Annex I: ADMINISTRATIVE CHECK LIST FORM

No. Applicant’s eligibility Criteria: YES NO COMMENTS

1. Founding Act of the organization

2. Court Registration Act of the organization in Albania

3. Original Copy of the Court Extract (with the Court seal

issued within the last three months)

4. Updated Statute of the organization

5. Active NIPT

6. A document issued by the Ministry of Finance and

Economy/Regional Directorate of Taxes certifying that
the organization has no pending financial obligations,
such as social, health or tax obligations – issued within
the Call period;

7. Certification of the legal status (Deshmi Penale) of the

organization, its legal representative (executive director)
and the members of the decision-making body of the
organization issued within the period this call is open;

8. CV of the organization (organizational CV, in English),

signed by its legal representative, including all the past
and present projects up to the last 3 years (funding
source and contacts, timeframe, region of coverage and
 partnerships);

9 Signed financial statements of the organization of the

last year (2023)

10. Audit report of the latest year (if available, otherwise

it’s not an exclusion criteria);

11. The Declaration by the Applicant, Annex VI;

12. The application forms published in the guidelines for

this Call for Proposals have been used by the applicant
(Annex II: Application Form for the Project
Proposal)

13. The proposal is presented in typed writing (using Times

New Roman font; size 12)

14. The proposal is in English language

15. The requested budget does not exceed 34,000 EUR

16. The duration of the project/action between 8-12 months.

17. The applicant and co-applicant are established and carry

out their activity in Albania

18. The applicant and co-applicant have applied one time

only in the framework of this Call
Annex II: APPLICATION FORM FOR THE PROJECT PROPOSAL

Please read and fill in this form carefully. This format and the information it must contain are required for
each proposal.

Applications that do not follow this format or lack the required information run the risk of getting
disqualified right away.

Important: Please fill these forms using Times New Roman Font in size 12.

Applicant Name: Official name of your organization in Albanian and English

Full address of the

Applicant (s):

- Postal address:

- Tel/fax:

- E-mail:

- Web page:

Contact person:

- Position:

- E-mail:

- Telephone:

Title of the Project The title of The Project should be short, concise and refer to the main
Proposal objectives or activities of project

Budget Specify the value of the budget’ amount requested from Sub- Grant
Scheme. Please fill in the budget form in the Annexes Chapter

Project Location Determine which is the municipality / region where the action will be
implemented.
Duration of the project Specify the period of implementation in month and year (for ex
November 2024 - June 2025.

Take a note that the project implementation will take place for a
minimum of 8 months and max. 12 months.

Project description Briefly, clearly and accurately describe your project proposal and
request. Summarise the information about the focus area, overall and
specific objectives, results, key activities, and the name / description of
the location where the activities will take place.

(Max. 1 page)

Project justification/ Describe the current situation by emphasizing the needs and problems
relevance that should be solved by the proposed action.

Provide statistical data and reliable sources of information if possible.

Refer to any important legislation, strategy or plan undertaken at the

national, regional and / or local level that is relevant to the proposed
project and describe how the proposed project will be linked to these
plans.

Describe the compatibility of the proposed project with the objectives

and priorities of the call for proposals.

(Max 1 page)

Beneficiaries (target Describe and define target groups and final beneficiaries. Give a
groups) description of each target group and final beneficiaries. (Enter their
number whenever possible). Provide information about the beneficiaries
of your project

(type of groups, age) and quantify it

Describe their needs and limitations and describe how your project will
address these needs.

(Max. half page)

Objectives Overall Objective - What do you expect to achieve through this project?

Specific objectives- Must be specific, measurable, achievable, relevant,

and time-bound. Should not include more than two specific objectives
and must correspond with the call objectives and priorities).

(Max. quarter page)

Expected results Describe the expected results for each specific objective. Describe how
 the project will improve the situation of target groups and final
beneficiaries. What will be the impact on the implementation of this
project?

(Max. half page)

Planned activities Identify and describe in detail every activity that will be undertaken.

Explain and justify the choice of activities.

Specify the role of each partner in project activities.

List each proposed publication in the project.

(Max. 1 page and half)

Methodology Describe the methodology and explain why such a methodology will be
used.

Describe the role and participation in the methodology of the

beneficiaries.

Describe the procedures for Monitoring and Evaluation of the Project.

