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Sheet 1: ERF_Appl_AP_2013_Call_10_final1
| Application for project proposals under the European Return Fund (RF) | ||||||||
| Call for Proposals Annual Programme 2013 Thirteenth Call | ||||||||
| The total amount of funds available under Annual Programme 2013 for the twelfth call is €390,477. Subject to availability of Funds, up to a maximum of 75% of the total eligible cost of projects can be co-financed by the Fund. | ||||||||
| The details given in this application form will be used as a basis for eligibility and project selection. The information provided will be utilised to ensure that the project is eligible for funding and will be completed within the set targets and complements the objectives set in the RF Annual Programme 2013, http://www.fpd.gov.mt. Guidance notes have also been uploaded to explain in further detail how the various sections need to be filled in. | ||||||||
| Applications are invited from Government departments, Public Entities, Public Sector Organisations, International Organisations, Voluntary Organisations and Social Partners working in the field of migration. | ||||||||
| Applicants must respect the following instructions: | ||||||||
| · Applications should be type written and, with regards to signatures, in BLUE INK. | ||||||||
| · This application form is applicable to the following actions falling under the Priority Axis 1 and 3 of RF Annual Programme 2013. The table hereunder also indicates the funds allocated to each action:- |
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| Priority Axis | Action | Activity | EU Contribution (75%) | Beneficiary’s Share (25%) | Total | |||
| 1 | 1 | Continuing the implementation of assisted voluntary return (AVR) programmes | €330,000 | €110,000.00 | €440,000.00 | |||
| 3 | 3 | Improvement of cooperation with other countries of origin in conjunction with other Member States | €60,477 | €20,159.00 | €80,636.00 | |||
| Total | €390,477.00 | €130,159.00 | €520,636.00 | |||||
| The Council Decision regulating this fund is 2007/575/EC. Applicants should be aware of the requirements of this regulation and the rules of its implementation: Commission Decision 2008/458/EC as amended by Commission Decision 2009/614/EC, 2010/70/EC and C(2011) 1159, available on http://www.fpd.gov.mt; |
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| Any enquiries about the completion of this form should be sent to fpd.meaim@gov.mt until the 29th November 2013. | ||||||||
| Applications should be submitted in person to the Funds & Programmes Division, Parliamentary Secretariat for EU Presidency 2017 and EU Funds, Triq il-Kukkanja, Santa Venera SVR 1411 by not later than noon, Friday 6th December, 2013. | ||||||||
| For Office Use Only | Reference Number: | |||||||
| Date of Receipt: | ||||||||
| General Programme Solidarity & Management of Migration Flows | ||||||||
| This project proposal may be part-financed by the European Union | ||||||||
| European Return Fund | ||||||||
| Co-financing rate: 75% EU Fund; 25% Beneficiary Funds | ||||||||
| Sustainable Management of Migration Flows | ||||||||
| GENERAL PROGRAMME SOLIDARITY AND MANAGEMENT OF MIGRATION FLOWS | ||||||||
| European Return Fund (RF) | ||||||||
| Annual Programme 2013 | ||||||||
| Please fill in all relevant sections of this application. It is important to annex ALL documents requested in the check list. Please consult the RF Annual Programme 2013 to find all the information pertaining to each action.[For the application to be considered complete, all attachements marked required are to be submitted with the Application Form. The Responsible Authority will undertake a validity check following receipt of the application. Any required documentation not submitted with the application form shall have to be submitted by the applicant within one week of the closing date. Only complete applications will be condsidered by the Project Selection Committee.] | ||||||||
| CHECK-LIST | ||||||||
| The Responsible Authority requests 1 original spiral bound copy of the Project Application (each page initialised by the Project Leader, with signatures at the back page of the Project Leader and legal representative signed in blue ink), 5 spiral bound photocopies and a soft copy (on CD) of each Project Application and its annexes. | ||||||||
| 1 spiral bound grant application in original form, duly completed and signed and initialised by the Project Leader with signatures at the back page of the Project Leader and legal representative signed in blue ink, (obligatory at application stage)(In case Project Leader is still to be recruited/identified the legal representative is considered as the Project Leader) | ||||||||
| 5 spiral bound copies including the annexes (required at application stage) | ||||||||
| Soft copy (on CD) of the Project Application and its annexes (required at application stage) | ||||||||
| Annex I: Log frame on the implementation of the project (required at application stage) | ||||||||
| Annex II: Financial Identification Form & Bank Details (not required in case of government bodies/required at application stage in case of VOs, NGOs and private entities – applicable also for partners) | ||||||||
