that the action runs smoothly, the European Commission (contracting authority) requires all
affiliated entity(ies) to acknowledge the principles of set out below:
1. All affiliated entity(ies) must have read the guidelines for applicants and grant application form
and understood their role in the action before the application is submitted to the contracting
authority.
2. All affiliated entity(ies) must have read the standard grant contract (or Contribution Agreement,
where applicable) and understood what their respective obligations under the contract will be if
the grant is awarded. They authorise the organisation to which they are affiliated to sign the
contract on their behalf with the contracting authority and represent them in all dealings with the
contracting authority in the context of the action’s implementation.
3. The affiliated entity(ies) must consult regularly with the organisation to which they are affiliated
whom, in turn, should keep them fully informed of the progress of the action.
4. All affiliated entity(ies) must receive copies of the reports — narrative and financial — made to
the contracting authority.
5. Proposals for substantial changes to the action (e.g. changes in activities that could affect the
basic purpose of the action, affiliated entity(ies), etc.) should be agreed by the affiliated
entity(ies) before being submitted to the contracting authority.
I have read and approved the contents of the proposal submitted to the contracting authority. I undertake
to comply with the principles of good partnership practice.
Name:
Organisation:
Position:
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Signature:
Date and place:
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[Please delete the instructions below before submitting your full application]
If you are applying for a restricted call for proposals, you should only submit this form (Annex A.2) after
you receive an invitation to submit a full application (at the time of the invitation).
6 General information
7 The action
Provide a description of the proposed action and its relevance, including all the information requested
below, referring to the overall objective and specific objective(s), as well as to the expected results (i.e.
impact, outcome(s) and outputs):
i. Briefly outline the relevance of the action to the objectives/sectors/themes/specific priorities of
the call for proposals and to the particular needs and constraints of the target country/countries,
region(s) (including synergy with other development initiatives and avoidance of duplication).
ii. Define and describe the target groups and final beneficiaries, their needs and constraints, and state
how the action will address these needs and improve their situation. Describe the key stakeholder
groups, their attitudes towards the action and any consultations held. Describe the technical and
management capacities of target groups and/or any local co-applicants and affiliated entities.
iii. Present the intervention logic, explaining how the activities will lead to the outputs, then the
outputs to the outcome(s) and finally the outcome(s) to the expected impact, making explicit the
main assumptions and risks along this chain of results.
iv. State how the action will improve the situation of the target groups and final beneficiaries and the
technical and management capacities of target groups and/or any local co-applicants and affiliated
entity(ies).
v. Identify and describe in detail each activity (or work package) to be undertaken to produce
results, justifying the choice of activities and specifying the role of each co-applicant(s) and
affiliated entity(ies) (and associates or contractors or recipients of financial support where
applicable) in the activities. Do not repeat the action plan to be provided in Section 2.1.3, but
demonstrate coherence and consistency of project design. List any publications proposed.
vi. If financial support is allowed by the guidelines for applicants, lead applicants wishing to give
financial support to third parties must define, in line with the conditions set by the guidelines for
applicants the objectives and results to be obtained with financial support, the different types of
activities eligible for financial support, on the basis of a fixed list, the types of entity eligible or
categories of persons which may receive financial support, the criteria for selecting these entities
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and, giving the financial support, the criteria for determining the exact amount of financial
support for each third entity, and the maximum amount which may be given. With reference to
Section 2.4 of PRAG, the beneficiary of the grant contract shall be responsible for the respect of
the EU restrictive measures in case of financial support to third entities.
vii. Indicate the main studies conducted in view of defining the scope of the action.
viii. Describe/highlight eventual changes of the information provided in the concept note.
