Application form - Blue World
Application form - Blue World
Application form - Blue World
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Project name<br />
Project Code<br />
Tendering organisation<br />
Letter of <strong>Application</strong><br />
A. General in<strong>form</strong>ation<br />
NETCET - Network for the Conservation of Cetaceans and Sea<br />
Turtles in the Adriatic<br />
No 2'ord/0048<br />
<strong>Blue</strong> <strong>World</strong> Institute of Marine Research and Conservation<br />
Kaštel 24, HR – 51551 Veli Lošinj, Croatia<br />
www.blue-world.org<br />
info@blue-world.org<br />
B. Applicant's in<strong>form</strong>ation<br />
Registered full name<br />
Street and number:<br />
Postal code and city:<br />
Country<br />
OIB/VAT number<br />
Bank details (name, address)<br />
Bank account number (IBAN<br />
acceptable only!)<br />
Tel<br />
Fax<br />
E-mail<br />
Owner/Legal representative<br />
Applying to provide (list codes<br />
according to list in the Call):<br />
A Services B Supplies C Works<br />
Contact person<br />
Contact details (if different from<br />
official contact in<strong>form</strong>ation)<br />
Submitted additional documents<br />
Check<br />
Proof of nationality<br />
Reference list<br />
Additional documents<br />
(list):<br />
Yes - No<br />
Yes - No<br />
Date, stamp and signature of the<br />
applicant
To be filled by <strong>Blue</strong> <strong>World</strong> Institute staff<br />
C. Opening and evaluation of eligibility of <strong>Application</strong><br />
The deadline for application<br />
submission is:<br />
18.1.2013.<br />
<strong>Application</strong> is postmarked on:<br />
Eligibility check is done on:<br />
<strong>Application</strong> <strong>form</strong> is filled and<br />
signed in original<br />
Proof of nationality is attached<br />
and dully signed by authorised<br />
person<br />
Reference list is attached and<br />
dully signed by authorised<br />
person<br />
Date of evaluation<br />
D. Evaluation of Quality of <strong>Application</strong>s<br />
Evaluation notes<br />
Evaluators (signed)