AGREEMENT NUMBER - yyyy - nnnn Form to be used for the submission of the Final Report (technical part) General instructions You should carefully read the Administrative and Financial Handbook for Erasmus Mundus projects before filling in the reporting form. The Final Report covers all the activities, results and expenditure for the whole action duration. The Final Report is submitted by the Co-ordinator on behalf of all the organisations participating in the action. The declaration at the end of the form confirms that a process of consultation and approval has been carried out throughout the partnership. It is therefore important that the required information should be collected in good time before the deadline for submission of the Final Report. The Final Report should be submitted in the operational language of communication between the institutions involved in the project. The Final Report must be signed and dated by the legal representative of the Co-ordinator of the Grant Agreement. The original and one copy of the Final Report must be sent no later (as per postmark) than by the deadline specified in the Grant Agreement to: Education, Audiovisual and Culture Executive Agency Unit P4 – ERASMUS MUNDUS and EXTERNAL COOPERATION Avenue du Bourget, 1 - (BOUR 02/31) B-1049 Brussels An electronic version of the Final Report must be sent to the following email address: EACEA-EM2A3@ec.europa.eu. You are strongly advised to send your Final Report by registered post to ensure a record of postage. Additionally, you are advised to keep a copy of the full Report, including any annexes. Please note that a late submission of the Final Report may result in penalties or even cancellation of the Grant Agreement, in accordance with the Agreement. Instructions concerning the technical part of the Final Report The technical part of the Final Report should provide a detailed picture of the action as described in the original application (and possible subsequent amendments). It must cover all the headings listed in the form. Where a heading is not applicable, state “not applicable”. The minimal length of the technical part of the Final Report is 5 pages (excluding possible enclosures). You have to attach to your Final Report, three copies of all action products and results. If you refer to web sites, passwords should be given for all private areas. Instructions concerning the financial part of the Final Report The expenditure should be coherent with the technical part of the Final Report. The conversion of the actual costs into euros should be made at the monthly accounting rate established by the Commission published on its website http://www.ec.europa.eu/budget/inforeuro applicable when the last of the two parties signs the agreement. VAT may be included as an item of expenditure if it represents a final cost and is not recoverable under the national VAT system. Please adhere strictly to the format provided in the tables. Please check carefully the figures provided. Final Reports containing calculation errors will be delayed in the payment process. Direct costs need to be reported in detail and these costs must be supported by documentary proof, such as invoices. Copies of these supporting documents need not be enclosed in the Final Report, but can be specifically requested by the Agency. FINAL REPORT: TECHNICAL PART 1. Activities of the action 1.1. Achievement of objectives 1.2. Organisation of the partnership 1.3. Methodology, tools and technology used 1.4. Monitoring and evaluation of the action 1.5. Feedback on the implementation of the action (including explanations for major divergences from initial work plan and any difficulties encountered. If necessary fill in table 1 on "Deviations from the work plan and tasks") 1.6 Work plan including all activities held throughout the project (fill in table 2) 2. Impact, products, results and their dissemination 2.1. A clear qualitative and quantitative description of the action results and/or products (including impact on target groups, recommendations of evaluations, etc.) 2.2. Elements of good practice identified and discoveries made 2.3. Dissemination measures undertaken 2.4. Long-term exploitation and commercialisation strategy 2.5. Intellectual property rights, copyright Table 1 - Deviations from the workplan / tasks OUTPUTS Activities leading to outputs Planned Starting Date Actual Starting Date Planned duration Actual duration Activities leading to outputs Planned Starting Date Actual Starting Date Planned duration Actual duration Deviation Implemented Solution OUTPUTS Deviation Implemented Solution Table 2 - Work Plan Project: Stage in the project life cyclet 1 2 3 4 5 6 7 8 9 10 Outputs: Activities leading to this output Starting and completion date of activities Start Complete Partners / Persons involved Time input (person/days or person/months) FINAL REPORT: FINANCIAL PART Table 3 - Overview of expenditure Approved budget (€) Actual Expenditure (€) €.€€€,€€ €.€€€,€€ €.€€€,€€ €.€€€,€€ €.€€€,€€ €.€€€,€€ €.€€€,€€ €.€€€,€€ €.€€€,€€ €.€€€,€€ 2. Travel and subsistence €.€€€,€€ €.€€€,€€ 3. Equipment and materials €.€€€,€€ €.€€€,€€ €.€€€,€€ €.€€€,€€ €.€€€,€€ €.€€€,€€ €.€€€,€€ €.€€€,€€ €.€€€,€€ €.€€€,€€ €.€€€,€€ €.€€€,€€ €.€€€,€€ €.€€€,€€ 6. Other direct costs €.€€€,€€ €.€€€,€€ 7. General costs €.€€€,€€ €.€€€,€€ TOTAL €.€€€,€€ €.€€€,€€ Approved budget (€) Actual Amounts (€) €.€€€,€€ €.€€€,€€ 2. Contribution from the regular budget of the institutions involved in the project €.€€€,€€ €.€€€,€€ 3. Support from public (national, regional etc.) sources , provided specifically for this project €.€€€,€€ €.€€€,€€ 4. Support from the private sector or foundations, provided specifically for this project €.€€€,€€ €.€€€,€€ 5. Other sources (please specify) €.€€€,€€ €.€€€,€€ TOTAL €.€€€,€€ €.€€€,€€ Type of costs 1. Staff costs 1.1. Category 1 1.2. Category 2 1.3. Category 3 1.4. Category 4 Total: 4. Subcontracting, consultancy and other external services 5. Conferences and seminars 5.1. Organisation costs 5.2. Travel and subsistence of participants and speakers 5.3. Interpreters 5.4.Speakers fees Total: Overview of income Sources 1. Grant awarded by the Erasmus Mundus programme Table 4 - Interests generated by pre-financing received for the project Income Amount of the pre-financing payment(s) Interests generated Actual Amounts €.€€€,€€ €.€€€,€€ I, the undersigned, hereby declare that the information contained in the technical and financial part of the Final Report is accurate and in accordance with the facts. In particular the financial data provided in this Final Report corresponds to the expenditure actually incurred for this project. This information has been checked and approved by the co-beneficiaries involved. Name: (Legal representative) Date: Signature: