DECLARATION ON HONOUR

To be completed by the person legally authorised to sign on behal o the applicant organisation !Legal Representati"e# I, the undersigned, hereby request for a grant for 2014 from the Education, Audiovisual and Culture Executive Agency !the Agency!" for the o#erating costs covered by this grant a##lication$ I certify that all information contained in this a##lication, including the descri#tion of the %or& #rogramme, is correct to the best of my &no%ledge and that I am a%are of the content of the annexes to the online a##lication form e'orm"$ I declare that my staff is com#osed as follo% for the #eriod involved( $ER%ONNEL )aid staff member s" +umber of full time em#loyees +umber of #art time em#loyees ,otal in full time equivalent I confirm that my organisation has the financial and o#erational ca#acity to com#lete the #ro#osed #ro-ect$ In the event that my grant a##lication is successful, I authorise the Commission . the Agency to #ublish the follo%ing information in any form and medium, including via the Internet( the beneficiary/s name and the address0 the sub-ect of the grant0 the amount a%arded and the rate of funding$ A##licants requiring a grant above E*1 20 000 %ill be excluded from #artici#ating in the Call for #ro#osals #rocedure if they are in any of the follo%ing situations( they are ban&ru#t or being %ound u#, are having their affairs administered by the courts, have entered into an arrangement %ith creditors, have sus#ended business activities, are the sub-ect of #roceedings concerning those matters, or are in any analogous situation arising from a similar #rocedure #rovided for in national legislation or regulations0 they or #ersons having #o%ers or re#resentation, decision ma&ing or control over them have been convicted of an offence concerning their #rofessional conduct by a -udgment of a com#etent authority of a 3ember 4tates %hich has the force of res -udicata0 they have been guilty of grave #rofessional misconduct #roven by any means %hich the res#onsible authorising officer can -ustify including by decisions of the EI5 and international organisations0 they are not in com#liance %ith their obligations relating to the #ayment of social security contributions or the #ayment of taxes in accordance %ith the legal #rovisions of the country in %hich they are established or %ith those of the country of the res#onsible authorising officer or those of the country %here the grant agreement is to be #erformed0 they or #ersons having #o%ers or re#resentation, decision ma&ing or control over them have been the sub-ect of a -udgment %hich has the force of res -udicata for fraud, corru#tion, involvement in a criminal organisation, money laundering or any other illegal activity, %here such an illegal activity is detrimental to the *nion/ financial interests0 they are currently sub-ect to an administrative #enalty referred to in Article 106 1" of the 'inancial 1egulation$ A##licants %ill not be granted financial assistance if, in the course of the grant a%ard #rocedure, they( are sub-ect to a conflict of interests0 are guilty of misre#resentation in su##lying the information required by the Agency as a condition of #artici#ation in the grant a%ard #rocedure, or fail to su##ly this information0 find themselves in one of the situations of exclusion referred to in the above #aragra#h$ ,he same exclusion criteria a##ly to affiliated entities$ Administrative and financial #enalties may be im#osed on a##licants, or affiliated entities %here a##licable, %ho are guilty of misre#resentation or are found to have seriously failed to meet their contractual obligations under a #revious grant a%ard #rocedure$ 5y signing this a##lication form, I, the undersigned, acce#t all the conditions set out in the Call for )ro#osals EACEA.07.2014 and its A##licants/ 8uidelines$ 9one at( A##licant/s signature :egal re#resentative"( 9ate . . 2014 day.month.year" 4tam# of the a##licant organisation( *n#aid staff member s"

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