Common use of etc Clause in Contracts

etc. 1 A list is completed for each final beneficiary. Annex V: Legal (private or public) entity form NAME: ACRONYM: ADDRESS: POSTAL CODE: POST BOX: CITY: COUNTRY: TELEPHONE: FAX: E-MAIL VAT no. (1): PLACE OF REGISTRATION: DATE OF REGISTRATION: REGISTER no. (2): Names and positions of the persons authorized to engage the responsibility of the organisation: DATE AND SIGNATURE OF THE AUTHORISED REPRESENTATIVE THIS ‘LEGAL ENTITY’ FORM MUST BE COMPLETED, SIGNED AND ACCOMPANIED BY: (1) A COPY OF THE VAT LIABILITY DOCUMENT IF THIS IS APPLICABLE AND IF THE VAT No. DOES NOT APPEAR ON THE OFFICIAL DOCUMENT MENTIONED IN POINT 2. A COPY OF ANY OFFICIAL DOCUMENT (E.G. ‘BELGIAN OFFICIAL GAZETTE/MONITEUR BELGE’, COUNTRY’S OFFICIAL JOURNAL, THE TRADE REGISTER. ) ENABLING IDENTIFICATION OF THE NAME OF THE LEGAL ENTITY, THE ADDRESS OF ITS REGISTERED OFFICE AND ITS REGISTRATION NUMBER WITH THE NATIONAL AUTHORITIES. NAME: ACRONYM: ADDRESS: POSTAL CODE: POST BOX: CITY: COUNTRY: TELEPHONE: FAX: E-MAIL VAT no. (1): PLACE OF REGISTRATION: DATE OF REGISTRATION: REGISTER no. (2): Names and positions of the persons authorized to engage the responsibility of the organisation: THIS ‘LEGAL ENTITY’ FORM MUST BE COMPLETED, SIGNED, STAMPED AND ACCOMPANIED BY - A COPY OF THE RESOLUTION, LAW, ORDER OR DECISION ESTABLISHING THE ENTITY CONCERNED - IN THE ABSENCE THEREOF, ANY OTHER OFFICIAL DOCUMENT WHICH PROVES THE ESTABLISHMENT OF THE ENTITY CONCERNED BY THE NATIONAL AUTHORITIES ANNEX VI FINANCIAL IDENTIFICATION SHEET (1) The name or title under which the account was opened and not the name of the authorised representative. (2) It is preferable to attach a copy of a recent bank statement. Please note that the bank statement must provide all the information indicated above under “ACCOUNT NAME” and “BANK”. In this case, the bank’s stamp and the signature of its representative are not required. The signature of the account holder is obligatory in all cases. (3) If the IBAN code (international bank account number) is applicable in the country where your bank is situated. 1) Condemnatio n or subject of a conviction by final judgment The counterparty or one of its ‘directors[1]’ was found guilty following an indefeasible judgement for one of the following offences: 1° involvement in a criminal organisation 2° corruption 3° fraud 4° terrorist offences, offences linked related to terrorist activities or incitement to commit such offence, collusion or attempt to commit such an offence 5° money laundering or terrorist financing 6° child labour and other trafficking in human beings 7° employment of foreign citizens under illegal status 8° creating or being a shell company. The exclusions on the basis of this criterion apply for a 5-year term from the date of judgement.

