Bijlage 2 Subsidieregeling NER 300: als bedoeld in artikel 23, eerste lid, van de Subsidieregeling NER300

Subsidieregeling NER 300

Full name of Project Sponsor (applying legal body/organization of applicant): Postal address: Postcode and place: Visit address: Postcode and place: IBAN nr: BIC-code: Chamber of Commerce registration nr: Liability to VAT: □ Liable to VAT □ VAT-exemption Contact person applicant (this person will be the primary contact person for the Minister of EL&I) Mr/Ms name:..................... tel:....................... e-mail address:............... Projecttype: □ bio-energy □ concentrated solar power □ photovoltaic energy □ geothermal energy □ wind energy □ sea-energy □ hydro energy □ smart grids Transboundary project □ yes □ no Project name: .................................................... Joint applicants, i.e. participants of the cooperation if the application is made on behalf of a number of companies (if applicable): Company name Name contact person Telephone SME Other/ international 1. 2. 3. 4. 5. Applicant (or the secretariat of the co-operating companies when the application is being submitted by a number of co-operating companies) Place: Signature: Date: Name, company name and position: In case that the application is being submitted by a number of co-operating companies, the participants declare by signing this application that they have authorized the applicant/secretariat of the cooperation toacton their behalfand to submitthisapplication. Joint applicant 1 (participant of the cooperation) Place: Signature: Date: Name, company name and position: Joint applicant 2 (participant of the cooperation) Place: Signature: Date: Name, company name and position: Joint applicant 3 (participant of the cooperation) Place: Signature: Date: Name, company name and position: Joint applicant 4 (participant of the cooperation) Place: Signature: Date: Name, company name and position: Joint applicant 5 (participant of the cooperation) Place: Signature: Date: Name, company name and position: This form is provided by and must be handed in at: The Ministry of Economic Affairs, Attn