ELIGIBILITY STATEMENT

I, herewith signed Biljana Ciric,

(Name and Surname)
Representative of Civic Association “WCSCD“
(Name of the Lead Applicant and Address)

I, herewith signed Željko Grulović

(Name and Surname)
Representative of Multimedia Centre Led Art, Zmaj Jovina 22
(Name of the Partner1 and Address)

I, herewith signed Leutrim Fishekqiu

(Name and Surname)
Representative of Autostrada Biennale, Prizren 20000 Kosovo
(Name of the Partner2 and Address)

I, herewith signed __________, __________

(Name and Surname)
Representative of __________, __________
(Name of the Partner3 and Address)

Confirm that the Lead Applicant and Partner:

●have the appropriate legal and operational capacity to receive and dispose of the money that will be allocated to
them and implement the proposed project proposal;
● they are not in the process of compulsory collection, bankruptcy, closure or liquidation;
● have a clean record of fulfilling the contractual obligations assumed on the basis of previous grant agreements and
have no cases of misuse of funds, illegal activities or criminal reports/judgments;
● legal representatives and persons responsible for managing the project have not been criminally convicted, nor are
they under criminal investigation or proceedings;
● regularly settle obligations related to the payment of social security or taxes;
●legal representatives and persons responsible for managing the project were not convicted of a misdemeanor or
misdemeanor related to business conduct by the final judgment;

1
In case of more partners, add lines as appropriate.
2
In case of more partners, add lines as appropriate.
3
In case of more partners, add lines as appropriate.
● legal representatives and persons responsible for project management were not guilty of any other serious error in
professional conduct.
Furthermore, by signing this Statement, the Lead Applicant and the Partner take upon themselves to promote the key
values of the Convention on the Rights of the Child, the Convention on the Elimination of All Forms of Discrimination
against Women, and the Convention on the Rights of Persons with Disabilities. Also, the Lead Applicant and the Partner
declare that they will promote the prevention and fight against corruption, sexual exploitation and abuse, and child
protection regulations. Both the Lead Applicant and the partner/s confirm that they are not among the organizations
and institutions listed in the List of Sanctioned Organizations by the UN or the EU.

Signatures: __________, __.__.202_.

(Place, date) (Name and Surname, Signature, Stamp)
LEAD APPLICANT

__________, __.__.202_. Željko Grulović

(Place, date) (Name and Surname, Signature, Stamp)
PARTNER

__________, __.__.202_. Leutrim Fishekqiu

(Place, date) (Name and Surname, Signature, Stamp)

PARTNER
__________, __.__.202_. __________
(Place, date) (Name and Surname, Signature, Stamp)

STRANA 98