| Annex III: Declaration by Partner Organisation (one for each partner organisation) (required at application stage where applicable) Please indicate the no ______ | ||||||||
| Annex IV: ‘Detailed Budget Estimate Report’ duly completed (Excel Format – including sub-worksheets) (obligatory at application stage) | ||||||||
| Annex V: Legal Entity Form (not required in case of government bodies/required only for partners) | ||||||||
| Annex VI: Declaration from the VAT Department (for entities who are claiming VAT as an eligible cost) stating that the organisation claiming VAT will not be recovering VAT for this particular project – applicable also for partners | ||||||||
| Annex VII: Declaration from the head of the organisation stating that the organisation is not receiving an operational grant from the European Union budget (required only for partners) | ||||||||
| Annex VIII: One copy of the Deed of Foundation/Statute/Articles of Association (not required in case of government bodies/required at application stage in case of VOs, NGOs and private entities – applicable also for partners) | ||||||||
| Annex IX: Proof of Co-Financing: Audited accounts for 2012. In case these are not available, the organisation should submit the audited accounts for 2011 and the management accounts for 2012 . (not required in case of government bodies/required at application stage in case of VOs, NGOs and private entities – applicable also for partners who are co-financing the project who are not government bodies ) | ||||||||
| Annex X: Proof of Co-Financing – Joint declaration by executive/head and treasurer/financial controller ( required at application stage in case of VOs, NGOs and private entities – required only for partners who are co-financing the project who are not government bodies) | ||||||||
| Annex XI: Copy of certificate of enrolment as a voluntary organisation (where applicable) or a copy of application and acknowledgement or exemption from relevant authorities (not required in case of government bodies/required at application stage in case of VO’s, NGOs and private entities – required also for partners) | ||||||||
| Annex XII: Europass CV of Project Leader (required at application stage)CV of legal representative is required in case Project Leader has not been recruited/appointed at application stage [1]. | ||||||||
| Annex XIII: Organigram/Organisation Chart of the Administration Structure of the proposed project (required at application stage) | ||||||||
| Annex XIV: Other supporting documentation:- | ||||||||
| Contents | ||||||||
| Part 1. Basic Information | 5 | |||||||
| Part 2. Objectives, Priorities & Actions | 6 | |||||||
| Part 3. Applicant | 8 | |||||||
| Part 4. Partner Organisation(s) | 11 | |||||||
| Part 5. Participants | 12 | |||||||
| Part 6. Project Administration | 12 | |||||||
| Part 7. Project Design | 13 | |||||||
| Part 8. Budget | 17 | |||||||
| Part 9. Disbursement Table | 24 | |||||||
| Part 10. Procurement | 24 | |||||||
| Part 11. Time Scale | 25 | |||||||
| Part 12. Sustainability of the Project | 25 | |||||||
| Part 13. Readiness | 25 | |||||||
| Part 14. Publicity | 26 | |||||||
| Part 15. Complementarity | 27 | |||||||
| Part 16. Conditionality | 27 | |||||||
| Part 17. State Aid | 28 | |||||||
| Part 18. Declaration | 29 | |||||||
| Part 1. Basic Information | ||||||||
| 1.1 Title of Project: (max. 20 words) This should be indicative of what the project aims to achieve eg. Activites of Forced Return. | ||||||||
| 1.2 Entity applying for funding and contact details:- | ||||||||
| Name of the Organisation (Please indicate the name and acronym if applicable) | ||||||||
| Legal Status (Attach Statute/Articles of Association and the audited accounts of 2012)[2] | ||||||||
| 1.3 Declaration of VAT | ||||||||
| Can your organization recover VAT from the VAT Department? | ||||||||
| Part 2. Objectives, Priorities & Actions | ||||||||
| 2.1 Overall Project Objective Specify the general aim of the project. The Project should contribute to the Fund’s general objective, as outlined in Article 2 (1) of Council Decision 575/2007/EC[3] and reproduced hereunder:- | ||||||||
| The general objective of the Fund shall be to support the efforts made by the Member States to improve the management of return in all its dimensions through the use of the concept of integrated management and by providing for joint actions to be implemented by Member States or national actions that pursue Community objectives under the principle of solidarity, taking account of Community legislation in this field and in full compliance wth fundamental rights. | ||||||||
| 2.2 Duration of the project (Please indicate the total duration of the project from preparation to evaluation)[4] | ||||||||
| Start date of the project:(date when the first costs are incurred) | End date of the project:(date when the last costs are incurred should not exceed 30th June 2015) | |||||||
| 2.3 Date(s) & location(s) of main events (where applicable)* | ||||||||
| Date | Event | Place | ||||||
| 2.4 Relevance to the Priorities of the European Return Fund | ||||||||
| 2.5 Target Group | ||||||||
| Third-country nationals who have not yet received a final negative decision in relation to their request for international protection in a Member State and who may choose to make use of voluntary return, provided they have not acquired a new nationality and have not left the territory of that Member State; | ||||||||