etc. This list was drawn up in order to comply with Article 11 of the Grant Agreement. The ownership of each asset item described has been transferred. The local partner and final beneficiary agree on the contents of this list.1 Done at on . Contracting beneficiary Final beneficiary of the Action Name and function Name and function 1 A list is completed for each final beneficiary. Annex V: Legal (private or public) entity form PRIVATE COMPANY LEGAL ENTITY FORM LEGAL FORM: NAME: ACRONYM: ADDRESS: POSTAL CODE: POST BOX: CITY: COUNTRY: TELEPHONE: FAX: E-MAIL VAT no. (1): PLACE OF REGISTRATION: DATE OF REGISTRATION: REGISTER no. (2): Names and positions of the persons authorized to engage the responsibility of the organisation: DATE AND SIGNATURE OF THE AUTHORISED REPRESENTATIVE THIS ‘LEGAL ENTITY’ FORM MUST BE COMPLETED, SIGNED AND ACCOMPANIED BY: (1) A COPY OF THE VAT LIABILITY DOCUMENT IF THIS IS APPLICABLE AND IF THE VAT No. DOES NOT APPEAR ON THE OFFICIAL DOCUMENT MENTIONED IN POINT 2. A COPY OF ANY OFFICIAL DOCUMENT (E.G. ‘BELGIAN OFFICIAL GAZETTE/MONITEUR BELGE’, COUNTRY’S OFFICIAL JOURNAL, THE TRADE REGISTER. REGISTER ) ENABLING IDENTIFICATION OF THE NAME OF THE LEGAL ENTITY, THE ADDRESS OF ITS REGISTERED OFFICE AND ITS REGISTRATION NUMBER WITH THE NATIONAL AUTHORITIES. DATE AND SIGNATURE OF THE AUTHORISED REPRESENTATIVE PUBLIC-LAW LEGAL ENTITY FORM LEGAL FORM: NAME: ACRONYM: ADDRESS: POSTAL CODE: POST BOX: CITY: COUNTRY: TELEPHONE: FAX: E-MAIL VAT no. (1): PLACE OF REGISTRATION: DATE OF REGISTRATION: REGISTER no. (2): Names and positions of the persons authorized to engage the responsibility of the organisation: THIS ‘LEGAL ENTITY’ FORM MUST BE COMPLETED, SIGNED, STAMPED AND ACCOMPANIED BY - − A COPY OF THE RESOLUTION, LAW, ORDER OR DECISION ESTABLISHING THE ENTITY CONCERNED - − IN THE ABSENCE THEREOF, ANY OTHER OFFICIAL DOCUMENT WHICH PROVES THE ESTABLISHMENT OF THE ENTITY CONCERNED BY THE NATIONAL AUTHORITIES DATE, NAME, FUNCTION AND SIGNATURE OF THE AUTHORISED REPRESENTATIVE ANNEX VI FINANCIAL IDENTIFICATION SHEETSHEET POST CODE TELEFAX POST CODE NAME & FORENAME FUNCTION REPRESENTATIVE (both are obligatory) DATE + SIGNATURE OF ACCOUNT (1) The name or title under which the account was opened and not the name of the authorised representative. (2) It is preferable to attach a copy of a recent bank statement. Please note that the bank statement must provide all the information indicated above under “ACCOUNT NAME” and “BANK”. In this case, the bank’s stamp and the signature of its representative are not required. The signature of the account holder is obligatory in all cases. (3) If the IBAN code (international bank account number) is applicable in the country where your bank is situated. 1) Condemnatio n or subject of a conviction by final judgment The counterparty or one of its ‘directors[1]’ was found guilty following an indefeasible judgement for one of the following offences: 1° involvement in a criminal organisation 2° corruption 3° fraud 4° terrorist offences, offences linked related to terrorist activities or incitement to commit such offence, collusion or attempt to commit such an offence 5° money laundering or terrorist financing 6° child labour and other trafficking in human beings 7° employment of foreign citizens under illegal status 8° creating or being a shell company. The exclusions on the basis of this criterion apply for a 5-year term from the date of judgement.

