[To be printed on an official letterhead of the partner organisation]

Associated Partner Declaration

MED PROGRAMME

Institution
(Name of institution and directorate, department etc., if appropriate)

Based in -
(Location/ country)

Represented by -
(name of representative/ function)

Herewith declares to support the project

(Project name)

I herewith declare that my institution supports the general aim of the project as described in the application form. My institution
shall contribute as an observer in this project in the following way:

And is particularly committed/ interested in the following activities (related Work Package/ Activity):

On behalf of the institution, I acknowledge that as an Associated Partner it is not permitted to establish any form of commercial or
contractual relationship with one or several project partners, nor engage in subcontracting, for the duration of the aforementioned
project and until completion of its activities.

The institution will contribute through its own resources with an amount of (optional): .

- / /
(Place, date)

(Signature, stamp)

Associated partner declaration V2 Janvier 2017

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