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Global Human Rights Defence- 3.

1 PARTNERSHIP

Part A: IDENTIFICATION OF THE PROMOTER


Promoter Role in the application Promoters legal name (national language) Promoters legal name (latin characters) Acronym, if applicable National ID number, if applicable Department, if applicable Legal address Postal code ity ountry Region !eb site "mail #elephone $a%

Person authorised to legally commit the romoter !legal res resentati"e# #itle $amily name $irst name Position "mail &ame address as the organisation #elephone $a%

Person res onsi$le %or the im lementation o% the action !contact erson# #itle $amily name $irst name Position "mail

&ame address as the organisation #elephone $a%

PART &' PROFI(E OF THE PROMOTER


&tatus #ype Pri'ate (PR) Non profit)non go'ernmental organisation (N$P* N+,) (ody acti'e at "uropean le'el in the youth field (N$P* "N+-,) Public (P() Informal group of young people (N$P* I+-P)

Acti'ity le'el

Local (L) "uropean (") International (I)

Regional (R)

National (N)

O$)ecti"es and acti"ities o% the romoter Please pro'ide a short presentation of your organisation)group (usual acti'ities, affiliations, etc.) in relation to the field co'ered by the pro/ect.

. Please describe the role of your organisation)group in the pro/ect.

Other community %unding Please gi'e information about any type of ommunity grant your organsiation)group has recei'ed)applied for in the last financial year. (Add more ro0s if needed) Programme or initiati'e Identification)contract number ontracting promoter #itle of the pro/ect

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