etc. This list was drawn up in order to comply with Article 11 of the Grant Agreement. The ownership of each asset item described has been transferred. The local partner and final beneficiary agree on the contents of this list.1 Done at on . Contracting beneficiary Final beneficiary of the Action Name and function Name and function 1 A list is completed for each final beneficiary. Annex V: Legal (private or public) entity form NAME: ACRONYM: ADDRESS: POSTAL CODE: POST BOX: CITY: COUNTRY: TELEPHONE: FAX: E-MAIL VAT no. (1): PLACE OF REGISTRATION: DATE OF REGISTRATION: REGISTER no. (2): Names and positions of the persons authorized to engage the responsibility of the organisation: DATE AND SIGNATURE OF THE AUTHORISED REPRESENTATIVE THIS ‘LEGAL ENTITY’ FORM MUST BE COMPLETED, SIGNED AND ACCOMPANIED BY: (1) A COPY OF THE VAT LIABILITY DOCUMENT IF THIS IS APPLICABLE AND IF THE VAT No. DOES NOT APPEAR ON THE OFFICIAL DOCUMENT MENTIONED IN POINT 2. A COPY OF ANY OFFICIAL DOCUMENT (E.G. ‘BELGIAN OFFICIAL GAZETTE/MONITEUR BELGE’, COUNTRY’S OFFICIAL JOURNAL, THE TRADE REGISTER. REGISTER ) ENABLING IDENTIFICATION OF THE NAME OF THE LEGAL ENTITY, THE ADDRESS OF ITS REGISTERED OFFICE AND ITS REGISTRATION NUMBER WITH THE NATIONAL AUTHORITIES. NAME: ACRONYM: ADDRESS: POSTAL CODE: POST BOX: CITY: COUNTRY: TELEPHONE: FAX: E-MAIL VAT no. (1): PLACE OF REGISTRATION: DATE OF REGISTRATION: REGISTER no. (2): Names and positions of the persons authorized to engage the responsibility of the organisation: THIS ‘LEGAL ENTITY’ FORM MUST BE COMPLETED, SIGNED, STAMPED AND ACCOMPANIED BY - A COPY OF THE RESOLUTION, LAW, ORDER OR DECISION ESTABLISHING THE ENTITY CONCERNED - IN THE ABSENCE THEREOF, ANY OTHER OFFICIAL DOCUMENT WHICH PROVES THE ESTABLISHMENT OF THE ENTITY CONCERNED BY THE NATIONAL AUTHORITIES ANNEX VI FINANCIAL IDENTIFICATION SHEETSHEET POST CODE TELEFAX POST CODE (1) The name or title under which the account was opened and not the name of the authorised representative. (2) It is preferable to attach a copy of a recent bank statement. Please note that the bank statement must provide all the information indicated above under “ACCOUNT NAME” and “BANK”. In this case, the bank’s stamp and the signature of its representative are not required. The signature of the account holder is obligatory in all cases. (3) If the IBAN code (international bank account number) is applicable in the country where your bank is situated. 1) Condemnatio n or subject of a conviction by final judgment The counterparty or one of its ‘directors[1]’ was found guilty following an indefeasible judgement for one of the following offences: 1° involvement in a criminal organisation 2° corruption 3° fraud 4° terrorist offences, offences linked related to terrorist activities or incitement to commit such offence, collusion or attempt to commit such an offence 5° money laundering or terrorist financing 6° child labour and other trafficking in human beings 7° employment of foreign citizens under illegal status 8° creating or being a shell company. The exclusions on the basis of this criterion apply for a 5-year term from the date of judgement.

etc. 1 A list is completed for each final beneficiary. Annex V: Legal (private or public) entity form NAME: ACRONYM: ADDRESS: POSTAL CODE: POST BOX: CITY: COUNTRY: TELEPHONE: FAX: E-MAIL VAT no. (1): PLACE OF REGISTRATION: DATE OF REGISTRATION: REGISTER no. (2): Names and positions of the persons authorized to engage the responsibility of the organisation: DATE AND SIGNATURE OF THE AUTHORISED REPRESENTATIVE THIS ‘LEGAL ENTITY’ FORM MUST BE COMPLETED, SIGNED AND ACCOMPANIED BY: (1) A COPY OF THE VAT LIABILITY DOCUMENT IF THIS IS APPLICABLE AND IF THE VAT No. DOES NOT APPEAR ON THE OFFICIAL DOCUMENT MENTIONED IN POINT 2. A COPY OF ANY OFFICIAL DOCUMENT (E.G. ‘BELGIAN OFFICIAL GAZETTE/MONITEUR BELGE’, COUNTRY’S OFFICIAL JOURNAL, THE TRADE REGISTER. REGISTER ) ENABLING IDENTIFICATION OF THE NAME OF THE LEGAL ENTITY, THE ADDRESS OF ITS REGISTERED OFFICE AND ITS REGISTRATION NUMBER WITH THE NATIONAL AUTHORITIES. NAME: ACRONYM: ADDRESS: POSTAL CODE: POST BOX: CITY: COUNTRY: TELEPHONE: FAX: E-MAIL VAT no. (1): PLACE OF REGISTRATION: DATE OF REGISTRATION: REGISTER no. (2): Names and positions of the persons authorized to engage the responsibility of the organisation: THIS ‘LEGAL ENTITY’ FORM MUST BE COMPLETED, SIGNED, STAMPED AND ACCOMPANIED BY - A COPY OF THE RESOLUTION, LAW, ORDER OR DECISION ESTABLISHING THE ENTITY CONCERNED - IN THE ABSENCE THEREOF, ANY OTHER