Subject: information on the grants received de minimis1
Please complete this declaration of previous State aid2 received under the de minimis rule. Using this information we
will assess your eligibility to receive assistance. Please note that having received previous aid under the de minimis
Regulation does not automatically disqualify you from receiving further de minimis aid from the Territorial
Cooperation Programme.
Declaration
Project name, project number and acronym:
Participation in the above mentioned project entails aid for the SME of EUR:
Name of the SME:
Registration number of the SME:
Business sector3:
I, the undersigned, representing the above mentioned SME, declare that:
The institution I represent and all other entities belonging to the same company group as my
institution have not received any contribution falling under the de minimis Regulation during the
previous three fiscal years (this being the current fiscal year and the previous two fiscal years);
The institution I represent and all other entities belonging to the same company group as my
institution have received the following contribution(s) falling under the de minimis Regulation during
the previous three fiscal years (this being the current fiscal year and the previous two fiscal years):
1
Regulation (EC) No 1407/2013 of 18 December 2013 on the application of Articles 107 and 108 of the Treaty and the Functioning of the European
Union to de minimis aid (the ‘de minimis regulation’), Article 3.
2
State aid is given to the undertaking on a selective basis and does not include subsidies granted to individuals or general measures open to all
enterprises. State aid can e.g. have the format of grants, interest and tax reliefs, guarantees, government holdings of all part of the company, or
providing goods and services on preferential terms. Please indicate if the state aid has had any other format than grant.
3
Please note that in relation to de minimis special rules apply for undertakings active in the fishery and aquaculture sector and primary production
of agricultural products. Furthermore, specific rules apply for the road freight transport sector. See Article 1 and 3 in the de minimis regulation.
Organisation providing
the state aid
Beneficiary
Country which granted
the state aid
Amount of the
contribution in EUR
Date of granting
Total
I acknowledge that untruthful/false declarations, in addition to the administrative sanctions and the request for
refunding unduly received contribution charged with the interests, can also be prosecuted.
___________________________
Signature
______________________
Date
___________________________
Name and function of the person signing for the SME (and official stamp where applicable)