Appendix 3a to the Regulations of the call for applications under the Bilateral Cooperation
Fund at the level of Operating Programme PL04.
FORMAL EVALUATION CARD OF THE BILATERAL APPLICATION
COMPETITION CALL UNDER
NORWEGIAN
FINANCIAL MECHANISM 2009-2014
(ACCORDING TO FORMAL CRITERIA)
Bilateral Cooperation Fund - Operational Programme PL04 entitled:
"Saving energy and promoting renewable energy sources"
Application
no.
assigned
by
........................................................................................................
DI:
Office no. assigned by the Office of the National Fund for Environmental Protection and
Water Management: ………...............................
Project title ……………………………………………………………………….
Applicant: ………………………………………………………………………
Project Partner from Norway: ……………………………………………………….
Eligible expenditure of the task: ............................................................................................
Amount of the subsidy:......................% of the subsidy ………………………..
Item
Criterion name
1.
2.
1.
The application has been submitted
on a due date according to the call
for applications to the Bilateral
Cooperation Fund at the level of
Programme PL04 (according to item
10 Of the call for applications)
2.
Period of the project implementation
falls within the eligibility period of
the Bilateral Cooperation Fund at the
level of Programme PL04
Evaluation principles
Yes
Comment
No
3.
4.
FORMAL CRITERIA
(according to item 6 Of the call for
applications)
3.
Applicant's eligibility
(according to item 2 Of the call for
applications)
1
Appendix 3a to the Regulations of the call for applications under the Bilateral Cooperation
Fund at the level of Operating Programme PL04.
4.
Eligibility of activities and thematic
scope of the project
(according to Article 3.6, passage 1,
item b of the FM EEA Regulations
according to items 3 and 9 of the call
for applications
according to section III item 3 Of the
Bilateral strategy for PL04 in the
NMF part)
5.
Eligibility of expenditures
(according to item 9 Of the call for
applications and according to the
bilateral strategy, supplementation,
part IV, item 3)
6.
7.
8.
Application for the subsidy falls
within the limits stated in the call for
applications
(according to items 4 i5 of the call
for applications)
Completeness of a filled application
and supplied annexes, compliance of
the paper and electronic versions,
compliance of the English version
with the Polish version (applies to
the application form, items 3.2 –
project description, and 3.4 –
activities and implementation
schedule)
(according to items 10-15 of the call
for applications)
The application is bilateral in nature
and has been submitted in
partnership – a partnership contract
or letter of intent has been attached
to the application.
(according to items 3, 11, 14 of the
call for applications)
Meeting the formal evaluation criterion
YES/NO/to be supplemented
Full name of the evaluating person..........................................
Signature...............................................................................................
Date.......................................................................................................
2
Appendix 3a to the Regulations of the call for applications under the Bilateral Cooperation
Fund at the level of Operating Programme PL04.
Full name of the ecology unit manager ..........................................
Signature...............................................................................................
Date.......................................................................................................
LIST OF APPENDICES
TO THE BILATERAL PARTNERSHIP APPLICATION UNDER THE
BILATERAL COOPERATION FUND AT THE LEVEL OF PROGRAMME PL02 OF EEA 2009-2014
1. Documents confirming partnership in the project:
YES/NO
Letter of Intent
Partnership contract
2. Other annexes:
YES/NO
Statute and/or the founding act
Project description and project budget in English.
Framework agendas of study visits/conferences/seminars/workshops,
specifying the purpose of conducting an event, its duration, as well as
the profile and number of its participants (if envisaged in the project).
Concept of innovative pilot projects (if envisaged in the project).
Concept of establishing a cooperation platform (if envisaged in the
project).
Short description of research and analyses (if envisaged in the project).
Concept of promotional and information campaigns (if envisaged in the
project).
Statement on the compliance of the paper version of the application
form with the electronic version, compliance of the English version
with the Polish version (applies to the application form, items 3.2 –
project description, and 3.4 – activities and implementation schedule).
Other documents deemed necessary to be submitted by the applicant:
1.
2.
3.
3