OFFICIAL DOCUMENT WHICH PROVES THE ESTABLISHMENT OF THE ENTITY CONCERNED BY THE NATIONAL AUTHORITIES ANNEX VI FINANCIAL IDENTIFICATION SHEET (1) The name or title under which the account was opened and not the name of the authorised representative. (2) It is preferable to attach a copy of a recent bank statement. Please note that the bank statement must provide all the information indicated above under “ACCOUNT NAME” and “BANK”. In this case, the bank’s stamp and the signature of its representative are not required. The signature of the account holder is obligatory in all cases. (3) If the IBAN code (international bank account number) is applicable in the country where your bank is situated. 1) Condemnatio n or subject of a conviction by final judgment The counterparty or one of its ‘directors[1]’ was found guilty following an indefeasible judgement for one of the following offences: 1° involvement in a criminal organisation 2° corruption 3° fraud 4° terrorist offences, offences linked related to terrorist activities or incitement to commit such offence, collusion or attempt to commit such an offence 5° money laundering or terrorist financing 6° child labour and other trafficking in human beings 7° employment of foreign citizens under illegal status 8° creating or being a shell company. The exclusions on the basis of this criterion apply for a 5-year term from the date of judgement.

etc. This list was drawn up in order to comply with Article 11 of the Grant Agreement. The ownership of each asset item described has been transferred. The local partner and final beneficiary agree on the contents of this list.1 Done at on . Contracting beneficiary Final beneficiary of the Action Name and function Name and function 1 A list is completed for each final beneficiary. Annex V: Legal (private or public) entity form NAME: ACRONYM: ADDRESS: POSTAL CODE: POST BOX: CITY: COUNTRY: TELEPHONE: FAX: E-MAIL VAT no. (1): PLACE OF REGISTRATION: DATE OF REGISTRATION: REGISTER no. (2): Names and positions of the persons authorized to engage the responsibility of the organisation: DATE AND SIGNATURE OF THE AUTHORISED REPRESENTATIVE THIS ‘LEGAL ENTITY’ FORM MUST BE COMPLETED, SIGNED AND ACCOMPANIED BY: (1) A COPY OF THE VAT LIABILITY DOCUMENT IF THIS IS APPLICABLE AND IF THE VAT No. DOES NOT APPEAR ON THE OFFICIAL DOCUMENT MENTIONED IN POINT 2. A COPY OF ANY OFFICIAL DOCUMENT (E.G. ‘BELGIAN OFFICIAL GAZETTE/MONITEUR BELGE’, COUNTRY’S OFFICIAL JOURNAL, THE TRADE REGISTER. REGISTER ) ENABLING IDENTIFICATION OF THE NAME OF THE LEGAL ENTITY, THE ADDRESS OF ITS REGISTERED OFFICE AND ITS REGISTRATION NUMBER WITH THE NATIONAL AUTHORITIES. NAME: ACRONYM: ADDRESS: POSTAL CODE: POST BOX: CITY: COUNTRY: TELEPHONE: FAX: E-MAIL VAT no. (1): PLACE OF REGISTRATION: DATE OF REGISTRATION: REGISTER no. (2): Names and positions of the persons authorized to engage the responsibility of the organisation: THIS ‘LEGAL ENTITY’ FORM MUST BE COMPLETED, SIGNED, STAMPED AND ACCOMPANIED BY - A COPY OF THE RESOLUTION, LAW, ORDER OR DECISION ESTABLISHING THE ENTITY CONCERNED - IN THE ABSENCE THEREOF, ANY OTHER OFFICIAL DOCUMENT WHICH PROVES THE ESTABLISHMENT OF THE ENTITY CONCERNED BY THE NATIONAL AUTHORITIES ANNEX VI FINANCIAL IDENTIFICATION SHEET (1) The name or title under which the account was opened and not the name of the authorised representative. (2) It is preferable to attach a copy of a recent bank statement. Please note that the bank statement must provide all the information indicated above under “ACCOUNT NAME” and “BANK”. In this case, the bank’s stamp and the signature of its representative are not required. The signature of the account holder is obligatory in all cases. (3) If the IBAN code (international bank account number) is applicable in the country where your bank is situated. 1) Condemnatio n or subject of a conviction by final judgment The counterparty or one of its ‘directors[1]’ was found guilty following an indefeasible judgement for one of the following offences: 1° involvement in a criminal organisation 2° corruption 3° fraud 4° terrorist offences, offences linked related to terrorist activities or incitement to commit such offence, collusion or attempt to commit such an offence 5° money laundering or terrorist financing 6° child labour and other trafficking in human beings 7° employment of foreign citizens under illegal status 8° creating or being a shell company. The exclusions on the basis of this criterion apply for a 5-year term from the date of judgement.

