Part III.  Partner promoter(s) (Only for Trans-national Youth Intiatives)	
	
A.  Details of the partner 	
Name		
Street address		
Postcode		City		
Region		Country		
Email		Website		
Telephone		Telefax		
	
Person in charge of the project (contact person)	
Family name (Ms/Mr)		First name		
Position/function		
Email		
Telephone		Telefax		
	
B.  Profile of the partner 	
Type and status	  Non profit/non governmental organisation	  Informal group of young people	
Activity level	  Local	  Regional	  National	  European/International	
Please give a short description of your organisation/group (regular activities, member of, etc.) :	

	

C.  Preliminary agreement of the partner 	
I, the undersigned, on behalf of  (repeat the name of the partner)	
confirm our participation in each stage of the project (repeat the title of the project as stated in Part I):	
I declare having reached an agreement with all the promoters involved in the project with regard to the share of EU grant my organisation/group is entitled to receive in order to implement the project.  	
Furthermore, I confirm my undertaking to ensure visibility of the European Union support for the project and to ensure dissemination and exploitation of its results.	
Name in capital letters :		
Place:	Signature:		
Date: