Professional Documents
Culture Documents
1. GENERAL INFORMATION
1.1. Name of the Programme Energy and Climate Change Programme
1.2. Name of the Call Technical documentation for geothermal energy
1.3. Name of the Project
1.4. Project Acronym (if applicable)
1.5. Name of the Applicant
Type of legal entity Other Choose from the drop-down menu
In case the type of legal entity is not listed, please specify the type of legal entity:
Koprivničko-križe
2. PROJECT
2.1. Summary of the project in Croatian language
Please enter key information about the problem that the project addresses, the aim of the project and the target groups that will be covered by the project activities. If the project is approved for funding, this information will be
used for the promotion and visibility of the project.
Before entering, delete the text from the box. Please note the character limit within the box. Entry in this box is mandatory.
Bilateral Number of study trips, workshops, roundtables organized in cooperation with the Donor State the evidence which will be used to
Insert number
Bilateral Output Indicator Number 0 of units measure achievement of the Indicator target
Output 1 States value
3. PARTNERSHIP
Does the project envisage a partnership? Choose from the drop-down menu
If the answer is NO, the applicant does not fill in the information required under heading 3. of the Application form
Partner 1
Partner 2
Partner 3
Partner 4
Partner 5
Partner 1
Briefly explain the choice of partner, describe how it is involved in project activities and indicate their roles in project implementation. Before entering, delete the text from the box. Please note the character limit
within the box.
Partner 2
Briefly explain the choice of partner, describe how it is involved in project activities and indicate their roles in project implementation. Before entering, delete the text from the box. Please note the character limit
within the box.
Partner 3
Briefly explain the choice of partner, describe how it is involved in project activities and indicate their roles in project implementation. Before entering, delete the text from the box. Please note the character limit
within the box.
Partner 4
Briefly explain the choice of partner, describe how it is involved in project activities and indicate their roles in project implementation. Before entering, delete the text from the box. Please note the character limit
within the box.
Partner 4
Briefly explain the choice of partner, describe how it is involved in project activities and indicate their roles in project implementation. Before entering, delete the text from the box. Please note the character limit
within the box.
Partner 5
Name of the project Total amount of the project Role of the applicant/partner in the project Brief description of the project
1. Briefly describe the puropse and objectives of the previously implemented project. Before
entering, delete the text from the box. Please note the character limit within the box.
Briefly describe the puropse and objectives of the previously implemented project. Before
entering, delete the text from the box. Please note the character limit within the box.
2. Briefly describe the puropse and objectives of the previously implemented project. Before
entering, delete the text from the box. Please note the character limit within the box.
3. Briefly describe the puropse and objectives of the previously implemented project. Before
entering, delete the text from the box. Please note the character limit within the box.
Description of the risk Risk refers to Risk Likelihood Risk Impact Description of the solution
Cjelokupnu prove
###
###
###
###
6. Sustainability of the project
6.1. Estimated maintenance and insurance costs of purchased equipment 5 years after project implementation
Describe how the project proposal contributes to meeting the above horisontal principles.
Before entering, delete the text from the box. Please note the character limit within the box.
9. LIST OF ANNEXES
4. YES - IF APPLICABLE
Declaration on the legal status of real estate to be affected by The Declaration must be completed and signed by the
6. the project infrastructural activities YES - IF APPLICABLE/ AVAILABLE Applicant in the appropriate form (Application package,
Form 6).
8.
Proof of ownership and legality of real estate to be affected by YES - IF APPLICABLE/ AVAILABLE According to chapter 4., point 4.3. of the Call
the works activities (Annex 2)
12.
Annual Financial Report of the Applicant/Project Partner for
YES According to chapter 4., point 4.3. of the Call
2020, 2019 and 2018 (Annex 6)
Annual Financial Report of the Applicant/Project Partner for
YES According to chapter 4., point 4.3. of the Call
2020, 2019 and 2018 (Annex 6)
Technical documentation
Activity Name
Project Management and Administration Activity Start Month
Describe the structure of project administration and coordination. Indicate the specific division of roles within the applicant and, if applicable, among the partners in the processes of
financial and administrative management, monitoring and reporting on project activities and ensuring the audit trail. Where applicable, indicate the specific persons and their
responsibilities in carrying out the activities. Indicate if subcontracting of external expert services for the implementation of individual segments of project implementation activities is
planned. Describe the expected results of the management activity (e.g. implementation reports produced, equipment and materials procured, if applicable).
If applicable, describe the management of the eligible project activities listed in chapter 3., point 3.7.1., paragraph a).
How do the project management and administration activities contribute to the achievement of the outputs and the outcome of the Call?
Before entering, delete the text from thebox. Please note the character limit within the box. Entry in this box is required.
Max 4.000 characters
Activity Name
Promotion and Visibility Activity Start Month
It is also necessary to describe the planned achievement of the Output 2.2. How does the promotion and visibility activity contribute to the achievement of the outputs and the
outcome of the Call?
Before entering, delete the text from thebox. Please note the character limit within the box. Entry in this box is required.
Max 4.000 characters
Name of the Activity 1
The activity contributes to the achievement of the following expected outcome/output(s) of the Call:
The project proposal, in addition to the project management activities and publicity and visibility activities, must contain activities listed in chapter 3., point 3.7.1 of the Call.
Before entering, delete the text from thebox. Please note the character limit within the box. Entry in this box is required.
Najviše 4.000 znakova
Name of the Activity 2
The activity contributes to the achievement of the following expected outcome/output(s) of the Call:
Activity Start Month
The project proposal, in addition to the project management activities and publicity and visibility activities, must contain activities listed in chapter 3., point 3.7.1 of the Call.
Before entering, delete the text from thebox. Please note the character limit within the box. Entry in this box is required.
Max 4.000 characters
Name of the Activity 3
The activity contributes to the achievement of the following expected outcome/output(s) of the Call:
Activity Start Month
The project proposal, in addition to the project management activities and publicity and visibility activities, must contain activities listed in chapter 3., point 3.7.1 of the Call.
Before entering, delete the text from thebox. Please note the character limit within the box. Entry in this box is required.
The activity contributes to the achievement of the following expected outcome/output(s) of the Call:
Activity Start Month
The project proposal, in addition to the project management activities and publicity and visibility activities, must contain activities listed in chapter 3., point 3.7.1 of the Call.
Before entering, delete the text from thebox. Please note the character limit within the box. Entry in this box is required.
The project proposal, in addition to the project management activities and publicity and visibility activities, must contain activities listed in chapter 3., point 3.7.1 of the Call.
Before entering, delete the text from thebox. Please note the character limit within the box. Entry in this box is required.
The activity contributes to the achievement of the following expected outcome/output(s) of the Call:
Activity Start Month
The project proposal, in addition to the project management activities and publicity and visibility activities, must contain activities listed in chapter 3., point 3.7.1 of the Call.
Before entering, delete the text from thebox. Please note the character limit within the box. Entry in this box is required.
Month 1 2 3 4 5 6 7 8 9 10 11 12
Activity 1
Activity 2
Activity 3
Activity 4
Activity 5
Activity 6
Activity PM
Activity PV
Month 13 14 15 16 17 18 19 20 21 22 23 24
Activity 1
Activity 2
Activity 3
Activity 4
Activity 5
Activity 6
Activity PM
Activity PV
For the months of implementation, color the cell gray for the
appropriate activity:
BUDGET LINE UNIT TYPE NUMBER OF UNITS AMOUNT PER UNIT TOTAL EXPENDITURE CATEGORY ACTIVITY CATEGORY OF AID COMMENT
1 0.00 EUR … … …
2 0.00 EUR … … …
3 0.00 EUR … … …
4 0.00 EUR … … …
5 0.00 EUR … … …
6 0.00 EUR … … …
8 0.00 EUR … … …
9 0.00 EUR … … …
10 0.00 EUR … … …
11 0.00 EUR … … …
12 0.00 EUR … … …
13 0.00 EUR … … …
14 0.00 EUR … … …
15 0.00 EUR … … …
16 0.00 EUR … … …
17 0.00 EUR … … …
18 0.00 EUR … … …
19 0.00 EUR … … …
20 0.00 EUR … … …
21 0.00 EUR … … …
22 0.00 EUR … … …
23 0.00 EUR … … …
24 0.00 EUR … … …
25 0.00 EUR … … …
26 0.00 EUR … … …
27 0.00 EUR … … …
28 0.00 EUR … … …
29 0.00 EUR … … …
30 0.00 EUR … … …
31 0.00 EUR … … …
32 0.00 EUR … … …
33 0.00 EUR … … …