Describe in detail:
i. the methods of implementation (including the main means proposed – e.g. equipment, materials,
and supplies to be acquired or rented) and rationale for such methodology;
ii. where the action continues a previous action, describe how the action is intended to build on the
results of the previous action (give the main conclusions and recommendations of any evaluations
carried out);
iii. where the action is part of a larger programme, explain how it fits or is coordinated with this
programme or any other possibly planned project (please specify potential synergies with other
initiatives, in particular by the European Union);
iv. the organisational structure and the team proposed for the implementation of the action (by
function: there is no need to include the names of individuals);
v. the role and participation in the action of the various actors and stakeholders (co-applicant(s),
affiliated entity(ies), target groups, local authorities, etc.), and the reasons why these roles have
been assigned to them;
vi. the planned monitoring arrangements and subsequent follow up;
vii. the planned internal/external evaluation processes (an evaluation should be foreseen for actions
above EUR 500 000, and is highly recommended for actions below this amount);
viii. the planned activities in order to ensure the visibility of the EU’s financial contribution to the
action and if applicable, communication activities.
7.1.2. Indicative action plan for implementing the action (max 4 pages)
Applicants should not give a specific start-up date for the implementation of the action but simply refer to
‘month 1’, ‘month 2’, etc.
It is recommended to base the estimated duration of each activity and the total period on the most
probable duration and not on the shortest possible duration, by taking into consideration all relevant
factors that may affect the implementation timetable.
The activities stated in the action plan should match those described in detail in Section 2.1.1. The
implementing body must be either the applicants or any of the affiliated entity(ies), associates or
subcontractors. Any months or interim periods without activities must be included in the action plan and
count toward the calculation of the total estimated duration of the action.
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The action plan for the first 12 months of implementation should be sufficiently detailed to give an
overview of the preparation and implementation of each activity. The action plan for each of the
subsequent years may be more general and should only list the main activities proposed for those years.
To this end, it must be divided into six-month periods (NB: A more detailed action plan for each
subsequent year must be submitted before any new pre-financing payments are received under Article 4.1
of the special conditions of the grant contract).
i. Describe the expected impact of the action on its target group/beneficiaries, with qualitative and
quantified data where possible, at technical, economic, social, and policy levels (will it lead to
improved legislation, codes of conduct, methods, etc.?).
ii. Provide a detailed risk analysis and contingency plan. This should include a list of risks
associated with each proposed action, accompanied by relevant mitigation measures. A good risk
analysis will include a range of risk types including physical, environmental, political, economic
and social risks.
iii. Explain how the action will be made sustainable after completion. This may include necessary
follow-up activities, built-in strategies, ownership, communication plan, etc. Distinguish between
four types of sustainability:
a. Financial sustainability: e.g. financing of follow-up activities, sources of revenue for
covering all future operating and maintenance costs.
b. Institutional sustainability: e.g. structures that would allow the results of the action to
continue to be in place after the end of the action, capacity building, agreements and local
‘ownership’ of the results of the action.
c. Policy level sustainability: e.g., where applicable, structural impact (improved legislation,
consistency with existing frameworks, codes of conduct, or methods).
d. Environmental sustainability (where applicable): what positive/negative impact will the
action have on the environment — have conditions been put in place to avoid negative
effects on the natural resources on which the action depends and on the broader natural
environment?
iv. Describe a dissemination plan and the possibilities for replication, extension of the action
outcomes (multiplier effects), capitalisation on experience and knowledge sharing, clearly
indicating any intended dissemination channel.
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7.1.5. Budget, amount requested from the contracting authority and other expected
sources of funding
i. the budget of the action (worksheet 1), for the total duration of the action and for its first 12
months;
ii. justification of the budget (worksheet 2), for the total duration of the action, and
iii. amount requested from the contracting authority and other expected sources of funding for the
action for the total duration (worksheet 3).
For further information, see the guidelines for applicants (Sections 1.3, 2.1.4 and 2.2.5).
[Where the guidelines for applicants allow the contracting authority to finance the action in full, you must
justify any request for full financing by showing that it is essential to carry out the action.]
[Please list below the contributions in kind to be provided (please specify), if any (maximum 1 page).]
Please note that the cost of the action and the contribution requested from the contracting authority
must be stated in EUR.
