Application Form
„Sample Translations Program “
1.
Applicant
 translator  publisher  literature agent
Name, Last Name
Organization name and registration number*
Country
City
Address
Postal Code
Telephone email
Web-page
* Filled in only by the publisher or literature agent
2.
Georgian literature selected for translation
 Fiction  Nonfiction  Poetry  Children’s literature
Title of an original work
Author
Georgian publisher
Year of publication
Number of pages of the original work

3.
Experimental Translation
Language of translation  German  English
Presumable title of the work in translation
Translation will be done from Georgian
If the translation is done from the intermediary language, please explain the reasons and indicate the language *
Is the language of translation native language for a translator?
If the language of translation is not native for a translator, is the additional assistance of a native speaker needed?
Presumable number of pages in the translation**
In case of interest in the translation from foreign publishing house please indicate the name of the publishing house
* Only filled in if the answer on the previous question is “No”
** In case of poetry, please indicate the presumable number of lines in translation
4.
Translator (
Name , Last Name
Identification Number
Country
City
Address

Yes

No
 Yes  No
 Yes  No
Postal Code
Telephone
Email
5.
Additional Information
Additional information and argumentation, which emphasizes the significance of translation and publication of the work

Promotional plan of the selected author and work (if it exists)
6.
Other Co-funding sources
Please indicate other co-funding sources for the project (if they exist):
Name of a Co-funder organization
Telephone
Address
E-mail
Date Signature
To be enclosed:

The translator’s CV (indicated experience in the field);
 Sample Translation of the selected Georgian literature – 3 standard pages (1200 words). For Poetry - not less than 35 lines.
 Original text selected for further translation (relevant pages);
 Approval letter from the copy right holder (if the applicant is a translator);

Official Bank requisites (Account Holder’s name, Bank Name, address, IBAN, Swift etc.).
 A copy of the ID Card (if the applicant is a translator).
* Incomplete applications will not be considered.