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Application form

Step 1 of 4

Applicant entity
Name
Fiscal identification number
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Telephone 1
Telephone 2
Fax
E-mail
Website
Name and title of the person in charge of the project
Experience of the requesting body
Other data of interest

Project data
Title
Short description
Specific objective
Expected results
Planned activities

Beneficiaries
Direct beneficiaries
Direct beneficiaries description
Indirect beneficiaries
Indirect beneficiaries description

Necessary resources
Equipments
Technicals
Humans
Summary budget
Estimated budget
Consent*
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