Become a partner

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Become a partner

PART A: Identification of the applicant

A.1. Organisation

Role in the consortium:

Official name of the organisation:

If applicable, organisation's name in latin characters:

Acronym:

N° of the Erasmus University Charter (if applicable), for European Higher Education Institutions only

Department, if applicable

Official Address:

Postal Code:

Town:

Region:

Country:

Internet address:

Telephone 1:

Telephone 2:

Fax number:

A.2. Legal representative
Name of the person entitled to legally commit the organisation (for the coordinating organisation only)

Last name:

First name:

Function:

Address (Only if different from official address above):

A.3. Contact person / Coordinator
(responsable for the management of the project in the organisation)

Last name:

First name:

Function:

Email:

Telephone:

Fax number:

Address (Only if different from official address above):

PART B: Description of the organisation

B.1. Nature of the organisation

Status: (leave only the relevant status) Public Private
(an organisation which has received over 50 % of its annual revenues from public sources over the preceding two years, or which is controlled by public bodies or their representatives can be declared as "public")

Type of organisation:

B.2. Purpose and Activity of the organisation

Please provide a short presentation of your organisation in relation with the activities covered by the project and more particularly concerning its postgraduate (masters/doctorate level) and international cooperation activities (max. 20 lines).

Provide a short description of the organisation's specific role in the project (max. 10 lines)