LIFE programos koncepcijos apras ymo formos pavyzdys

Transcription

1 LIFE programos koncepcijos apras ymo formos pavyzdys Ši forma yra pagalbinė priemonė pareiškėjams, sukurta eproposal priemonės pagrindu. Pareiškėjai koncepciją pildyti ir teikti privalo tiesiogiai prisijungę prie eproposal priemonės: Esant nesutapimų tarp šio pavyzdžio ir eproposal priemonės nustatymų, būtina vadovautis eproposal nustatymais. Koncepcijos aprašymo formos pildymo instrukcija pateikiama LIFE programos gairėse pareiškėjams Guidelines for applicants Daugiau informacijos A1 - General project information National authorities access Access granted to National authorities Yes X No General project information Project title (max. 120 characters) must be in English * Project acronym (max. 25 characters) must contain the word LIFE * LIFE Programme priority area * Sector * Expected start date * Expected end date * Language of the proposal * LIFE Environmental Governance and Information Activities in support of effective control process as well as measures to promote compliance in relation to Union environmental legislation, and in support of information systems and information tools on implementation of Union environmental legislation dd/mm/yyyy dd/mm/yyyy English The project will be implemented in the following Member State(s) and Region(s) or other countries Member State or other Country * Selected regions * LT - Lithuania All regions Alytaus apskritis Kauno apskritis Klaipėdos apskritis Marijampolės apskritis Panevėžio apskritis Šiaulių apskritis Tauragės apskritis Telšių apskritis Utenos apskritis Vilniaus apskritis Add other Member States (if any needed) 1

2 A2 - Coordinating Beneficiary Short name (maximum 10 characters) *: *: Legal information of the Coordinating Beneficiary Legal name * VAT n Legal status * Public body/private commercial/ Private noncommercial VAT Reimbursement Yes/No Legal entity is SME Yes/No Legal registration n Employee number Registration date dd/mm/yyyy Pic Number Legal address of the Coordinating Beneficiary Street name and n * PO Box Town/City * Postal code * Member State * Lithuania Coordinating Beneficiary contact person information Title * Mr./Ms./Dr. Function * Surname * First name * Department / Service Street name and n * Town/City * Postal code * Member State * Lithuania Telephone * Fax number Legal representative Surname * First name * * Street name and n * PO Box Town/City * Postal code * Member State * Lithuania 2

3 Coordinating Beneficiary details Website: Brief description of the Coordinating Beneficiary's activities and experience in the area of the proposal *: Maximum characters

4 B1 - summary description of the project (in English) Environmental problem targeted: Maximum characters 3500 Project objectives: Maximum characters

5 5

6 Actions and means involved: Maximum characters

7 Resubmission: Has this proposal been submitted before? If you are resubmitting this proposal. Please provide the references and acronym of the previous proposal in the form of reference acronym e.g. LIFE11 BIO/NL/ ACRONYM Yes/No Maximum characters

8 Expected results (outputs and quantified achievements): Maximum characters

9 Sustainability of the Project Results: Maximum characters

10 Project topic(s) Does your proposal address any of the following project topic(s)? (Maximum 2 topic(s)) Governance - Management of environmental information Yes/No Governance - Quality of public administration Yes/No Governance - Voluntary approaches Yes/No Governance - Environmental compliance assurance strategie Yes/No Governance - Networks and training on environmental compliance Yes/No assurance Governance - Compliance promotion, monitoring and enforcement Yes/No Governance - Interaction between the public and public authorities Yes/No Governance - Access to justice and conflict resolution Yes/No Reasons why the proposal falls under the selected project topic(s): Maximum characters

11 What are the Project Partnership details for the Project: Maximum characters

12 Expected constraints and risks related to the project implementation and how they will be dealt with (contingency planning): Maximum characters

13 B3 - EU added value and socio-economic effects EU added value of the project and its actions: Maximum characters

14 R1 Budget Budget breakdown cost categories Total cost in Eligible cost in % of total eligible costs 1. Personnel 0 0 No Input 2. Travel and subsistence 0 0 No Input 3. External assistance 0 0 No Input 4. Durable goods Infrastructure 0 0 No Input Equipment 0 0 No Input Prototype 0 0 No Input 6. Consumables 0 0 No Input 7. Other costs 0 0 No Input 8. Overheads 0 0 No Input Total % Contribution breakdown In % of total % of total eligible costs EU contribution requested 0 No Input No Input Coordinating Beneficiary's contribution 0 No Input Associated Beneficiaries' contribution 0 No Input Co-financers contribution 0 No Input Total % 14