Application for granting an access for the person authorised to work in SL2014 1
Project partner/lead partner’s data:
Country
Organisation
Identification number of
the project partner /
lead partner2
Project number
Data of the authorised person:
Country
PESEL3
Surname
Name
Email
1 Only after having obtained the requested data, the access to the SL2014 may be granted.
2 For beneficiaries coming from Poland – NIP number shall be inserted, for beneficiaries coming from other countries
– tax identification number shall be inserted.
3 Refers only to those who marked „Poland“ in the field „country“.
Application for granting an access for the person authorised to work in SL2014| 2
Declaration of the authorised person 4:
I, the undersigned …………………………………………………………….., declare that:
Name
Surname
I have familiarized with the Regulation on the safety of the information processed in the main
application of the central ICT system and I declare to abide its provisions.
………………………………………………………………….
Date, signature of the authorised person
Requested scope in the SL2014:
Modules for the processing of the progress reports:
Progress reports, Correspondence, Financial timetable, Public procurement, Employees
Declaration of the project partner / lead partner:
I declare, that all the activities defined in this Annex performed by the authorised persons in the
SL2014, will be treated as activities performed on behalf of the ………… (please insert name of
the project partner / lead partner’s organisation) ………….. .
Date of signing the application
Signature of the project partner / lead
partner *
* Person(s) entitled to represent the project partner / lead partner
4 To be filled in only in the case the application refers to granting the access.
Interreg South Baltic Programme 2014-2020 | European Regional Development Fund | www.southbaltic.eu
Joint Secretariat | Al. Grunwaldzka 186 | 80-266 Gdańsk, Poland | Tel: +48 58 746 38 55 | Email: [email protected]