EACEA - EMJMD (e-report)

Beneficiary declaration
 

I, the undersigned, hereby declare that:

- the information contained in the report is accurate and in accordance with the
facts;

- the information has been checked and approved by all the consortium
partners involved.

Signature of the Coordinator's legal representative1:

Name and position of the legal representative (in CAPITAL LETTERS):      

Date of signature:      

Stamp of institution:

1
If the signatory is not the legal representative as indicated to the Agency, add an authorisation to sign on his/her behalf.