| Third-country nationals enjoying a form of international protection within the meaning of Directive 2004/83/EC, or temporary protection within the meaning of Directive 2001/55/EC in a Member State, and who choose to make use of voluntary return, provided they have not acquired a new nationality and have not left the territory of that Member State; | ||||||||
| Third-country nationals who do not or no longer fulfil the conditions for entry and/or stay in a Member State and who, in accordance with the obligation to leave the territory of that Member State, make use of voluntary return; | ||||||||
| Third-county nationals who do not or no longer fulfil the conditions for entry and/or stay in a Member State. | ||||||||
| 2.6 Inclusion of Vulnerable Target Groups | ||||||||
| Does your project involve specific target groups of TCNs? (e.g. women, minors, persons with special needs or others facing situations that make their inclusion in society more difficult). | ||||||||
| Number of vulebrable persons directly involved in the project (out of the total number of TCNs or other particpants as indicated in Part 5 of this form): | ||||||||
| Please choose the situation(s) they face: | ||||||||
| Social obstacles | Economic obstacles | Disability | ||||||
| Educational difficulties | Cultural differences | Health problems | ||||||
| Geographical obstacles | Other | |||||||
| 2.7 Summary of the project | ||||||||
| Please give a short description of your project (approximately 200 words). The description should provide an overall explanation of what the project is about. Please note that if your project is approved, this paragraph may be used for publication. Therefore be accurate and include, the type of project, the theme(s), the objectives, the duration in months, the countries involved (in case of a trans-national project), the number of participants, the implemented activities and the methods applied. Please be concise and clear. | ||||||||
| Part 3. Applicant | ||||||||
| 3.1 Details (criteria marked in * are mandatory) | ||||||||
| Name:* | ||||||||
| Address: (of registered office)* | ||||||||
| Postcode:* | ||||||||
| Country:* | ||||||||
| Fax: | ||||||||
| Website: | ||||||||
| 3.1.1 Person authorised to sign the contract on behalf of the applicant (legal representative) | ||||||||
| Surname: | First name: | Title: | ||||||
| ID Card No.: | Position / function: | |||||||
| Email: | ||||||||
| Telephone: | Fax | |||||||
| Mobile No.: | ||||||||
| 3.1.2 Project Leader (Person in charge of the Project) – Attach CV of Project Leader[5] (In case the Project Leader is not recruited/appointed at application stage, the legal representative will be considered as the Project Leader. In such case the CV of the Legal Representative is required. | ||||||||
| Surname: | First name: | Title: | ||||||
| ID Card No.: | Position / function: | |||||||
| Email: | ||||||||
| Telephone: | Fax | |||||||
| Mobile No.: | ||||||||
| 3.2 Profile | ||||||||
| Type of Organisation | ||||||||
| Organisation activity level | ||||||||
| VAT No.: | Registration No. of organisation (eg. VO no., Company no. etc) | |||||||
| Number of staff employed : | ||||||||
| Organisation’s main source of finance: | ||||||||
| 3.2.1 Please give a short description of your organisation and describe your competencies and motivation to complete the proposed project. | ||||||||
| 3.2.2 Have you or any of your partners, already obtained financial support for a project directly related to this proposal within this programme or under any other programmes in the last five financial years (including Community actions)? | ||||||||
| 3.2.3 Is this proposal a continuation of a previous accepted project? | ||||||||
| 3.2.4 Funds obtained by the applicant organisation in the three previous years from the EU funds (both at Community level and/or National level) which where not listed above. | ||||||||
| Year of Award | Name of Programme | Project Identification Number | Amount of the grant agreement (co-financing element) [6] | Final amount of the actual expendiutre incurred[7] | ||||
| Part 4. Partner Organisation(s) | ||||||||
| 4.1 List of Partners involved in this project (applicant organisation NOT to be included in the list) | ||||||||
| Name of Organisation | Country | Address | Amount of co-financing on the total amount of the project (when applicable) | |||||
| Please attach Annex III: The Declaration by Partner Organisation (one for each partner organisation) | ||||||||
| 4.2 How will each partner organisation be involved? Specify in bullet form in a max. of 200 words |
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| Explain how other organisations, if at all, will be involved in the project eg. will they be involved in the management of the project, how much of the share will they take, what would be the role of the different organisations involved etc. The entity from which the project leader is appointed will be the representative lead organisation (Final Beneficiary) and the ultimate responsibile co-ordinator of the project. | ||||||||
| Part 5. Participants (It is important that the figures given hereunder are realsitic)[8] | ||||||||
