Application for project support under the Plan of Action for Candidate Countries

Application for project support under the Plan of Action for Candidate Countries to the EU

Application for project support under the

Plan of Action for Candidate Countries to the EU

The application is to be sent to the Norwegian embassy in the candidate country, or to Utenriksdepartementet, Europa/Nordamerika-seksjonen,

P.O. Box 8114 Dep., N-0032, Oslo.

To be filled out by the Ministry of Foreign Affairs

Agresso no.

Executive officer

Country

Amount applied for

Target area

Title of the project:

Information about the applicant:

Name:

Address:

Person responsible for the project/contact person:

Telephone:

Telefax:

E-mail:

Has the applicant previously received a grant through a grant scheme from the Ministry of Foreign Affairs?

If so, please specify the name of the project, the project number, the amount of the grant and the date:

Information about the project:

The project concerns the following countries/geographical scope of the project:

Description of the project:

Project type: (Please check the appropriate box):

q Pilot project

q Main project

q Transfer of expertise/Educational measures/Conference/Seminar (delete the options that are not applicable)

q Other, please specify:

q Continuation/follow-up of previously concluded or ongoing project

Please specify the project number:

Purpose of the project:

Target group:

Plan for implementing the project:

Performance indicators/criteria for assessing the project:

Will the project be able to continue when it no longer receives Norwegian support?

Information on any cooperation partners in Norway

Name:

Address:

Telephone:

Telefax:

E-post:

What will the Norwegian partner(s) contribute to the project?

Has a cooperation agreement been concluded, or are there plans to do so?

Budget for the project

Activity

Specification

Total budget

Applied for over the Plan of Action

Other sources of funding

Wage expenses – in-house staff (rates/no. of hours)

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Wage expenses – external staff (rates/no. of hours)

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Project management (if it is not covered by the above)

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Travel

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Training/Courses/
Seminars

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Translation/interpreting services

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Purchase/rental of equipment

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Printing costs for publications and material

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Transport/insurance

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Administrative expenses

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Other

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Total

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The applicant’s share of the expenses: NOK __________________________________

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