Application form - Blue World

Project name
Project Code
Tendering organisation
Letter of Application
A. General information
NETCET - Network for the Conservation of Cetaceans and Sea
Turtles in the Adriatic
No 2'ord/0048
Blue World Institute of Marine Research and Conservation
Kaštel 24, HR – 51551 Veli Lošinj, Croatia
www.blue-world.org
info@blue-world.org
B. Applicant's information
Registered full name
Street and number:
Postal code and city:
Country
OIB/VAT number
Bank details (name, address)
Bank account number (IBAN
acceptable only!)
Tel
Fax
E-mail
Owner/Legal representative
Applying to provide (list codes
according to list in the Call):
A Services B Supplies C Works
Contact person
Contact details (if different from
official contact information)
Submitted additional documents
Check
Proof of nationality
Reference list
Additional documents
(list):
Yes - No
Yes - No
Date, stamp and signature of the
applicant

To be filled by Blue World Institute staff
C. Opening and evaluation of eligibility of Application
The deadline for application
submission is:
18.1.2013.
Application is postmarked on:
Eligibility check is done on:
Application form is filled and
signed in original
Proof of nationality is attached
and dully signed by authorised
person
Reference list is attached and
dully signed by authorised
person
Date of evaluation
D. Evaluation of Quality of Applications
Evaluation notes
Evaluators (signed)