| Estimated total number persons from the target group who will benefit directly from the activity? | ||||||||
| Estimated total number of other participants who will benefit directly from the activity? | ||||||||
| Part 6. Project Administration The project leader may not necessarily be the Head of Organisation. The project leader needs to be available for contact with the Responsible Authority during normal working hours. A significant amount of time of the project leader’s working day is to be allocated to the project. |
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| 6.1 Persons directly involved in the management of the project | ||||||||
| List the persons who will be directly involved in the management of the project. The project leader is the person who will heading the management of the project and will have final responsibility of its overall progress. | ||||||||
| Name | Position within the organisation | Role in relation to the project | Email Address | |||||
| 6.2 Organisation | ||||||||
| 6.2.1. Experience and expertise of the applicant organisation in the subject matter targeted by the Fund. | ||||||||
| Provide a summary of any activities that were carried out by your organisation related to the subject targeted by this Fund. | ||||||||
| 6.2.2 Organisational structure of persons involved in the management of the project[9] | ||||||||
| Specify the organisational structure of the people directly involved in the management of the project. | ||||||||
| 6.2.3 Clearly describe the insitutional framework within which the project will have to operate.[10] | ||||||||
| Part 7. Project Design | ||||||||
| 7.1 International Planned Activities | ||||||||
| Have you planned an activity abroad? | ||||||||
| 7.2 Project's methodology in relation to the selected priority and action | ||||||||
| (These should be reflected in column C of Annex 1 –Logframe) | ||||||||
| How will the project be implemented? | ||||||||
| What specific problem / issue does your project address and how do you intend to tackle it? | ||||||||
| Describe how the target group will be involved in the project (if applicable). | ||||||||
| What are the favourable factors that may contribute to the correct implementation of your project? | ||||||||
| 7.3 Background and preparation of the project | ||||||||
| Please demonstrate your knowledge on the subject of your proposal, needs assessment, project prepatory work and your expertise in the field. | ||||||||
| 7.4 European dimension | ||||||||
| Does your project have an added value at European level? | ||||||||
| 7.5 Visibility | ||||||||
| Apart from the compulsory visibility requirements as per Manual of Procedures on all publications funded through this project, please describe how you will ensure the visibility of the project (Marketing of the project as different from visibility requirements eg. articles in newsletters etc.) | ||||||||
| 7.6 Output, Results & Impact Indicators[11] | ||||||||
| Please list the output indicators of the project (ie. the outcomes of the project eg. No of persons voluntarily returned.) | ||||||||
| Please list the result indicators arising from the output indicators (eg. Increased possibilities and facilitation of voluntary return to home countries) | ||||||||
| Please indicate the impact indictors arising as longer-term influence of the project’s output indicators (eg. Increased possibilities and facilitation of voluntary return to home countries) | ||||||||
| Please indicate how you plan to disseminate the results of the project | ||||||||
| 7.7 Project’s Content | ||||||||
| Please describe: | ||||||||
| · How innovative is your project from a local and international perspective (if applicable); | ||||||||
| · How does it support any of the Actions falling under the Priority 1 or 3 of the RF Annual Programme 2013; | ||||||||
| · Whether and how the planned activities and working methods will achieve the objectives of the Action applied for in this project application. |
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| 7.8 Project evaluation | ||||||||
| Describe how the project and its outputs will be evaluated during its implementation. | ||||||||
| 7.9 Equal Opportunities | ||||||||
| Projects would make a positive contribution to equality for all. Outline how equal opportunities have been integrated into the project design and implementation and mention any specific components that demonstrate the specific effort made towards equal opportunities. | ||||||||
| Part 8. Budget | Amount (Euro) | |||||||
| For further information please consult the Implementing Rules of Council Decision 2007/575/EC, particularly Annex XI of Commission Decision C(2011) 1159 final, establishing the European Return Fund for the period 2008-2013 as part of the General Programme ‘Solidarity and Management of Migration Flows’, the rules for administrative and financial management and the eligibility of expenditure on projects co-financed by the Fund. | ||||||||
| Please also refer to the Eligibility Manual to the EC Eligibility Rules Version 4 attached to the Manual of Procedures. | ||||||||
| 8.1 Detailed Budget Breakdown | ||||||||
| Give a detailed breakdown on the manner in which each item is calculated. Explanation should be given in the table below. The figures breakdown given below are not binding and will only serve as guidance for evaluation purposes. | ||||||||