(Max. 1 Page)

Communication Please explain how will be ensured the visibility of the project
&Visibility Plan implementation, communication with the public and media, as well the
dissemination of results. (Max. half page)

Activity Plan Please use the Activity Plan format Annex III, included in this Call
for proposals.

Simplified Logical Fill in the Simplified Logical Framework Annex IV, included in this
Framework Call for proposals.

Project Sustainability Describe if there is any tangible impact of the proposed action to the
target groups and is it sustainable?

Provide an analysis of the project implementation risks (including

physical, environmental, political, economic and social risks) and any
necessary backup plan.

Explain how the project will become sustainable (financially or

institutionally) after the completion. This may include the necessary
activities after the completion of the project such as drafting strategies,
passing project results owned by local institutions or other beneficiaries,
communication plan of results, etc.

(Max. half page)

Added Value’ elements Describe if the proposed action contains specific added value such as
promotion of gender equality, equal opportunities, innovation, shared
 best practices, etc.

Budget Please use the Budget form - Annex V included in this Call for
proposals.

Information about Describe briefly and clearly the internal structure of your organization
applicant and internal operating systems, including the financial management
system.

A summarized CV of the organization, signed by its legal

representative, including most important projects it implemented
(funding source and contacts, timeframe, region of coverage and
partnerships).

Describe and provide CV related to the profile of each staff member or

expert proposed in the project.

(Max. 1 page/each)

This proposal is submitted with approval and on behalf of [the applicant]:

Name and signature of the NGO representative: ________________________________

Position:____________________________________

Date:______________________________________

Annex VI: DECLARATION BY THE APPLICANT

The applicant, represented by the undersigned, being the authorized signatory of the applicant, in
the context of the present call for proposals in the proposed action, hereby declares that:

• The applicant has sufficient financial, professional competence and organizational

capacity to carry out the proposed action or work programme;
• The applicant certifies the legal statues of the applicant as reported in this Application;
• The applicant is not under any of the disqualifying grounds as specified in the Guideline
for grant applicants, under this call, section 2, sub-section 2.1, point 2.
• The applicant has the professional competences and qualifications specified in this
Application;
• The applicant is directly responsible for the preparation, management and implementation
of the action and is not acting as an intermediary;
• The applicant is not in any of the situations excluding them from participating in
contracts. Furthermore, it is recognized and accepted that if the applicant participates in
spite of being in any of these situations, they may be excluded from other procedures;
• The applicant is in a position to deliver immediately, upon request, the supporting
documents stipulated in this Application;
• The applicant is eligible in accordance with the criteria set out in the Application;
• If recommended to be awarded a grant, the applicant accepts the contractual conditions;
• The applicant is aware that, for the purposes of safeguarding the financial interests of the
EU, their personal data may be transferred to internal audit services, to the European
Court of Auditors, to the Financial Irregularities Panel or to the European Anti-Fraud
Office;
• The applicant is fully aware of the obligation to inform without delay the Sub Grant
Authority to which this application is submitted if the same application for funding made
to other European Commission projects, European Union institutions or any other
institutions (local, national or international) has been implemented/approved by them
after the submission of this grant application.

The applicant acknowledges that if found guilty of misrepresentation of any of the above, it
may be subject to immediate cancellation of the application.

Signed on behalf of the applicant

Name and Signature

Position

Date

Annex VII–DECLARATION BY THE CO-APPLICANT

This section must be completed for each co-applicant, if any. You must make as many copies of
this table as necessary to create entries for each additional co-applicant.

Co-applicant no.1
 Name of the organisation

The co-applicant’s contact details for

the purpose of this action

Abbreviation

Registration number in the court (or

equivalent)

Date of registration

Place of registration

Official address of registration

Website and E-mail address of the

organisation if applicable

Telephone number: Country code +

city code + number

The co-applicant(s) authorise the Applicant < XXX (insert the name of the applicant) > to submit
on their behalf the present application form for applicant, as well as, to be represented by the
Applicant in all matters concerning this grant application.
I declare with full responsibility that the co-applicant is not under any of the disqualifying
grounds as specified in the Guideline for grant applicants, under this call, section 2, sub-section
2.1, point 2.
I have read and approved the contents of the proposal submitted to the Contracting Authority. I
undertake to comply with the principles of good partnership practice.

Name:
Position:
Signature:
Date and place: