DECLARATION ON HONOUR, LEGAL ENTITY FORM, BANK ACCOUNT FORM PART A: Declaration on Honour by legal representative of applicant organisation TO BE COMPLETED BY THE PERSON LEGALLY AUTHORISED TO SIGN ON BEHALF OF THE APPLICANT ORGANISATION. I, the undersigned, certify that all information contained in the Erasmus Mundus 2009-2013 Action 3 – Promotion Projects application named “project title” , including the description of the project, is correct to the best of my knowledge and that I am aware of the content of the annexes to the application form submitted. I confirm that my organisation has the financial and operational capacity to carry out the proposed project. I take note that under articles 106(1), 107(1) and 109(2)(a) of the Financial Regulation applicable to the general budget of the Union1 and set out below2. They will be excluded from participating in Erasmus Mundus Calls for Proposals if they are in any of the following situations: a) they are bankrupt or being wound up, are having their affairs administered by the courts, have entered into an arrangement with creditors, have suspended business activities, are the subject of proceedings concerning those matters, or are in any analogous situation arising from a similar procedure provided for in national legislation or regulations; b) they or persons having powers of representation, decision making or control over them have been convicted of an offence concerning their professional conduct by a judgment of a competent authority of a Member State which has the force of res judicata; c) they have been guilty of grave professional misconduct proven by any means which the contracting authority can justify including by decisions of the EIB and international organisations; d) they are not in compliance with their obligations relating to the payment of social security contributions or the payment of taxes in accordance with the legal provisions of the country in which they are established or with those of the country of the contracting authority or those of the country where the contract is to be performed; e) they or persons having powers of representation, decision making or control over them have been the subject of a judgment which has the force of res judicata for fraud, corruption, involvement in a criminal organisation, money laundering or any other illegal activity, where such illegal activity is detrimental to the Union's financial interests; f) they are subject to an administrative penalty referred to in Article 109(1) of the Financial Regulation No 966/2012. Applicants, (co-)beneficiaries and scholarship candidates cannot be granted financial assistance if, on the date of the grant award decision, they: a) are subject to a conflict of interest; b) are guilty of misrepresenting the information required by the contracting authority as a condition of participation in the grant award procedure or fail to supply that information; c) find themselves in one of the situations of exclusion, referred to in Article 106(1) of the Financial Regulation No 966/2012, for this grant award procedure; d) they are subject to the penalty consisting in the exclusion from contracts and grants financed by the budget for a maximum period of ten years. In accordance with Articles from 106 to 109 of the Financial Regulation No 966/2012, administrative and financial penalties may be imposed on beneficiaries who are guilty of misrepresentation or are found to have seriously failed to meet their contractual obligations under a previous grant award procedure. To comply with these provisions, applicants and partners for a grant exceeding EUR 60 000 must sign a declaration on their honour certifying that they are not in any of the situations referred to in Articles 106 and 107 of the Financial Regulation No 966/2012. I confirm that neither I nor the organisation for which I am acting as legal representative are in any of the situations described above, and that I am aware that the penalties set out in the Financial Regulation may be applied in the case of a false declaration. If the application is successful, I am aware that the Education, Audiovisual and Culture Executive Agency / European Commission will publish on its website or in any other appropriate medium the name and address of the beneficiary of the grant, the subject of the project, the grant amount as well as the summary description of the project. 1 REGULATION (EU, EURATOM) No 966/2012 OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL of 25 October 2012 on the financial rules applicable to the general budget of the Union ("Financial Regulation No 966/2012") and repealing Council Regulation (EC, Euratom) No 1605/2002. 2 This provision does not apply for grants which are lower than or equal to EUR 60 000 (Article 131(4)(a) of FR No 966/2012). 1 I declare that the organisation I represent is (please tick as appropriate): □ □ 3 a public body ( ) a private body which has financial and operational capacity to carry out the proposed action or work programme and is able to provide a Bank Guarantee for the amount of the 1st (and 2nd, if applicable) pre-financing payment(s), should the Education, Audiovisual and Culture Executive Agency request so. By signing this application, I accept all the conditions set out in the Erasmus Mundus 2009-2013 Programme Guide and the Call for proposals EACEA/38/2012, including the general conditions published on the Education, Audiovisual and Culture Executive Agency’s website. I also declare that all the partners participating in this project have agreed with the content of the application and have confirmed their intention to carry out the tasks described accordingly. Place: Date / / (day/month/year) Signature Stamp of the applicant organisation Name and position in capitals 3 For the Erasmus Mundus Programme, considered to be public bodies are all higher education institutions specified by Member States (participating countries), and all institutions or organisations which have received over 50 % of their annual revenues from public sources over the last two years, or which are controlled by public bodies or their representatives. 2 PART B: LEGAL ENTITY FORM The co-ordinating organisation must submit: 1. Proof of their legal status, by completing the appropriate form which can be found on the webpage and attaching it to the application in PDF, tiff or jpeg format: http://ec.europa.eu/budget/contracts_grants/info_contracts/legal_entities/legal_entities_en.cfm 2. Official documents: a. Private company, association, etc.: extract from the official gazette/trade register, and certificate of liability to VAT (if, as in certain countries, the trade register number and VAT number are identical, only one of these documents is required). b. Public-law entity: legal resolution or decision established in respect of the public company, or other official document established for the public-law entity. PART C: BANK ACCOUNT FORM The co-ordinating organisation must complete and sign the form, which can be found on the following webpage, and attach it to the application in PDF, tiff or jpeg format: http://ec.europa.eu/budget/contracts_grants/info_contracts/financial_id/financial_id_en.cfm 3