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OFFICIAL NAME
ABBREVIATION
LEGAL FORM
FOR PROFIT
NON FOR PROFIT NGO
YES NO
MAIN REGISTRATION NUMBER
SECONDARY REGISTRATION NUMBER
(if applicable)
CITY
COUNTRY
DATE OF MAIN REGISTRATION
DD MM YYYY
VAT NUMBER
POSTCODE P.O. BOX CITY
COUNTRY PHONE
E-MAIL
DATE STAMP
SIGNATURE OF AUTHORISED REPRESENTATIVE
National denomination and its translation in EN or FR if existing.
NGO = Non Governmental Organisation, to be completed if NFPO is indicated.
Registration number in the national register of companies. See table with corresponding field denomination by country.
PLEASE COMPLETE AND SIGN THIS FORM AND ATTACH COPIES OF OFFICIAL SUPPORTING
DOCUMENTS (REGISTER(S) OF COMPANIES, OFFICIAL GAZETTE, VAT REGISTRATION, ETC.)
ADDRESS OF
HEAD OFFICE
BUSINESS NAME
(if different)
PRIVATE LAW BODY
LEGAL ENTITY
http://ec.europa.eu/budget/library/contracts_grants/info_contracts/privacy_statement_en.pdfPRIVACY STATEMENT
Please use CAPITAL LETTERS and LATIN CHARACTERS when filling in the form.
ORGANISATION TYPE
PLACE OF MAIN
REGISTRATION
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Always forgive your enemies. Nothing annoys them more. | Oscar Wilde