| Expenditure | € | Income | € | |||||
| Direct costs (DC): | Contribution from the EU (75% of the direct eligibile costs): | €0.00 | ||||||
| Indirect costs (indicate percentage out of Direct Costs at a maximum of 7% - this requires to be realistic and eventually justifiable): | Contribution from the applicant and the partners in the project: | |||||||
| Indicate Percentage: | ||||||||
| #DIV/0! | Contribution from third parties: | |||||||
| Revenue generated by the project | ||||||||
| Total Eligible Cost (TEC): | €0.00 | Total Income (TI): | €0.00 | |||||
| The Budget is balanced: Total Eligible Cost is equal to Total Income | ||||||||
| 1 Projects supported by the Fund must be of a non-profit-making nature. If, at the end of the project, the sources of income, including receipts, exceed the expenditure, the contribution to the project from the Fund shall be reduced accordingly. All sources of income for the project must be recorded in the Final Beneficiary’s accounts or tax documents, and it must be identifiable and controllable. | ||||||||
| € | ||||||||
| Grant requested from the programme: | €0.00 | |||||||
| % Grant requested from the programme / Total eligible costs (maximum 75%) | ||||||||
| #DIV/0! | Please contact Solid Unit because value must have a maximum of 75% | |||||||
| Items of Expenditure and Description |
Total Eligible Cost | Ineligible VAT and other ineligible costs | Grand Total (inc. VAT and other inelgible costs) |
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| A Staff Costs (Please enter description below) |
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| B Travel & Subsistence Costs (Please enter description below) |
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| C Equipment (Please enter description below) |
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| D Real Estate (Please enter description below) |
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| E Consumables, supplies and general services (Please enter description below) |
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| F Subcontracting (Please enter description below) |
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| G Costs deriving directly from the requirements linked to Union co-financing (Please enter description below) |
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| H Expert fees (Please enter description below) |
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| I Specific expenses in relation to third-country nationals falling within the scope of the RF (Please enter description below) |
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| J Indirect Eligible Costs at: (Please enter description below) |
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| TOTAL | ||||||||
| 8.2 Items of Expenditure | ||||||||
| In order to be eligible, expenditure must be:- | ||||||||
| · Within the scope, objectives and the eligible actions of the Fund; | ||||||||
| · Essential to carry out the activities covered by the project, forming part of the Multi-Annual and Annual Programme, as approved by the Commission; |
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| · Reasonable and comply with the principles of sound financial management, in particular, value for money and cost- effectiveness; |
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| · Incurred by the Final Beneficiary and/or partners in the project, who shall be established and registered in Malta, except in the case of international public sector organisations set up by intergovernmental agreements, and specialised agencies set up by such organisations, the International Committee of the Red Cross (ICRC) and the International Federation of National Red Cross and Red Crescent Societies. [12] The rules applicable to the final beneficiary shall apply mutatis mutandis to the partners in the project; | ||||||||
| · Linked to the target groups referred to in the framework of the Basic Act; | ||||||||
| · Incurred in accordance with the specific provisions in the Grant Agreement. | ||||||||
| Projects supported by the Fund shall not be financed by other sources covered by the European Union budget. Projects supported by the Fund shall also be co-financed by Beneficiary’s funds sources.[13] | ||||||||
| Projects supported by the Fund must be of a non-profit making nature. When deciding on the actual costs to be inputted in the budget, market research should be made in order to ensure that the planned expenses correspond to reality as much as possible, since once the total budget is approved, it is very difficult to have it changed. For further information on the eligibility of costs, kindly have a look at the Guidance Notes to this application form. |
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| 8.3 Percentage of total sum of eligible costs being requested for co-financing under the European Return Fund | ||||||||
| 8.4 Does your organisation receive an operational grant from the European Union budget?[14] | ||||||||
| Part 9. Disbursement Table | ||||||||
| A yearly forecast of the expenditure to be carried out must be indicated in the table. This is important in order for the Responsible Authority to plan availability of funds. | ||||||||