In case lead applicants, co-applicants and affiliated entity cannot register on line in PADOR, they
should submit PADOR registration form (Annex F) attached to the guidelines at the time of the
time of submitting the full application.
7.2. Experience
The information in this section will be used to assess whether you have sufficient and stable experience of
managing actions in the same sector and of a comparable scale to the one for which a grant is being
requested.
(i) Experience in similar actions in the past 3 years: Please provide a detailed description of actions in
the same sector and of a comparable scale to the one for which a grant is being requested managed by:
The lead applicant
The co-applicant(s)
The affiliated entity(ies)
Maximum 1 page per action.
(ii) Experience in other actions in the past 3 years: Please provide a detailed description of other actions
managed by:
The lead applicant
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The co-applicant(s)
The affiliated entity(ies)
Max. 1 page per action and max. 10 actions.
Please check that you have filled in your EuropeAid ID in the application form and that your PADOR
profile is up to date. If it is impossible to register online in PADOR, you must complete the 'PADOR
registration form' (Annex F to the guidelines) and send it together with your application (see Section
2.1.7).
It is strongly recommended to register in PADOR before you start drafting your proposal and not
to wait until just before the deadline of submission.
EUROPEAID/182790/DD/ACT/ID
(To be filled in by the lead applicant for self-guidance purposes only)
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6. Each co-applicant has completed, signed and submitted the mandate.
(If co-applicant(s) are not mandatory for this call (or lot): Please write
‘Not applicable’ (N/A) if you have no co-applicant(s))
7. Each affiliated entity has completed, signed and submitted an
affiliated entity's statement (If affiliated entity(ies) is not mandatory for
this call (or lot): Please write ‘Not applicable’ (N/A) if you have no
affiliated entity(ies).)
8. The budget is enclosed, in balance, presented in the format
requested, and stated in EUR.
9. The logical framework has been completed and is enclosed.
10. The duration of the action is equal to or lower than the maximum
allowed in section 2.1.3 of the guidelines.
11. The duration of the action is equal to or higher than the minimum
allowed in section 2.1.3 of the guidelines.
12. The requested EU contribution (amount) is equal to or higher than
the minimum allowed in section 1.3 of the guidelines.
13. The requested EU contribution (amount) is equal to or lower than
the maximum allowed in section 1.3 of the guidelines.
14. The requested EU contribution as a percentage of the total eligible
costs is equal to or higher than the minimum percentage allowed in
section 1.3 of the guidelines.
15. The requested EU contribution as a percentage of the total eligible
costs is equal to or lower than the maximum percentage allowed in
section 1.3 of the guidelines.
16. The requested EU contribution has not been changed by more than
the percentage allowed compared to the amount requested at the
concept note stage.
1. The lead applicant satisfies the eligibility criteria in section 2.1.1. of
the guidelines.
2. The co-applicant(s), if any, satisfy the eligibility criteria in section
2.1.1. of the guidelines.
3. The affiliated entity(ies), if any, satisfy the eligibility criteria in
section 2.1.1. of the guidelines.
4. The supporting documents were submitted in accordance with the
guidelines (section 2.4).
5. The statutes or articles of association of the lead applicant
organisation have been uploaded in accordance with the guidelines
(section 2.4).
6. The statutes or articles of association of the co-applicant(s) and the
affiliated entity(ies) have been uploaded in accordance with the
guidelines (section 2.4).
7. Copy of the lead applicant's latest accounts has been provided in
accordance with the guidelines (section 2.4).
8. The lead applicant's external audit report (if applicable) has been
provided in accordance with the guidelines (section 2.4).
9. The Legal Entity File (see annex D to the guidelines for applicants)
has been duly completed and signed by the applicants and the
supporting documents requested have been enclosed in accordance
with the guidelines (section 2.4).
10. A Financial Identification Form (see Annex E of the guidelines for
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applicants) has been provided by lead applicant in accordance with the
guidelines (section 2.4).
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