etc. This list was drawn up in order to comply with Article 11 of the Grant Agreement. The ownership of each asset item described has been transferred. The local partner and final beneficiary agree on the contents of this list.1 Done at on . Contracting beneficiary Final beneficiary of the Action Name and function 1 A list is completed for each final beneficiary. Annex V: Legal (private or public) entity form NAME: ACRONYM: ADDRESS: POSTAL CODE: POST BOX: CITY: COUNTRY: TELEPHONE: FAX: E-MAIL VAT no. (1): PLACE OF REGISTRATION: DATE OF REGISTRATION: REGISTER no. (2): Names and positions of the persons authorized to engage the responsibility of the organisation: DATE AND SIGNATURE OF THE AUTHORISED REPRESENTATIVE THIS ‘LEGAL ENTITY’ FORM MUST BE COMPLETED, SIGNED AND ACCOMPANIED BY: (1) A COPY OF THE VAT LIABILITY DOCUMENT IF THIS IS APPLICABLE AND IF THE VAT No. DOES NOT APPEAR ON THE OFFICIAL DOCUMENT MENTIONED IN POINT 2. . (2) A COPY OF ANY OFFICIAL DOCUMENT (E.G. ‘BELGIAN OFFICIAL GAZETTE/MONITEUR BELGE’, COUNTRY’S OFFICIAL JOURNAL, THE TRADE REGISTER. REGISTER ) ENABLING IDENTIFICATION OF THE NAME OF THE LEGAL ENTITY, THE ADDRESS OF ITS REGISTERED OFFICE AND ITS REGISTRATION NUMBER WITH THE NATIONAL AUTHORITIES. NAME: ACRONYM: ADDRESS: POSTAL CODE: POST BOX: CITY: COUNTRY: TELEPHONE: FAX: E-MAIL VAT no. (1): PLACE OF REGISTRATION: DATE OF REGISTRATION: REGISTER no. (2): Names and positions of the persons authorized to engage the responsibility of the organisation: THIS ‘LEGAL ENTITY’ FORM MUST BE COMPLETED, SIGNED, STAMPED AND ACCOMPANIED BY - A COPY OF THE RESOLUTION, LAW, ORDER OR DECISION ESTABLISHING THE ENTITY CONCERNED - IN THE ABSENCE THEREOF, ANY OTHER OFFICIAL DOCUMENT WHICH PROVES THE ESTABLISHMENT OF THE ENTITY CONCERNED BY THE NATIONAL AUTHORITIES ANNEX VI FINANCIAL IDENTIFICATION SHEETFİNANCİAL İDENTİFİCATİON SHEET POST CODE TELEFAX POST CODE NAME & FORENAME FUNCTION (1) The name or title under which the account was opened and not the name of the authorised representative. (2) It is preferable to attach a copy of a recent bank statement. Please note that the bank statement must provide all the information indicated above under “ACCOUNT NAME” and “BANK”. In this case, the bank’s stamp and the signature of its representative are not required. The signature of the account holder is obligatory in all cases. (3) If the IBAN code (international bank account number) is applicable in the country where your bank is situated. 1) Condemnatio n or subject of a conviction by final judgment The counterparty or one of its ‘directors[1]’ was found guilty following an indefeasible judgement for one of the following offences: 1° involvement in a criminal organisation 2° corruption 3° fraud 4° terrorist offences, offences linked related to terrorist activities or incitement to commit such offence, collusion or attempt to commit such an offence 5° money laundering or terrorist financing 6° child labour and other trafficking in human beings 7° employment of foreign citizens under illegal status 8° creating or being a shell company. The exclusions on the basis of this criterion apply for a 5-year term from the date of judgement.