| Disbursement | 2013 | 2014 | 2015[15] | |||||
| Net Total | ||||||||
| VAT | ||||||||
| Total (inc. VAT) | €0.00 | €0.00 | €0.00 | |||||
| Part 10. Procurement[16] | ||||||||
| State the expected number of tenders/calls for proposals and total value of each tender/call for proposal. VAT should be quoted separately (Total value being the sum of the grant from the RF and funds submitted by the Beneficiary). | ||||||||
| Name of Tender/Call | Type of tender/call | Estimated Value (exc. VAT) | VAT | Total (inc. VAT) | ||||
| € | € | € | ||||||
| €0.00 | ||||||||
| €0.00 | ||||||||
| €0.00 | ||||||||
| €0.00 | ||||||||
| €0.00 | ||||||||
| €0.00 | ||||||||
| €0.00 | ||||||||
| €0.00 | ||||||||
| €0.00 | ||||||||
| Divide the actions intended in the project into tenders/direct calls (if applicable). NGO’s and private entities should also abide by the principle of good governance, transparency and completion and the spirit of the Public Procurement Regulations on issues relating to procurement.[17] | ||||||||
| Part 11. Time Scale | ||||||||
| Specify the activities that will be required to carry out the project and the time scale over which these activities will be carried out. In the part where the quarters are given, specify the quantity of time required to carry out these activities. | ||||||||
| List of Activities | 2013 | |||||||
| Qrt 1 | Qrt 2 | Qrt 3 | Qrt 4 | |||||
| List of Activities | 2014 | |||||||
| Qrt 1 | Qrt 2 | Qrt 3 | Qrt 4 | |||||
| List of Activities | 2015[18] | |||||||
| Qrt 1 | Qrt 2 | |||||||
| Part 12. Sustainability of the Project | ||||||||
| Describe (max. 200 words) how the benefits of the project will continue to be delivered after the grant support comes to an end. Explain how, after the completion of the project, the benefits will continue to be reaped eg. how will the upgraded reception facilities continue to be used. |
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| Part 13. Readiness | ||||||||
| Explain at what stage the preparations for the project are at. Eg. is the management structure already in place, is the project manager already employed? | ||||||||
| Part 14. Publicity | ||||||||
| Identify and indicte the intended publicity tools to be used | ||||||||
| Tool/Action | Access Point | To be used | ||||||
| (mark as appropriate) | ||||||||
| Print Media | Newspapers | |||||||
| Press Releases | ||||||||
| Journals and Magazines | ||||||||
| International Publications | ||||||||
| Broadcast Media | TV | |||||||
| Radio | ||||||||
| Events | Domestic Events | |||||||
| Launch Conference | ||||||||
| Closure Conference | ||||||||
| Exhibitions | ||||||||
| Internet and Websites | Local Websites | |||||||
| International Websites | ||||||||
| Mailshots | ||||||||
| Seminars, Conferences or Workshops | Related stakeholders | |||||||
| Organised ad hoc | ||||||||
| Promotional Material | Supplied during national events or events focused on different target groups (eg. pens, note pads etc) | |||||||
| Direct Mail Actions | Distribution to households on a national or regional basis | |||||||
| Posters | Sectoral | |||||||
| On site | ||||||||
| Project Signage, Billboards, Plaques | On site | |||||||
| Other | ||||||||
| As part of their project, Beneficiaries are responsible for notifying the public, about the aid obtained from the Fund. The Final Beneficiary shall place a permanent prominent plaque of significant size no later than three months after completion of any project that fulfils the following conditions: | ||||||||
| · The total Union contribution to the project exceeds Euro 100,000; | ||||||||
| · The operation consists of purchasing a physical object or of financing infrastructure or construction projects. | ||||||||
| The plaque shall state the type and name of the project. In addition, the following information shall take up 25% of the plaque: | ||||||||
| · The symbol of the European Union; | ||||||||
| · The Maltese Flag; | ||||||||
| · A reference to the Fund; | ||||||||
| · A reference to the co-financing element; | ||||||||
| · The statement Sustainable Management of Migration Flows selected by the Responsible Authority, highlighting the added value of the intervention of the Union. |
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| Moreover the sign shall declare the type and name of the project. Where a project receives funding under an Annual Programme co-financed by the Fund, the final beneficiary shall ensure that those being involved in the project have been informed of that funding. Any document, including any attendance or other certificate, regarding such a project shall comprise a statement showing that the project is co-financed by the Fund. | ||||||||
| Part 15. Complementarity | ||||||||
| Provide details of any other projects, financed by any EU instrument, which this proposal will complement and build upon. | ||||||||
| Part 16. Conditionality and Risks | ||||||||
| Any conditionality and/or risks that hinders the progress of the project must be clearly stated below: | ||||||||
| Indicate any circumstances that might condition the successful implementation and completion of the project eg. unavailability of local funds, overloaded staff that might find it difficult to cope with the additional work entailed through this project, dependence on the grant of particular permits etc. Indicate also how you plan to mitigate them. | ||||||||
