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					                               LIFELONG LEARNING PROGRAMME


            Agreement Amendment Request Form
         Multilateral projects, networks, accompanying
          measures, studies and comparative research

 Agreement number:
 Proposal number:
 Title:
 Beneficiary organisation:


DECLARATION OF CONFORMITY

I, the undersigned, hereby declare that the information attached is accurate and in accordance
with the facts. This information has been approved by the authorities representing the partners
involved in the project detailed within this request.




(Original signature of the person legally authorised to act on
behalf of the beneficiary organisation and who signed the original agreement)

Name of legal representative: ………………………………………………..……………………
Position within the beneficiary organisation: ................…………………………..………………
Place & Date: ………………………………………………………......……………………… .




              Form to be returned to the address mentioned in article I.7 of the agreement


                                                               1            LIFELONG LEARNING PROGRAMME
                                                                                  Agreement Amendment Request Form
                                 AMENDMENTS : INTRODUCTION



Amendments to the agreement are subject to written requests, dated and signed by the
beneficiary organisation's legal representative. These amendments are also subject to formal
endorsement by the Executive Agency.

Please note that an amendment only takes effect when the Executive Agency has formally
accepted it by sending a formal amendment signed by both parties or an acceptance letter.

Following the completion of the appropriate section(s) of this form, please print, sign, date and
send it by post, together with an accompanying letter and all appropriate annexes, to the
Executive Agency. Please note that an electronic version of the form must be sent by email to the
Agency. Only relevant completed sections of this form need to be sent.

For further information, please also refer to the instructions published                                     on
http://eacea.ec.europa.eu/llp/beneficiaries/2009/reporting_lifelong_learning_2009_en.php


This request for amendment, to the initial agreement (including previous amendments), concerns
the following item(s) (please, tick the box(es), as appropriate):

           A - Change of the beneficiary organisation or change of name of beneficiary organisation
           B - Partner(s) withdrawal1
           C - New / Replacement partner(s) joining the project
           D - Changes to the work programme
           E - Change of bank account
           F - Changes to the eligibility period
           G - Changes to the budget breakdown

For any other kind of change, please contact the Executive Agency.




1
    If one partner is replacing another, please tick both B and C
                                                             2      LIFELONG LEARNING PROGRAMME
                                                                          Agreement Amendment Request Form
Agreement number :

           A.         Change of the beneficiary organisation or change of name of beneficiary
                                                organisation

Please note that the new beneficiary must be an existing partner organisation in the project consortium
i.e. they must have participated in the original grant application. Only in exceptional and very well
justified cases, may a completely new organisation be accepted as the new beneficiary organisation.

 Name of the new beneficiary            (full)
 organisation in national language
 (full and abbreviated if applicable)   (abbreviated)

 Name of the organisation in EN,
 FR or DE
 Website
Head Office
 Street
 Number
 Post code
 Town/city
 Country
Contact Person
 Name                                   Mr□ Ms□

 Position
 Street
 Number
 Post code
 Town/city
 Country
 Telephone                              ++       /

 Fax                                    ++       /

 E-mail

Person legally authorised to act on behalf of the beneficiary organisation
 Name                             Mr□
                                  Ms□
 Position
 Street
 Number
 Post code
 Town/city
 Country
 Telephone                              ++       /

 Fax                                    ++       /

 E-mail

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                                                                             Agreement Amendment Request Form
 Reasons for change of existing beneficiary organisation (max 1/2 page). Please specify the
 new role of the former beneficiary organisation (if applicable)
 If the amendment concerns only a change of name of the existing beneficiary organisation, you
 are not required to complete this box




List of annexes to be sent with an amendment request for a change of the beneficiary
organisation:
a) Letter from the former beneficiary organisation confirming that the partners have been
   consulted and have approved the change of beneficiary. This letter is absolutely necessary to
   the Executive Agency to start the amendment procedure.
b) Letter from the new beneficiary organisation confirming its will to take over the project and
   all related obligations under the Grant Agreement. .
c) Copy of the legal statutes of the new beneficiary organisation
d) For non public organisations: copies of the financial accounts/annual reports relating to the
   last 2 closed years previous to the present request for amendment and financial capacity form
   (required      for     financial    assessment)      duly    filled    in   (available     on
   http://eacea.ec.europa.eu/llp/funding/2009/call_lifelong_learning_2009.htm)
e) Legal entity form duly filled in
   (available on http://ec.europa.eu/budget/execution/legal_entities_en.htm)

If the amendment concerns only a change of name of beneficiary organisation, please
annex only c) and d)

NB: Please note that replacement of the beneficiary organisation will imply a change of bank
account (section E). Moreover, should it also imply other changes (work programme, budget
breakdown,etc), please also complete the relevant section(s) where necessary.




