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FP7 - Grant Agreement - Annex VI - Collaborative Project Form C - Financial Statement (to be filled in by Third Party ) Only applicable if special clause nr 10 is used Project nr nnnnnn Funding scheme Collaborative Project Project Acronym xxxxxxxxxxxxxxxxxxxxx Period from dd/mm/aa Is this an adjustment to a previous statement Yes/No To dd/mm/aa 3rd party legal Name 3rd party Organisation short Name Working for beneficiary nr nn Funding % for RTD activities (A) If flat rate for indirect costs, specify % % 1- Declaration of eligible costs/lump sum/flate-rate/scale of unit (in €) Personnel costs Subcontracting Other direct costs Indirect costs Lump sums/flat-rate/scale of unit declared Total Maximum EC contribution Requested EC contribution RTD (A) Demonstration (B) Type of Activity Management (C) Other (D) TOTAL (A+B+C+D) 2- Declaration of receipts Did you receive any financial transfers or contributions in kind, free of charge from third parties or did the project generate any income which could be considered a receipt according to Art.II.17 of the grant agreement If yes, please mention the amount (in €) 3- Declaration of interest yielded by the pre-financing (to be completed only by the coordinator ) Did the pre-financing you received generate any interest according to Art. II.19 If yes, please mention the amount (in €) 4. Certificate on the methodology Do you declare average personnel costs according to Art. II.14.1 Is there a certificate on the methodology provided by an independent auditor and accepted by the Commission according to Art. II.4.4 Cost of the certificate (in €), if charged Name of the auditor under this project Yes/No Yes/No Yes/No Yes/No 5- Certificate on the financial statements Is there a certificate on the financial statements provided by an independent auditor attached to this financial statement according to Art.II.4.4 Name of the auditor Cost of the certificate (in €) Yes/No 6- Beneficiary’s declaration on its honour We declare on our honour that: - the costs declared above are directly related to the resources used to attain the objectives of the project and fall within the definition of eligible costs specified in Articles II.14 and II.15 of the grant agreement, and, if relevant, Annex III and Article 7 (special clauses) of the grant agreement; - the receipts declared above are the only financial transfers or contributions in kind, free of charge, from third parties and the only income generated by the project which could be considered as receipts according to Art. II.17 of the grant agreement; - the interest declared above is the only interest yielded by the pre-financing which falls within the definition of Art. II.19 of the grant agreement ; - there is full supporting documentation to justify the information hereby declared. It will be made available at the request of the Commission and in the event of an audit by the Commission and/or by the Court of Auditors and/or their authorised representatives. Beneficiary’s Stamp Name of the Person(s) Authorised to sign this Financial Statement Date & signature EN 58 20
FP7 - Grant Agreement - Annex VI - Collaborative Project Summary Financial Report - Collaborative Project- to be filled in by the coordinator Project acronym xxxxxxxxxxxxxxxxxxxxxxxxx Project nr nnnnnn Reporting period from dd/mm/aa to: dd/mm/aa Page 1/1 Beneficiar y n° 1 Funding scheme If 3rd Party, linked to beneficiary CP Adjustment (Yes/No) Organisation Short Name Total RTD (A) Max EC Contribution Demonstration (B) Total Max EC Contribution Type of activity Total Management (C) Max EC Contribution Total Other (D) Max EC Contribution Total (A)+(B)+(C)+(D) Total Max EC Contribution Receipts Interest 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 TOTAL Requested EC contribution for the reporting period (in €) 21 59 EN
Page 1 and 2:
PROJEKTŲ ATASKAITŲ TEIKIMO VADOVA
Page 3 and 4:
A1 PRIEDAS 37 SPECIALŪS ATASKAITŲ
Page 5 and 6:
Informacinės visuomenės ir žinia
Page 7 and 8: Komisijai publikuojama forma reišk
Page 9 and 10: PROJEKTO TARPINĖ ATASKAITA Dotacij
Page 11 and 12: 3.1. Publikavimui tinkama santrauka
Page 13 and 14: 3.3. Projekto produktų ir pagrindi
Page 15 and 16: Pagrindiniai etapai Pildykite šią
Page 17 and 18: Toliau pateiktą lentelę reikia pi
Page 19 and 20: 7BP - Dotacijos sutartis. VI prieda
Page 21 and 22: 7BP - Dotacijos sutartis - VI pried
Page 23 and 24: PROJEKTO GALUTINĖ ATASKaita Dotaci
Page 25 and 26: A dalis (viešai skelbiama) Šioje
Page 27 and 28: B dalis (konfidenciali 17 arba vie
Page 29 and 30: 4.3 Ataskaita apie socialinę reik
Page 31 and 32: 2121 D LYČIŲ ASPEKTAI 5 Ar įgyve
Page 33 and 34: 13c Jei Taip, kokiame lygmenyje O V
Page 35 and 36: 2.2. Elektros inžinerija, elektron
Page 37 and 38: A1 PRIEDAS SPECIALŪS ATASKAITŲ AP
Page 39 and 40: Guidance Notes on on Project Report
Page 41 and 42: 3 ANNEX A1 37 75 REPORTING SPECIFIC
Page 43 and 44: For the projects managed by DG INFS
Page 45 and 46: data to the Commission, you are als
Page 47 and 48: PROJECT PERIODIC REPORT Grant Agree
Page 49 and 50: 3.1 Publishable summary This sectio
Page 51 and 52: 3.3 Deliverables and milestones tab
Page 53 and 54: Milestones Please complete this tab
Page 55 and 56: The following table is required onl
Page 57: FP7 - Grant Agreement - Annex VI -
Page 61 and 62: PROJECT FINAL REPORT Grant Agreemen
Page 63 and 64: Section A (public) This section inc
Page 65 and 66: Section B (Confidential 17 or publi
Page 67 and 68: 4.3 Report on societal implications
Page 69 and 70: D Gender Aspects 5. Did you carry o
Page 71 and 72: 13c If Yes, at which level ◦ Loca
Page 73 and 74: 2.2 Electrical engineering, electro
Page 75 and 76: ANNEX A1 REPORTING SPECIFICITIES FO
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projektų ataskaitų teikimo vadovas - Mokslo, inovacijų ir technologijų ...

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