| Any risks, even if not within the control of the project, which might influence the successful completion of the project should also be listed below and how you plan to mitigate them. | ||||||||
| Part 17. State Aid[19] | ||||||||
| 17.1 Does the project involve State Aid? | ||||||||
| 17.2 Have discussions with the State Aid Monitoring Board (SAMB) been held? | ||||||||
| Part 18. Declaration | ||||||||
| To be completed by the person authorised to enter into legally binding commitments on behalf of the applicant. | ||||||||
| I, the undersigned, declare that the entries and the details in the Application Form and any other details enclosed, including the project description, are to the best of my knowledge and belief, correct, and the EU Funds applied for are the minimum required for the project to proceed as described. | ||||||||
| I can also confirm and declare the following: | ||||||||
| (1) I am not aware of any reason why the project may not proceed or be delayed other than those reasons declared and the commitment can be made within the timescales indicated in Annual Programme to which this project relates. | ||||||||
| (2) I confirm that my organisation/group has the financial/capacities (including provision of co-financing and operational capacity to complete the proposed project. | ||||||||
| (3) I confirm that my organisation/group has taken the appropriate measures to ensure the protection and safety of participants directly involved in the project. | ||||||||
| (4) Any funds awarded will be used for the purpose stated in this application form. | ||||||||
| (5) I confirm that this project is not being supported through other finances from the European Budget or any other sources. | ||||||||
| (6) I will abide by the principle of good governance, fairness, transparency and competitiveness in any employment contracts and procurement of goods/services. | ||||||||
| (7) I also declare that if the equipment is damaged, stolen or becomes obsolete during a minimum of 5 years or more from the purchase, it will be replaced through the funds of the organisation implementing the project to be able to sustain the financing. | ||||||||
| I acknowledge that the application will be subject to regular monitoring/auditing and undertake to keep adequate records for this purpose in line with instructions received from the Responsible Authority and the Manual of Procedures. | ||||||||
| In addition, I take note that under the provisions of the Financial Regulation applicable to the general budget of the European Union, grants may not be awarded to applicants who are in any of the following situations: | ||||||||
| (a) if they are bankrupt or being wound up, are having their affairs administered by the courts, have entered into an arrangement with creditors, have suspended business activities, are the subject of proceedings concerning those matters, or are in any analogous situation arising from a similar procedure provided for in national legislation or regulations; | ||||||||
| (b) if they have been convicted of an offence concerning their professional conduct by a judgment which has the force of res judicata; | ||||||||
| (c) if they have been guilty of grave professional misconduct proven by any means which the contracting authority can justify; | ||||||||
| (d) if they have not fulfilled obligations relating to the payment of social security contributions or the payment of taxes in accordance with the legal provisions of the country in which they are established or with those of the country of the contracting authority or those of the country where the contract is to be performed; | ||||||||
| (e) if they have been the subject of a judgment which has the force of res judicata for fraud, corruption, involvement in a criminal organisation or any other illegal activity detrimental to the European Union's financial interests; | ||||||||
| (f) if following another procurement procedure or grant award procedure financed by the European Union budget, they have been declared to be in serious breach of contract for failure to comply with their contractual obligations; | ||||||||
| (g) if, on the date of the grant award procedure, they are subject to a conflict of interest; | ||||||||
| (h) if, on the date of the grant award procedure, they are guilty of misrepresentation in supplying the information required by the contracting authority as a condition of participation in the grant award procedure or fail to supply this information. | ||||||||
| I confirm that neither I, nor the organisation/group for which I am acting as legal representative are in any of the situations described above, and I am aware that the penalties set out in the Financial Regulation may be applied in the case of a false declaration. | ||||||||
| In the event that my Grant Application is successful, I authorise the Commission and the Responsible Authority to publish on its internet site or in any other appropriate medium: | ||||||||
| · The name and address of the Beneficiary of the grant; | ||||||||
| · The subject of the grant; | ||||||||
| · The amount awarded and the rate of funding of the costs of the approved work programme. | ||||||||
