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                APPLICATION FORM

                       (please write outside the boxes)

Name of the applicant
(complete name of the organization)

Title of the project

Date of submission

                                             Dossier No.

                                            (for official use only)
     I - Your organization

Organization's legal name (and legal name of parent organization, if any)

Legal status and nationality
(E.g. Non-profit association, Onlus, etc. The Statutes must make it possible
to ascertain that the organisation was set up by an act governed by the
national law of the nationality country)

Complete organization's address (and correspondence address if different)

Organization's phone number, fax number, email and website (if any)

Name and title of the legal representative (who will sign the contract)

Name and title of the principal contact person
(Please, indicate email and mobile number, if any)

Organization's achievements related to the project issue
(as well as other information to help us understand why the organization is
qualified to undertake the project.)

     II - The issue addressed

Name of the proposed project

Background information
(a brief description of the problem you propose to address, including
evidence of its importance and relation with the Foundation's goals)

Explanation of how the project will address the problem: activities,
operational procedures and methodology

Anticipated achievements or outcomes of the project
(Including a description of multiplier effects, if any)

Description of how the results will be disseminated

(Explanation of how the applicant organization will sustain the project
financially after the Foundation funding has ended)

     III - The time and geographic frame

Project timetable
(Please, insert a timetable and indicate when the project should start and

Country or geographic region where the work will take place

     IV - The anticipated costs

Estimated costs for the project in EUR

Amount requested from Nando Peretti Foundation in EUR

Detailed budget
(Please, provide a detailed budget in a separate Excel file)

Timing of the costs

Bank Account
(Please, provide us with full details on your Bank Account: name of the
bank, account number, including IBAN or SWIFT code)

Accompanying material
     Please remark that the above guidelines are provided in order to
     speed up the revision process. Since our Foundation chooses to
     operate with a small staff, at this stage any unsolicited material such
     as examples of past work, articles, brochures, annual reports or
     publications, videos, CDs, news articles, photographs will be turned
     down. Do not send such material unless explicitly requested.

Sending the proposal
       You can either send the proposal at our correspondence address:
                                Stefano Palumbo
                              Program Coordinator
                            and Member of the Board
                          The Nando Peretti Foundation
                        C/O Fondazione Ferdinando Peretti
                                 Corso Italia 19
                                00198 Rome, Italy

        and e-mail it at the address:

The review process
    Your proposal will be acknowledged upon its receipt. If your letter
    does not provide all the above specified information, it will be returned
    to you promptly along with some instructions on how to supplement it.
    Otherwise, it will enter our revision process. Since the Foundation
    operates with a small staff, you should not expect a detailed answer to
    take less than six to eight weeks. After this delay, you should feel free
    to send us a follow-up inquiry.

                                               Dossier No.

                                              (for official use only)
Should your proposal be rejected, you will be notified immediately. If,
on the contrary, the Foundation decides that your project is qualified
for funding, we will contact you and provide all the relevant
information for the granting procedure. A Foundation's Program
Officer will keep in touch with you and help you in gathering,
organizing and submitting all the relevant information.
The review process will end with the signature of an agreement
specifying the mutual engagements of the Foundation and your
organization, including the expected completion date, final outputs,
agreed budget, progress reporting to the Foundation, and dissemination
of the results.


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