Ceci est une version HTML d'une pièce jointe de la demande d'accès à l'information 'Documents regarding the financial contribution of the European Commission to the European Consumers' Organisation'.

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 

GENERAL INFORMATION ON THE APPLICANT ORGANISATION ................ 3 

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 
.............................................................................................................. 

 
 
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 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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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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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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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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