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Reference Number Country Area






CEI Cooperation Fund

Application Form

for Funding a CEI Cooperation Activity


Part 1. General Information

1.1. Title



1.2. Applicant 1



1.3. Intended date and place of implementation



Part 2. Description of the Cooperation Activity

2.1. Origin and background



2.2. Description, objectives and expected results



2.3. Compatibility with CEI Plan of Action 2



2.4. Promotional activities and CEI visibility



2.5. CEI Involvement 3



2.6. Participation 4




CEI Member State

Envisaged number of participants

^ Institution to which participants belong

Role in the Cooperation Activity

Albania










Austria










Belarus










Bulgaria










Bosnia and Herzegovina










Croatia










Czech Republic










Hungary










Italy










Macedonia










Moldova










Montenegro










Poland










Romania










Serbia










Slovakia










Slovenia










Ukraine










TOTAL






















^ Other countries

Envisaged number of participants

Institution to which participants belong

Role in the Cooperation Activity





































TOTAL






















^ International bodies

Envisaged number of participants

Institution to which participants belong

Role in the Cooperation Activity





































TOTAL











^

2.7. Registration fee 5



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