ࡱ> ^a]bjbj7\}}M9 ''''';;;8s<;{",. " " " " " " "$I'V "' "''5"<<<d''"<"<<:^ , Ү;DX "K"0{" R'' '' $< " "<{"'  : Project number: Project title:Lead Beneficiary / partner:Prefilled by the Lead Beneficiary / partner DE-MINIMIS declaration (to be filled-in by the recipient of the aid) I, the undersigned, as the authorised representative of the organisation listed below, hereby certify that: The organisation I represent has not received any aid falling under one of the de minimis Regulations during the current fiscal year and the previous two fiscal years. The organisation I represent has received aid falling under one of the de minimis Regulations during the current fiscal year and the previous two fiscal years: Organisation, provider of aid, contact infoCountry of organisation providing aidLegal name and registration number of aid receiverAmount of aidDate of granting aidDe minimis under 1407/2013 (general aid)1.2.Total general de minimis aid received:N/ADe minimis under 1408/2013 (agriculture)1.2.Total agriculture de minimis aid received:N/ADe minimis under 717/2014 (fishery and aquaculture)1.2.Total fishery and aquaculture de minimis aid received:N/A De minimis aid to be received within the [project name and number] in the [name of the ENI CBC programme]: Beneficiary, provider of aidCountry of the beneficiary providing aidContact info of the beneficiary providing aidType of de minimis aid (general, agriculture or fishery/aquaculture)Amount of aidDate of granting aidPrefilled by the Lead Beneficiary / partnerPrefilled by the Lead Beneficiary / partnerPrefilled by the Lead Beneficiary / partnerPrefilled by the Lead Beneficiary / partnerPrefilled by the Lead Beneficiary / partnerPrefilled by the Lead Beneficiary / partner On behalf of the organisation, I hereby confirm that information in this declaration is accurate and true and I take full responsibility for it. 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