etc. This list was drawn up in order to comply with Article 11 of the Grant Agreement. The ownership of each asset item described has been transferred. The local partner and final beneficiary agree on the contents of this list.1 Done at on . Contracting beneficiary Final beneficiary of the Action Name and function Name and function 1 A list is completed for each final beneficiary. Annex V: Legal (private or public) entity form NAME: ACRONYM: ADDRESS: POSTAL CODE: POST BOX: CITY: COUNTRY: TELEPHONE: FAX: E-MAIL VAT no. (1): PLACE OF REGISTRATION: DATE OF REGISTRATION: REGISTER no. (2): Names and positions of the persons authorized to engage the responsibility of the organisation: DATE AND SIGNATURE OF THE AUTHORISED REPRESENTATIVE THIS ‘LEGAL ENTITY’ FORM MUST BE COMPLETED, SIGNED AND ACCOMPANIED BY: (1) A COPY OF THE VAT LIABILITY DOCUMENT IF THIS IS APPLICABLE AND IF THE VAT No. DOES NOT APPEAR ON THE OFFICIAL DOCUMENT MENTIONED IN POINT 2. A COPY OF ANY OFFICIAL DOCUMENT (E.G. ‘BELGIAN OFFICIAL GAZETTE/MONITEUR BELGE’, COUNTRY’S OFFICIAL JOURNAL, THE TRADE REGISTER. REGISTER ) ENABLING IDENTIFICATION OF THE NAME OF THE LEGAL ENTITY, THE ADDRESS OF ITS REGISTERED OFFICE AND ITS REGISTRATION NUMBER WITH THE NATIONAL AUTHORITIES. NAME: ACRONYM: ADDRESS: POSTAL CODE: POST BOX: CITY: COUNTRY: TELEPHONE: FAX: E-MAIL VAT no. (1): PLACE OF REGISTRATION: DATE OF REGISTRATION: REGISTER no. (2): Names and positions of the persons authorized to engage the responsibility of the organisation: - THIS ‘LEGAL ENTITY’ FORM MUST BE COMPLETED, SIGNED, STAMPED AND ACCOMPANIED BY - A COPY OF THE RESOLUTION, LAW, ORDER OR DECISION ESTABLISHING THE ENTITY CONCERNED - IN THE ABSENCE THEREOF, ANY OTHER OFFICIAL DOCUMENT WHICH PROVES THE ESTABLISHMENT OF THE ENTITY CONCERNED BY THE NATIONAL AUTHORITIES ANNEX VI FINANCIAL IDENTIFICATION SHEET ANNEXE VI: Public procurement principles (1) The name or title under which the account was opened and not the name of the authorised representative. (2) It is preferable to attach for a copy of a recent bank statement. Please note that the bank statement must provide all the information indicated above under “ACCOUNT NAME” and “BANK”. In this case, the bank’s stamp and the signature of its representative are not required. The signature of the account holder is obligatory in all cases. (3private contracting beneficiary) If the IBAN code implementation of an Action requires procurement by the Contracting Beneficiary, the contract must be awarded to the tender offering best value for money (international bank i.e. the tender offering the best price-quality ratio) or, as appropriate, to the tender offering the lowest price. In doing so, the Contracting Beneficiary shall avoid any conflict of interests and respect the following basic principles: Where the Contracting Beneficiary does not launch an open tender procedure it shall justify the choice of tenderers that are invited to submit an offer. The Contracting Beneficiary shall evaluate the offers received against objective criteria which enable measuring the quality of the offers and which take into account numberthe price (the offer with the lowest price shall be awarded the highest score for the price criterion). The Contracting Beneficiary shall keep sufficient and appropriate documentation with regard to the procedures applied and which justify the decision on the pre-selection of tenderers (where an open tender procedure is not used) is applicable and the award decision. The Contracting Beneficiary may decide to apply the procedures provided for in the country where your bank is situated. 