GENERAL INFORMATION

PIC

Acronym
Type of organisation according to E+ eform
options

BACKGROUNG & EXPERIENCE

Please briefly present the partner organisation (e.g., its type, scope of work, areas of specific
expertise, specific social context and, if relevant, the quality system used LINK WITH THE
PROJECT TOPICS MAXIMUM CHARACTERS 5000
What are the activities and experience of your organisation in the areas relevant for this
project? What are the skills and/or expertise of key persons involved in this project? PLEASE
ADD A BRIEF BIO OF AT LEAST ONE STAFF FOR EACH CATEGORY (i.e., Manager,
research/teacher/trainer, technical, and administrative)
Have your organisation participated in a EU granted project in the 3 years preceding this
application (2014, 2013 and 2012)?

Please indicate:
Project Identification Applicant/Beneficiary Project
EU Programme Year
or Contract Number Name title
 LEGAL REPRESENTATIVE
Title
Gender
First Name
Family Name
Department
Position
Email
Telephone 1

If the address is different from the one of the organisation, please tick this box and fill
in the information below:
Address
Country
Region
P. O. Box
Post Code
CEDEX
City
Telephone 2

CONTACT PERSON
Title
Gender
First Name
Family Name
Department
Position
Email
Telephone 1

If the address is different from the one of the organisation, please tick this box and fill
in the information below:
Address
Country
Region
P. O. Box
Post Code
CEDEX
City