Sample application form - Interreg IVC

Checklist for submissionPlease make sure that you have fulfilled the requirements listed below before submitting the documents.1.The electronic version of the completed application form is submitted via e-mail toapplication@interreg4c.net by the end date of the call at the latest.2.The paper version of the completed application form and the relevant annexes (co-financing statements anproject time plan) is sent to the JTS in Lille by the end date of the call at the latest (date of the post stamp).3.4.All documents are in the working language of the Programme ( English).The paper version includes the completed application form and the relevant annexes (co-financingstatements and project time plan) in one single package/envelope.5.The paper version is not bound in order to ease later photocopying for the JTS.6.7.8.9.Co-financing statements in original or fax version are submitted for all partners. They are printed on headenote paper, signed, dated and stamped. The standard form presented in the programme manual has beenused and no amendments to the text have been made.The figures in the submitted co-financing statements correspond to the individual budget figures of eachpartner given in Section 5 of the application form.All partners participating in the operation, i.e. including partners from third countries, are listed in Section 5the Application Form with their institution’s name in original and English languages.A project time plan providing a chronological overview of the activities and ouputs is attached.10. The Application Form is signed by a duly authorised representative of the Lead Partner.11. The Application Form is dated and stamped.12. The applicant has verified the compliance of the application with the eligibility criteria of the INTERREG IVCprogramme described in the Programme Manual.VALID FOR FIRST CALL ONLY13. The applicant has verified that all fields have been filled in and no error messages appear.-4-