Part A: IDENTIFICATION OF THE PROMOTER

Promoter Role in the application Promoters legal name (national language) Promoters legal name (latin characters) Acronym, if applicable National ID number, if applicable Department, if applicable Legal address Postal code City Country Region Web site Email Telephone Fax Person authorised to legally commit the promoter (legal respresentative) Title Family name First name Position Email Same address as the organisation Telephone Fax Person responsible for the implementation of the action (contact person) Title Family name First name Position Email Same address as the organisation Telephone Fax 1/3 Promoter (PROM)

PART B. PROFILE OF THE PROMOTER

Status Type Private (PR) Non profit/non governmental organisation (NFP-NGO) Body active at European level in the youth field (NFPENGYO) Public (PB) Informal group of young people (NFP- IGYP)

Activity level

Local (L) International (I)

Regional (R)

National (N)

European (E)

Objectives and activities of the promoter Please provide a short presentation of your organisation/group (usual activities, affiliations, etc.) in relation to the field covered by the project.

Please describe the role of your organisation/group in the project.

Other community funding Please give information about any type of Community grant your organsiation/group has received/applied for in the last financial year. Programme or initiative Identification/contract number Contracting promoter Title of the project

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Preliminary agreement of the partner (To be completed and signed in the paper form) I, the undersigned, on behalf of Ireli Public Union confirm our participation in each stage of the project (repeat the title of the project as stated in Part I): FIRST AID AND DISASTER MANAGEMENT I declare having reached an agreement with all the promoters involved in the project with regard to the share of EU grant my organisation/group is entitled to receive in order to implement the project. Furthermore, I confirm my undertaking to ensure visibility of the European Union support for the project and to ensure dissemination and exploitation of its results. Name in capital letters: Place: Date: Signature:

Please find below the translation of the section above in the language of this application form. Daha iyi anlalmas iin, yukardaki blmn Trke evirisini aada bulabilirsiniz. Ortan n anlama formu (kt formatnda imzalanmal ve doldurulmaldr) Aada imzas olan ben . (Ortan Ad) adna aada ismi yer alan projenin her aamasna katlacamz taahht ederim. ... (Projenin Ad) Projeyi uygulamak zere kuruluuma/grubuma verilen AB hibesinin paylam konusunda projede yeralan tm ortaklarla birlikte anlamaya varm olduumu beyan ederim. Kuruluumun/grubumun, bu proje iin baka bir Ulusal Ajans'a ya da Yrtme Ajans'na fon temin etmek zere bavuruda bulunmadn taahht ederim. Ayrca, proje iin Avrupa Birlii tarafndan verilen destei grnebilir klmay ve proje sonularn yaygnlatrmay ve kullanmay taahht ederim. Byk harflerle Ad Soyad: Yer: Tarih: mza:

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