EXECUTIVE AGENCY FOR HEALTH AND CONSUMERS
FINANCIAL CONTRIBUTION FOR THE FUNCTIONING
OF EUROPEAN CONSUMER ORGANISATIONS
Specific agreement 2011 83 02
under Framework Partnership Agreement
EAHC/2010/CP OG Action 5 (BEUC)
Application form
Action 5 of Decision No 1926/2006/EC of the European Parliament and of the Council
establishing a programme of Community action in the field of consumer policy (2007-2013)
Executive Agency for Health and Consumers - Consumers and Food Safety Unit, L-2920 Luxembourg
E-mail: xxxxxxxxxxxxx@xx.xxxxxx.xx
Internet: http://ec.europa.eu/eahc
TABLE OF CONTENTS
1
GENERAL INFORMATION ON THE APPLICANT ORGANISATION ................ 3
2
DEMONSTRATING COMPLIANCE WITH AWARD CRITERIA ......................... 4
3 SIGNATURE OF THE LEGAL REPRESENTATIVE OF THE
ORGANISATION AS DEFINED IN SECTION 1.3 .................................................. 6
4 CHECK
LIST
..............................................................................................................
7
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1
GENERAL INFORMATION ON THE APPLICANT ORGANISATION
Please adapt if necessary
1.1 Applicant organisation
Organisation official
Bureau Européen des Unions de Consommateurs
name
Private
Association
Organisation short name
BEUC
Legal status
internationale sans but
lucratif (aisbl)
1.2 Official address
Street name and number
Rue d’Arlon, 80
PO Box
1
Post Code
1040
Town
Bruxelles
Country
Belgium
Internet address
www.beuc.eu – xxxxxxxxx@xxxx.xx
1.3 Legal representative of the organisation
Surname
GOYENS
First name
Monique
Title
Mrs
Gender
F
Phone
32 2 743 15 90
Fax
32 2 740 28 02
Position
Director General
e-mail
xxx@xxxx.xx
1.4 Coordinator
(Contact person in charge of the coordination of proposed activities)
Surname
GOYENS
First name
Monique
Title
Mrs
Gender
F
Phone
32 2 743 15 90
Fax
32 2 740 28 02
Position
Director General
e-mail
xxx@xxxx.xx
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2
DEMONSTRATING COMPLIANCE WITH AWARD CRITERIA
When answering the questions below, please specify how your work programme
fulfils all these criteria.
2.1 Is the work programme consistent with the objectives of European consumer
policy?
Free section
2.2 Does the work programme contribute towards the integration of consumer
interests into other European Union policies?
Free section
2.3 Does the work programme contribute towards strengthening the
representation of consumer organisations in the new Member States?
Free section
2.4 Does the work programme describe the organisation's activities as regards
representing consumer interests and expressing consumers' concerns to
institutions, interest groups, the media and the general public?
Free section
2.5 Does the work programme describe the organisation's activities as regards
encouraging its members to take a more active stance on European issues with
their various contact partners at both European and national level?
Free section
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2.6 Does the work programme guarantee the general visibility of both the
organisation and its activities?
Free section
2.7 Is the work programme clear, realistic and well detailed, particularly in
respect of the following aspects:
• Clarity of the objectives and their suitability for achieving the desired results;
• description of the planned activities;
• timetable.
Free section
2.8 Is the work programme cost-effective and thus demonstrate that the budget is
commensurate with the resources to be used?
Free section
2.9 Does the work programme state what the evaluation mechanisms will be and
what result indicators will be used to make it possible to verify that the
objectives of the work programme have been achieved?
Free section
2.10 Supporting documents
Document
Annex number
Annual Work programme 2012.
EAHC word template Annex
I.
Detailed forward budget for 2012.
EAHC excel template Annex
II.
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3
SIGNATURE OF THE LEGAL REPRESENTATIVE OF THE ORGANISATION AS DEFINED IN
SECTION 1.3
I declare that the information contained in this application is correct and that
I have not withheld any information, wholly or in part, from EAHC.
Name of the applicant organisation: ...............................................
Name of the representative of the organisation signing the application:
....................................
Position: .........................................
Date:
../../....
Place:
................................
Signature:
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4
CHECK LIST
All document to be provided in one (1) original and three (2) copies, accompanied by an
electronic copy on CD-ROM.
Annex Nº
Document
This application form, duly completed, signed and dated in section 3
Supporting documents of section 2
Annex I.
Annual Work programme 2012.
EAHC word template
Annex II.
Detailed forward budget for 2012.
EAHC excel template
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