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Audiovisualmultimedia

MEDIA

     2007 (2007-2013)

    CALL FOR PROPOSALS 16/06

    SUPPORT TO DEVELOPMENT “MEDIA NEW TALENT

    APPLICATION FORMS

    1

    ABLE OF CONTENTS T

Introduction: How to complete the application forms ...................................................... 3

    Form A: Acknowledgement of receipt of the project submitted ....................................... 5

    Form B: Declaration on the applicant’s honour ................................................................ 6

    Form C: Identification of the applicant company ............................................................. 7

    Form D: Legal status of the applicant company ............................................................... 8

    Form E: Financial status of the applicant company ........................................................ 10

    Form F: Experience of the applicant company ............................................................... 14

    Form G: Description of the MEDIA training activity followed ...................................... 18

    Form H: Project characteristics ....................................................................................... 20

    Form I: Copyright ........................................................................................................... 22

    Form J: Detailed development budget estimate .............................................................. 25

    Form K: Development budget estimate summary .......................................................... 31

    Form L: Sources of finance ............................................................................................. 32

    Form M: Resubmissions ................................................................................................. 33

Form 1 : Information concerning the applicant company ............................................... 36

    Form 2: Description of the media training activity followed .......................................... 40

    Form 3: Information concerning the project submitted .................................................. 42

    Form 4: Description of the project .................................................................................. 44

    Form 5 : Description of the development strategy .......................................................... 48

    Form 6 : Description of the distribution strategy ............................................................ 50

    Form 7: Detailed development budget estimate ............................................................. 52

    Form 8: Sources of finance ............................................................................................. 56

    2

    NTRODUCTION: I

    HOW TO COMPLETE THE APPLICATION FORMS

1. To complete the application forms you must refer to the document ―Call for proposals

    16/06 Guidelines for support to development - MEDIA New Talent‖. This document

    defines all the terms used in the forms and explains why the various information is

    required by the Agency. In order to help you, each form includes references to the

    corresponding sections of the guidelines.

2. You must use the attached forms when responding to call for proposals n? 16/06, also

    in case of resubmission.

These forms can be downloaded in English or French from the website

    http://ec.europa.eu/comm/avpolicy/media/index_en.html.

    To facilitate assessment of your application, we advise you to complete it in English.

The forms are in 2 groups :

- Forms A to M are intended for the evaluation of eligibility and selection criteria;

    - Forms 1 to 8 are intended for the evaluation of award criteria.

They must be completed, printed out and sent to the Agency in accordance with the

    following instructions:

- Forms A to M and the supporting annexes, must be submitted in one copy, joined

    in such a manner that the pages are detachable to allow their possible

    reproduction;

    - Forms 1 to 8 must be provided in three copies (1 unbound and 2 bound). 1 CD-

    Rom containing Forms and annexes 1 to 8 must also be provided.

3. Only the information entered in the forms and annexes requested will be taken into

    account when assessing your application.

4. Do not send your application to the Agency until it is complete. Incomplete

    applications will not be considered, and you will not be able to resubmit your application

    until a future call for proposals (2008 or later). See section 2.1.2 of the guidelines.

    3

    APPLICATION FORMS A - M

INSTRUCTIONS

    - FORMS A TO M MUST BE COMPLETED, PRINTED OUT AND

    SENT IN 1 COPY ALONG WITH THE REQUESTED ANNEXES

    - THE ANNEXES MUST BE ENCLOSED BEHIND THE

    APPROPRIATE FORMS

- THE FORMS A TO M + ANNEXES MUST BE JOINED IN SUCH

    A MANNER THAT THE PAGES ARE DETACHABLE TO ALLOW

    THEIR POSSIBLE REPRODUCTION

    4

    Company Name:………………………………………Country:…………………………

    FORM A:

     1ACKNOWLEDGEMENT OF RECEIPT OF THE PROJECT SUBMITTED

    COMPANY NAME:

    FOR THE ATTENTION OF MR/MS:

    ADDRESS

    STREET + N?:

    POSTCODE + TOWN/CITY:

    COUNTRY:

    Section to be completed by the applicant company

Title of project submitted:

    Drama Animation

    Creative Documentary Multimedia MEDIA contribution requested:

    Is the project being resubmitted? YES NO

Date Signature of the authorised signatory Company stamp

    Section for Agency use only

     Brussels,

We acknowledge receipt of your application, which has been given the following

    reference number:

0616DE05

Please mention this reference number in all correspondence with the Agency.

    Date on which your application was received …………/…………./………….

Yours faithfully,

    Constantin Daskalakis

    Head of Unit

     1 Guidelines, 5.1.3.

    5

Company Name:………………………………………Country:…………………………

    FORM B:

    DECLARATION ON THE APPLICANTS HONOUR

I the undersigned……….…….…………………..declare that I am the authorised signatory

    for the applicant company and guarantee on my honour that:

? the information contained in the application forms and annexes is complete and correct,

    according to the terms defined in the guidelines for this call for proposals,

? the applicant company has complied with all its contractual obligations signed with the

    Commission under the MEDIA I, MEDIA II and MEDIA PLUS programmes,

? the applicant company is not in any of the situations entailing exclusion as referred to in

    section 3.5 of the guidelines for this call for proposals,

? should the sources of finance (form L) for the project, if MEDIA support is granted, not

    be confirmed, the applicant company undertakes to guarantee financial cover for the 2project,

? the proposed project does not infringe the rights of a third party,

? the proposed project is not already fully scripted and finalised, and filming has not

    started,

? the applicant company accepts that, if MEDIA support is granted, the name and address,

    the subject of the financial support, the amount awarded and the rate of funding will

    be published by the Agency.

    Signature: ……………………..... Date:

     Done at:

     2 Guidelines, 3.5 and 6.2.

    6

Company Name:………………………………………Country:…………………………

    FORM C:

    IDENTIFICATION OF THE APPLICANT COMPANY

FULL LEGAL NAME

    SHORT NAME (IF APPLICABLE) ACRONYM (IF APPLICABLE) LEGAL FORM DATE OF LEGAL REGISTRATION LEGAL REGISTRATION NUMBER INTERNATIONAL VAT N? (IF APPLICABLE)

STATUTORY LEGAL REPRESENTATIVE

POSITION IN THE COMPANY OF THE STATUTORY LEGAL REPRESENTATIVE

AUTHORISED SIGNATORY AND POSITION IN THE COMPANY (IF DIFFERENT THAN ABOVE)

    CONTACT PERSON AND POSITION IN THE COMPANY

ADRESS OF THE REGISTERED OFFICE

    STREET TOWN POST CODE COUNTRY TEL (OFFICE) FAX TEL (MOBILE) E-MAIL WEBSITE

    ADRESS FOR CORRESPONDENCE (IF DIFFERENT) STREET TOWN POST CODE COUNTRY TEL (OFFICE) FAX TEL (MOBILE) E-MAIL WEBSITE

Signature of the statutory legal representative of the company

Date : Done at :

    7

    Company Name:………………………………………Country:…………………………

    ORM D: F

     3LEGAL STATUS OF THE APPLICANT COMPANY

IS THE COMPANY A PRODUCTION COMPANY?

    YES ????????NO ?In this case your application will not be considered.

IS THE COMPANY A EUROPEAN COMPANY?

    YES ????????NO ?In this case your application will not be considered.

IS THE COMPANY SUBJECT TO VAT ?

    YES ?In this case, please provide the proof. NO ??

    Please enter details of the company’s shareholders in the following table.

    NAMES OF SHAREHOLDERS NATIONALITY PERCENTAGE

IS THE COMPANY AN INDEPENDENT COMPANY?

    YES ????????NO ?In this case your application will not be considered. A broadcasting company does not have a shareholding of more than 25% in the applicant company (50% if several broadcasters are involved).

    YES ????????NO ?In this case your application will not be considered. Over a period of three years, the applicant company does not achieve more than 90% of its turnover with the same broadcasting company.

Please give details of any parent company, subsidiaries or related companies in the

    following table.

    COMPANY NAME MAIN ACTIVITY RELATIONSHIP OR %

    OWNERSHIP

     3 Guidelines, 3.1.

    8

Company Name:………………………………………Country:…………………………

    SUPPORTING DOCUMENTS MUST BE ENCLOSED AT THE END OF THIS FORM

ANNEX D 1 TO THE APPLICATION :

    - Recent extract from the company’s registration (or equivalent official document)

    stating stating the company’s date of establishment, legal status, objects and the

    names of its authorised legal representatives;

    - In case the authorised signatory is different than the statutory legal representative,

    please provide the proof of such authorisation.

ANNEX D 2 TO THE APPLICATION :

    - Company’s up-to-date memorandum of association (or equivalent official

    document), stating in particular the names, nationalities of the shareholders as well

    as the division of shares.

    - In the case the shareholders’ nationalities are not stated in the official document,

    please provide a proof of nationality of the major shareholder (s). - In the case the shareholding consists of legal entities, please detail their activity.

ANNEX D 3 TO THE APPLICATION :

    - Proof of VAT registration, if applicable.

    9

    Company Name:………………………………………Country:…………………………

    ORM E: F

     4FINANCIAL STATUS OF THE APPLICANT COMPANY

I. Bank Identification Form :

NAME OF THE ACCOUNT HOLDER

    (COMPANY)

    ADDRESS OF THE ACCOUNT HOLDER Street : ...................................................................... N? ……………………………

    (COMPANY) Postcode : ...................................... ……… ..................................

    City: ………………………………………..

    Country :…………………………………… VAT NUMBER

    NAME OF THE STATUTORY LEGAL

    REPRESENTATIVE

Signature of the Applicant company’s legal representative

Date : Done at :

BANK DETAILS OF THE ACCOUNT HOLDER

    NAME OF BANK

    NAME OF BRANCH

    ADDRESS (OF BRANCH) Street : ...................................................................... N? ……………………………

    Postcode : ...................................... ……… ..................................

    City: ………………………………………..

    Country :…………………………………… BANK/BRANCH CODE

    BANK ACCOUNT NUMBER

    IBAN NUMBER

    BIC CODE (SWIFT)

    ACCOUNT NAME

    ACCOUNT HOLDER'S ADDRESS IN BANK'S Street : ...................................................................... N? ……………………………

    RECORDS Postcode : ...................................... ……… ..................................

    City: ……………………………………….

    Country :……………………………………

Original stamp of the bank :

    If this page is not stamped, the applicant is required to enclose a bank statement

    confirming these bank details

    Name and signature of an authorised official of the bank : ………………………………

     4 Guidelines, 3.3. An explanatory note in the 23 official languages of the EU is available on the website http://europa.eu.int/comm/avpolicy/media/index_en.html

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