declaration for the expression of interest

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Expression of Interest

GENDER & ENERGY RESEARCH PROGRAMME

BUILDING THE EVIDENCE BASE FOR IMPROVING ENERGY INTERVENTIONS’

EFFECTIVENESS BY TAKING A GENDER APPROACH

Note: The Expression on Interest (EOI) should be written in English in a maximum of six pages excluding the annexes. The font size must not be smaller than Arial 10 point.

Only fill in the highlighted areas

The EOIs should be submitted electronically to the ENERGIA International Secretariat at energia@etcnl.nl.

The subject line of the e-mail message must include the Reference number:

ENERGIA/2014/Expression of Interest/[name of the applicant]

The completed EOI should be named: ENERGIA_2014_EOI_[name of applicant]

If file size >10MB please contact the Secretariat for guidance on submission of Annexes.

1.

Applying organisations and lead applicant

1.1.

Name of Lead Applicant and country where organisation is legally registered

1.2.

Name of Co-Applicant(s) and country where organisation is legally registered

Name of Lead Applicant, Country of registration

No. Name of Organisation

1.

2 .

… …

Country of Registration

2.

Contact person for communication

Name

Full title

Email Address

Office Phone Number

Mobile Phone Number

Mr /Ms …….

3.

Research area interest

3.1.

Specific research area

(one of the five research

areas identified in Section 4)

No.

3.2.

Brief description of the specific research focus (fitting one of the five research areas identified in Section 3 of the Request for the Expression of Interest document) and its relevance to the programme outcome.

Max 300 words

4.

Brief description of research approach and methods that will be employed

Max 300 words

5.

Selection and justification for geographical scope /countries

Max 200 words

6.

Relevant experience of the organisations and individuals proposed

6.1.

Relevant experience and expertise in conducting research

(with reference to criteria in section 5.2 of the Request for Expression of Interest document)

Max 200 words

6.2.

Profile of the lead applicant (the organisation)

Max 200 words

6.3. Profile of the team leader (the lead researcher)

Max 200 words

1.

2.

3.

4.

5.

6.4. Composition of the research team (names, nationalities, academic qualifications and position in team)

Name:

Academic Qualification:

Position in team:

Name:

Academic Qualification:

Position in team:

Name:

Academic Qualification:

Position in team:

Nationality:

Nationality:

Nationality:

6.5.

List of five most relevant publications, indicating peer review.

Please provide internet links. Scans (PDF) can be included as an Annex Three.

If document size >10MB please contact the programme secretariat.

Annex One : Letter of Declaration by the Lead Applicant

DECLARATION FOR THE EXPRESSION OF INTEREST

name of the applicant

EXPRESSION OF INTEREST

GENDER & ENERGY RESEARCH PROGRAMME

BUILDING THE EVIDENCE BASE FOR IMPROVING ENERGY INTERVENTIONS’

EFFECTIVENESS BY TAKING A GENDER APPROACH

1.1

General information about the lead applicant

Name of the Organisation

Address (Registered Office)

Registration Number

Telephone No.

E-Mail

Website

1.2

Person authorised to submit the EoI

Surname , Name

Position

Telephone No.

E-Mail

By submitting this EoI, the undersigned declare(s) that:

1.

the applicant is fully aware that resources of the ENERIGA Gender & Energy Research Programme are funded by the Department for International Development (DFID) of the UK government and that resources are therefore subject to DFID Regulations;

2.

the information contained in this EoI and accompanying Annexes is accurate, sincere, complete and correct in all its elements;

3.

the applicant is not in one of the following situation:

 is bankrupt or being wound up, is having its affairs administered by the courts, has entered into an arrangement with creditors, has suspended business activities, is the subject of proceedings concerning those matters, or is in any analogous situation arising from a similar procedure provided for in national legislation or regulations;

 has been convicted of an offence concerning professional conduct by a judgment of a competent authority of a

Member State which has the force of res judicata; has been guilty of grave professional misconduct proven by any means which the contracting authorities can justify including by decisions of the European Investment Bank and international organisations; is not in compliance with all its obligations relating to the payment of social security contributions and the payment of taxes in accordance with the legal provisions of the country in which it is established, with those of the country of the contracting authority and those of the country where the contract is to be performed; has been the subject of a judgement which has the force of res judicata for fraud, corruption, involvement in a

 criminal organisation, money laundering or any other illegal activity, where such activity is detrimental to the financial interests of WIDER project partners; is a subject of an administrative penalty for being guilty of misrepresentation in supplying the information required by the contracting authority as a condition of participation in a procurement procedure or failing to supply this information, or having been declared to be in serious breach of its obligations.

 will inform ENERGIA partners, without delay, of any situation considered a conflict of interest or which could give rise to a conflict of interest.

Place

Date

[Signature of the legal representative or authorized person

Surname, Name(s)

Position

Annex Two : Letters of Commitment by the Co-Applicants to the Expression of Interest with digital signature

Letter of Commitment

LOGO of ORGANISATION

[Date]

[Name of Individual]

[Name of Organisation]

[Address of Organisation]

[Individual’s Phone Number]

This letter expresses the commitment of __[name of organisation]__ to participate in the Gender and Energy

Research Programme “Building the Evidence Base for Improving Energy Interventions’ Effectiveness by Taking a

Gender Approach” as a co-applicant.

This letter is not intended to be binding or limiting, but rather expresses _ [name of organisation]_ good faith commitment to contribute the programme’s objectives.

Signed ,

[Name of person authorised to make the commitment on behalf of the organisation/Position]

Annex Three: (only if needed)

List the scanned (in PDF format) publications here and add them as an attachment under filename:

ENERGIA_2014_EOI_[name of applicant]_Annex_3_No_[ ]

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