1) Condemnatio n Belgian Public Procurement Legislation. If these procedures are correctly followed the principles above will be deemed complied with. Enabel will carry out <ex ante/ex post> checks on the Contracting Beneficiary's compliance with the principles above. Failure to comply with these principles or subject rules would render the related expenditure ineligible for funding. The provisions of a conviction this Annex apply mutatis mutandis to contracts to be concluded by final judgment The counterparty or one of its ‘directors[1]’ was found guilty following an indefeasible judgement for one the co-applicants, partners of the following offencesContracting Beneficiary. ANNEX VII: 1° involvement in a criminal organisation 2° corruption 3° fraud 4° terrorist offences, offences linked related to terrorist activities or incitement to commit such offence, collusion or attempt to commit such an offence 5° money laundering or terrorist financing 6° child labour and other trafficking in human beings 7° employment Financial identification sheet POSTAL CODE FAX STAMP of foreign citizens under illegal status 8° creating or being a shell company. The exclusions on the basis BANK + SIGNATURE of this criterion apply for a 5-year term from the date of judgement.BANK’S REPRESENTATIVE

etc. This list was drawn up in order to comply with Article 11 of the Grant Agreement. The ownership of each asset item described has been transferred. The local partner and final beneficiary agree on the contents of this list.1 Done at on . Contracting beneficiary Final beneficiary of the Action Name and function Name and function 1 A list is completed for each final beneficiary. Annex V: Legal (private or public) entity form NAME: ACRONYM: ADDRESS: POSTAL CODE: POST BOX: CITY: COUNTRY: TELEPHONE: FAX: E-MAIL VAT no. (1): PLACE OF REGISTRATION: DATE OF REGISTRATION: REGISTER no. (2): Names and positions of the persons authorized to engage the responsibility of the organisation: DATE AND SIGNATURE OF THE AUTHORISED REPRESENTATIVE THIS ‘LEGAL ENTITY’ FORM MUST BE COMPLETED, SIGNED AND ACCOMPANIED BY: (1) A COPY OF THE VAT LIABILITY DOCUMENT IF THIS IS APPLICABLE AND IF THE VAT No. DOES NOT APPEAR ON THE OFFICIAL DOCUMENT MENTIONED IN POINT 2. A COPY OF ANY OFFICIAL DOCUMENT (E.G. ‘BELGIAN OFFICIAL GAZETTE/MONITEUR BELGE’, COUNTRY’S OFFICIAL JOURNAL, THE TRADE REGISTER. REGISTER ... ) ENABLING IDENTIFICATION OF THE NAME OF THE LEGAL ENTITY, THE ADDRESS OF ITS REGISTERED OFFICE AND ITS REGISTRATION NUMBER WITH THE NATIONAL AUTHORITIES. NAME: ACRONYM: ADDRESS: POSTAL CODE: POST BOX: CITY: COUNTRY: TELEPHONE: FAX: E-MAIL VAT no. (1): PLACE OF REGISTRATION: DATE OF REGISTRATION: REGISTER no. (2): Names and positions of the persons authorized to engage the responsibility of the organisation: THIS ‘LEGAL ENTITY’ FORM MUST BE COMPLETED, SIGNED, STAMPED AND ACCOMPANIED BY - A COPY OF THE RESOLUTION, LAW, ORDER OR DECISION ESTABLISHING THE ENTITY CONCERNED - IN THE ABSENCE THEREOF, ANY OTHER OFFICIAL DOCUMENT WHICH PROVES THE ESTABLISHMENT OF THE ENTITY CONCERNED BY THE NATIONAL AUTHORITIES ANNEX VI FINANCIAL IDENTIFICATION SHEETSHEET POST CODE TELEFAX POST CODE (1) The name or title under which the account was opened and not the name of the authorised representative. (2) It is preferable to attach a copy of a recent bank statement. Please note that the bank statement must provide all the information indicated above under “ACCOUNT NAME” and “BANK”. In this case, the bank’s stamp and the signature of its representative are not required. The signature of the account holder is obligatory in all cases. (3) If the IBAN code (international bank account number) is applicable in the country where your bank is situated. 1) Condemnatio n or subject of a conviction by final judgment The counterparty or one of its ‘directors[1]’ was found guilty following an indefeasible judgement for one of the following offences: 1° involvement in a criminal organisation 2° corruption 3° fraud 4° terrorist offences, offences linked related to terrorist activities or incitement to commit such offence, collusion or attempt to commit such an offence 5° money laundering or terrorist financing 6° child labour and other trafficking in human beings 7° employment of foreign citizens under illegal status 8° creating or being a shell company. The exclusions on the basis of this criterion apply for a 5-year term from the date of judgement.