Ref. Ares(2012)1389824 - 23/11/2012
FP7 GRANT AGREEMENT
ANNEX IV - FORM A – ACCESSION OF BENEFICIARIES TO THE GRANT
AGREEMENT
(to be filled in by each beneficiary identified in Article 1.1 of the grant agreement)
[full name and legal form of the
beneficiary], represented for the purpose hereof by
[name of legal representative) (function) or her/his/their authorised representative
established in (full address: city/state/province/country (person legally authorised to
act on behalf of the legal entity)] acting as its legal authorised representative, hereby
consents to become a beneficiary
("beneficiary n°..") to
grant agreement n° ……
(relating to
project [title]) concluded between the
Commission of the European
Communities and
[name of the coordinator and legal form (acronym) established in
(full address: city/state/province/country)] and accepts in accordance with the
provisions of the aforementioned
grant agreement all the rights and obligations of a
beneficiary.
Done in 3 copies, of which one shall be kept by the coordinator and one by [name of
the beneficiary], the third being sent to the Commission by the coordinator in
accordance with Articles 1.1 and 1.2 and Article 8 of the grant agreement
Name of Legal Entity
[full name of the beneficiary]
Name of legally authorised representative: (written out in full)
Title of legally authorised representative:
Signature of legally authorised representative:
Date:
Stamp of the organisation
Name of Legal Entity
[full name of the coordinator] Name of legally authorised representative: (written out in full)
Title of legally authorised representative:
Signature of legally authorised representative:
Date:
Stamp of the organisation