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PIC:

Full legal name


Full legal name (English)
Acronym
Address
City
Post code
Country
Region
Email
website
phone number
National ID

Type of Organization
Is the partner org. a public body?
Is the partner org. a non-profit?
Activity level

Accreditation:
Has the organization received
any type of accreditation before
submitting this application?

History and previous experience of the organization:

Short description of the


organization:

What are the activities and


experience of the organization in
the areas relevant for this
application?
Please provide information on key
staff / persons involved in the
project, and the competence and
previous experience with
they will contribute to the
project.

Legal Representative:
Title
Name
Family
Gender:
Department:
Position
Email
Telephone

Contact person:
Title
Name
Family
Gender:
Department:
Position
Email
Telephone

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