                                               4         LIFELONG LEARNING PROGRAMME
                                                                Agreement Amendment Request Form
Agreement number :

                                    B.     Partner(s) withdrawal

 Please provide details of the partner(s) that have withdrawn and explain why

 Partner Number       Name of the partner organisation that has withdrawn




 …

 Partner Number       Reasons for withdrawal (max 1/2 page)




 …

Where new / replacement partner(s) are joining the project, please also complete section C


List of annexes to be sent with this amendment request:
a) Original letter, dated and signed by the legal representative, of the withdrawing partner
b) An updated list of partners and budget by partner

NB: Please note that partner(s) withdrawal may also imply other changes such as to the work
programme; please refer to relevant section where necessary.




                                                  5          LIFELONG LEARNING PROGRAMME
                                                                    Agreement Amendment Request Form
 Agreement number :

                           C.   New / Replacement partner(s) joining the project

 Please provide detail on the partner(s) that have joined and explain why

  Name of the partner in
  national language
  Country Code
  Organisation type code
  Region code (NUTS)
  Sector code
  Size code
  Website


 Contact Person
  Name                           Mr□ Ms□

  Street
  Number
  Post code
  Town/city
  Telephone                      ++      /

  Fax                            ++      /

  E-mail



  Reasons for joining (max 1/2 page)

  Please describe the expertise of the new partner and specify the role it will play in the project; emphasise
  why the described expertise matches the needs of the project in relation to the tasks that the new partner
  will carry out.




 If this partner replaces a partner that has withdrawn, please indicate the name and
 number of the withdrawing partner:

 Will this partner act as the Co-ordinator of the project? Yes              No

 Please add extra sheets if necessary.

List of annexes to be sent with this amendment request (mail delivery):
 a. Original             of          the           letter          of          intent        (see
     http://eacea.ec.europa.eu/llp/beneficiaries/2009/reporting_lifelong_learning_2009_en.php),


                                                      6           LIFELONG LEARNING PROGRAMME
                                                                         Agreement Amendment Request Form
   including the partners own financial contribution, dated and signed by the legal
   representative of the organisation wishing to join the project
b. A new and updated work plan or a confirmation by the coordinating institution explaining
   why a new work plan is not necessary
c. An updated list of partners and budget by partner




                                            7         LIFELONG LEARNING PROGRAMME
                                                            Agreement Amendment Request Form
 Agreement number :

                            D.     Changes to the work programme

Please note that a formal amendment request is only necessary for the changes to the work
programme which affect the objectives of the project as detailed in the initial agreement.
For other changes to the work programme, please inform the Executive Agency where deemed
appropriate

Please list work packages and clearly and briefly describe the proposed changes.


 Work package Nr      Proposed changes




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                                                               Agreement Amendment Request Form
Agreement number :

                                 E.      Change of bank account

 Financial Identification Sheet to be downloaded completed and signed by the relevant parties and
 further submitted with this Agreement Amendment Request Form.

 Available to download from:

 http://ec.europa.eu/budget/execution/ftiers_en.htm




                                                9         LIFELONG LEARNING PROGRAMME
                                                                 Agreement Amendment Request Form
Agreement number :

                              F.      Changes to the eligibility period

Please note that:
- Extension of the eligibility period may never exceed 6 months (see call for proposal, part II,
annex IV)
- Modification of the eligibility period implies modification of reporting calendar in accordance
with article I.5 of the agreement

                                                                 Initial situation                    Requested
 Start of the eligibility period (dd/mm/yyyy):
 End of the eligibility period (dd/mm/yyyy):


 Reasons for requesting these changes(max 1/2 page)




                                                 10         LIFELONG LEARNING PROGRAMME
                                                                   Agreement Amendment Request Form
Agreement number :

                               G.      Changes to the budget breakdown

Please note that:
- The initial amount of the grant cannot be increased
- It is not possible to retroactively change the eligibility of costs through an amendment.


                                                                   TOTAL BUDGET (EURO)
                                                                 Initial                      With requested
                                                                                                 changes
 Direct costs
     Staff
      Travel and subsistence
      Equipment (max. 10% of total direct costs)
      Subcontracting (max. 30% of total direct costs)
      Other
 Total direct costs
 Indirect costs (max 7% of total direct costs)

 TOTAL PROJECT EXPENDITURES


 Reasons for requesting these changes(max 1/2 page)




Please attach to your request a complete financial table similar to the one used for the project
application.




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                                                                     Agreement Amendment Request Form

				
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