| I understand that: | ||||||||
| (1) if the information included in the Application Form is found to be not factually correct, the project application may be rejected. | ||||||||
| (2) if the application is not complete in all relevant detail and every aspect, including this section, it may also be rejected. | ||||||||
| The applicant undertakes to inform the Responsible Authority of all changes affecting the activities as described in this application form. | ||||||||
| The applicant allows the Responsible Authority to make available and use all data provided in this application form for the purposes of managing and evaluating the European Return Fund. All personal data collected for the purpose of this project shall be processed in accordance with the Decision of the Council and European Parliament 2007/575/EC. | ||||||||
| Data subjects may, on written request, gain access to their personal data. They should address any questions regarding the processing of their personal data to the Responsible Authority. Data subjects may lodge a complaint against the processing of their personal data with the European Data Protection Supervisor at any time. | ||||||||
| Authorised signatory of the applicant organisation: | ||||||||
| Name and Surname of Project Leader[20]: | Signature:(+ stamp of the applicant if available) | |||||||
| Name in BLOCK LETTERS | ||||||||
| Designation | ||||||||
| CEO/Head of Applicant Organisation | Signature:(+ stamp of the applicant if available) | |||||||
| Legal Representative of the Organisation | ||||||||
| Name in BLOCK LETTERS | ||||||||
| Designation | ||||||||
| Name and Surname of Permanent Secretary | Signature:(+ stamp of the applicant if available) | |||||||
| Name in BLOCK LETTERS | ||||||||
| Designation | ||||||||
| [1] http://europass.cedefop.europa.eu/mt/documents/curriculum-vitae | ||||||||
| [2] Audited accounts for 2012. In case these are not available, the organisation should submit the audited accounts for 2011, the management accounts for 2012 | ||||||||
| [3] http://www.fpd.gov.mt | ||||||||
| [4] This Fund may also cover actions that are currently being implemented by the organisation provided these fall within the eligibility period (1st January 2013-30th June 2015) and, abide by the eligibility rules, visibility procedures and national procurement regulations. | ||||||||
| [5] http://europass.cedefop.europa.eu/mt/documents/curriculum-vitae | ||||||||
| [6] This is the EU contribution amount allocated in the Grant Agreement. | ||||||||
| [7] This is the final EU contribution amount of actual expenditure incurred. | ||||||||
| [8] Please note that if the project is selected and a Grant is awarded the Beneficiary is bound to achieve these results hence these should be realistic. | ||||||||
| [9] Attach an Organigram/Organisation Chart of the Administration Structure of the proposed project reflecting how project management will flow through the organisation - Annex XIII. | ||||||||
| [10] In this section you are required to explain whether the structure of the people managing the project will require any major changes within the current organisation structure, the current role of the people involved, which structure of responsibility will be followed etc. | ||||||||
| [11] Indicators should be quantified and measurable. Please note that if the project is selected and a Grant is awarded the Beneficiary is bound to achieve these indicators hence these should be realistic. | ||||||||
| [12] As per I.6 Annex XI of Commission Decision C(2011) 1159 final ” | ||||||||
| [13] In case of government entities, this is not applicable. | ||||||||
| [14] Organisations receiving an operational grant from the EU Budget cannot claim indirect costs. | ||||||||
| [15] Up to 30th June 2015 | ||||||||
| [16] For more information on the tendering thresholds, please refer to the Manual of Procedures or Circular no 9/2013 | ||||||||
| [17] Please refer to the Manual of Procedures for more information. | ||||||||
| [18] Up to 30th June 2015 | ||||||||
| [19] Proposals involving State Aid are not eligible under this Call and the RA retains the right to consult with the State Aid Monitoring Board during the Project Selection phase. | ||||||||
| [20] The Project Leader is the person responsible for the implementation of the project and has the authority to take decisions during the course of implementation. The Project Leader must be from the applicant organisation since the Project Leader carries the overall financial and legal responsibility for the implementation of the project and hence, his/her direct association with the Beneficiary organisation is fundamental, especially with a view to ensure that the grant will be used exclusively for the purpose stipulated in the project proposal. There shall be only ONE Project Leader responsible for the whole project, even if the project is composed of different components. In such cases, informal arrangements should be made to co-ordinate the different components. In case the project leader is not recruited/appointed at application stage, the legal representative will be considered as the Project Leader. In such case the CV of the legal representative is required. | ||||||||
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