34 0.00 EUR … … …
35 0.00 EUR … … …
36 0.00 EUR … … …
37 0.00 EUR … … …
38 0.00 EUR … … …
39 0.00 EUR … … …
40 0.00 EUR … … …
41 0.00 EUR … … …
42 0.00 EUR … … …
43 0.00 EUR … … …
44 0.00 EUR … … …
45 0.00 EUR … … …
46 0.00 EUR … … …
47 0.00 EUR … … …
48 0.00 EUR … … …
49 0.00 EUR … … …
50 0.00 EUR … … …
51 0.00 EUR … … …
52 0.00 EUR … … …
53 0.00 EUR … … …
54 0.00 EUR … … …
55 0.00 EUR … … …
56 0.00 EUR … … …
57 0.00 EUR … … …
58 0.00 EUR … … …
59 0.00 EUR … … …
60 0.00 EUR … … …
61 0.00 EUR … … …
62 0.00 EUR … … …
63 0.00 EUR … … …
64 0.00 EUR … … …
65 0.00 EUR … … …
66 0.00 EUR … … …
67 0.00 EUR … … …
68 0.00 EUR … … …
69 0.00 EUR … … …
70 0.00 EUR … … …
71 0.00 EUR … … …
72 0.00 EUR … … …
73 0.00 EUR … … …
74 0.00 EUR … … …
75 0.00 EUR … … …
76 0.00 EUR … … …
77 0.00 EUR … … …
78 0.00 EUR … … …
79 0.00 EUR … … …
80 0.00 EUR … … …
81 0.00 EUR … … …
82 0.00 EUR … … …
83 0.00 EUR … … …
84 0.00 EUR … … …
85 0.00 EUR … … …
86 0.00 EUR … … …
87 0.00 EUR … … …
88 0.00 EUR … … …
89 0.00 EUR … … …
90 0.00 EUR … … …
91 0.00 EUR … … …
92 0.00 EUR … … …
93 0.00 EUR … … …
94 0.00 EUR … … …
95 0.00 EUR … … …
96 0.00 EUR … … …
97 0.00 EUR … … …
98 0.00 EUR … … …
99 0.00 EUR … … …
GRANT RATE
MICRO and
LARGE MEDIUM NON-
BUDGET PER CATEGORY OF AID SMALL TOTAL AMOUNT
ENTERPRISE ENTERPRISE ENTERPRISE ECONOMIC
OF GRANT
Aid for environmental studies 0.00 EUR 50% 50% 50% n/a
Aid for non-economic entities 0.00 EUR n/a n/a n/a 85%
0.00 EUR
TOTAL BUDGET
BUDGET LINE UNIT TYPE NUMBER OF UNITS AMOUNT PER UNIT TOTAL EXPENDITURE CATEGORY ACTIVITY CATEGORY OF AID PARTNER COMMENT
1 0.00 EUR … … … …
2 0.00 EUR … … … …
3 0.00 EUR … … … …
4 0.00 EUR … … … …
5 0.00 EUR … … … …
6 0.00 EUR … … … …
8 0.00 EUR … … … …
9 0.00 EUR … … … …
10 0.00 EUR … … … …
11 0.00 EUR … … … …
12 0.00 EUR … … … …
13 0.00 EUR … … … …
14 0.00 EUR … … … …
15 0.00 EUR … … … …
16 0.00 EUR … … … …
17 0.00 EUR … … … …
18 0.00 EUR … … … …
19 0.00 EUR … … … …
20 0.00 EUR … … … …
21 0.00 EUR … … … …
22 0.00 EUR … … … …
23 0.00 EUR … … … …
24 0.00 EUR … … … …
25 0.00 EUR … … … …
26 0.00 EUR … … … …
27 0.00 EUR … … … …
28 0.00 EUR … … … …
29 0.00 EUR … … … …
30 0.00 EUR … … … …
31 0.00 EUR … … … …
32 0.00 EUR … … … …
33 0.00 EUR … … … …
34 0.00 EUR … … … …
35 0.00 EUR … … … …
36 0.00 EUR … … … …
37 0.00 EUR … … … …
38 0.00 EUR … … … …
39 0.00 EUR … … … …
40 0.00 EUR … … … …
41 0.00 EUR … … … …
42 0.00 EUR … … … …
43 0.00 EUR … … … …
44 0.00 EUR … … … …
45 0.00 EUR … … … …
46 0.00 EUR … … … …
47 0.00 EUR … … … …
48 0.00 EUR … … … …
49 0.00 EUR … … … …
50 0.00 EUR … … … …
51 0.00 EUR … … … …
52 0.00 EUR … … … …
53 0.00 EUR … … … …
54 0.00 EUR … … … …
55 0.00 EUR … … … …
56 0.00 EUR … … … …
57 0.00 EUR … … … …
58 0.00 EUR … … … …
59 0.00 EUR … … … …
60 0.00 EUR … … … …
61 0.00 EUR … … … …
62 0.00 EUR … … … …
63 0.00 EUR … … … …
64 0.00 EUR … … … …
65 0.00 EUR … … … …
66 0.00 EUR … … … …
67 0.00 EUR … … … …
68 0.00 EUR … … … …
69 0.00 EUR … … … …
70 0.00 EUR … … … …
71 0.00 EUR … … … …
72 0.00 EUR … … … …
73 0.00 EUR … … … …
74 0.00 EUR … … … …
75 0.00 EUR … … … …
76 0.00 EUR … … … …
77 0.00 EUR … … … …
78 0.00 EUR … … … …
79 0.00 EUR … … … …
80 0.00 EUR … … … …
81 0.00 EUR … … … …
82 0.00 EUR … … … …
83 0.00 EUR … … … …
84 0.00 EUR … … … …
85 0.00 EUR … … … …
86 0.00 EUR … … … …
87 0.00 EUR … … … …
88 0.00 EUR … … … …
89 0.00 EUR … … … …
90 0.00 EUR … … … …
91 0.00 EUR … … … …
92 0.00 EUR … … … …
93 0.00 EUR … … … …
94 0.00 EUR … … … …
95 0.00 EUR … … … …
96 0.00 EUR … … … …
97 0.00 EUR … … … …
Note: Please insert a new line/lines if/where necessary.
PROJECT PARTNER's BUDGET OVERVIEW
0.00 EUR
TOTAL BUDGET