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PADOR OFF-LINE FORM
THIS ANNEX MUST BE FILLED IN BY APPLICANTS/PARTNERS WHO REQUEST A DISPENDSATION (DEROGATION) FROM THE OBLIGATION TO REGISTER IN PADOR. ALL OTHER APPLICANTS/PARTNERS MUST ENCODE THIS INFORMATION IN PADOR. ( http://ec.europa.eu/europeaid/work/onlineservices/pador/index_en.htm)
Justification for the request for derogation from the obligation to register in PADOR:Annexed documents substantiating the request for derogation (if any):
1. IDENTITYName of the organisation:
Abbreviation
Organisation's e-mail
Address
Postal Code
P.O. Box
City
Country
Phone
Fax
WebsiteNational registration number:
Date of registration:
Place of registrationVAT number:
Make your profile public 1 Yes
No
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1 If you choose to make your profile public, it will become visible to other organisations via the 'search for partners' function of PADOR
Green fields are optional. Orange fields are mandatory.
Please use Adobe Acrobat Reader (free) version 9 or above.
2. PROFILE
Legal entityPublic bodies (including local authorities) / International Organisations
Private Law Body
Legal status
Profit-makingYes
No
NGOYes
No
Value basedPolitical
Religious
Humanistic
Neutral
Is your organisation linked to another entity? Yes,parent entity
please specify its EuropeAid ID:
Yes, controlled entity(ies)
Yes, family organisation / network entity 1
No, independent
1 E.g. confederation/federation/alliance.
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Category
2
Education Education, level unspecified
Education Policy & Admin. Management Education Facilities And Training Teacher Training Educational Research
Basic education Primary Education Basic life skills for youth and adults
2Please tick the box for each sector your organisation has been active in. The provided list is based on the official OECD DAC list.
11 111
11110 11120 11130 11182
112 11220 11230
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EU Member State
Public Administration Local authorityOther
Third Countries
Public Administration Local authorityOther
Commercial Companies / Organisations
Commercial Companies / OrganisationsInternational Organisations
United Nations FamilyRegional authoritiesOther
Universities and Research Institutes
University/Education Institute of research
Others
AssociationFoundation Think TankProfessional and/or Industrial Organisation Trade Union Other non-State actor
Secondary education Early childhood education
Secondary education Vocational Training
Post-secondary education Higher Education Advanced Tech. & Managerial Training
Health Health, general
Health Policy & Admin. Management Medical education/training Medical Research Medical Services
Basic health Basic Health Care Basic Health Infrastructure Basic Nutrition Infectious Disease Control Health Education Health Personnel Development
Population programmes Population polices/programs and reproductive health
Population Policy And Admin. Mgmt Reproductive Health Care Family planning Std Control Including HIV/Aids Personnel development for population & reproductive health
Water Supply and Sanitation Water supply and sanitation
Water Resources Policy/Admin. Mgmt Water Resources Protection Water supply & sanitation - Large systems Basic drinking water supply & basic sanitation River Development Waste Management/Disposal Education & training in water supply and sanitation
Government and Civil Society Government and civil society, general
Economic and development policy/planning Public sector financial management Legal and judicial development Government administration Strengthening civil society Elections Human Rights Free Flow Of Information Women's equality organisations and institutions
Conflict prevention an resolution, peace and security Security system management and reform Civilian peace-building, conflict prevention and resolution Post-conflict peace-building (UN) Reintegration and SALW control
11420 114
11330 11320
113 11240
12182 12181 12110
121 12
11430
12250 12240 12230 12220
122 12191
13020 13010
130 13
12281 12261
14010 140
14 13081 13040 13030
14081 14050 14040 14030 14020 14015
15140 15130 15120 15110
151 15
152 15164 15163 15162 15161 15150
15210 15220 15230 15240
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Banking and financial services
15250 15261
16 16010 16020 16030 16040 16050 16061 16062 16063 16064
21 210
21010 21020 21030 21040 21050 21061 21081
22 220
22010 22020 22030 22040
23 230
23010 23020 23030 23040 23050 23061 23062 23063 23064 23065 23066 23067 23068 23069 23070 23081 23082
24 240
24010 24020 24030 24040
Land mine clearance Child soldiers (prevention and demobilisation)
Other Social Infrastructure and Service Social/welfare services Employment policy and admin. mgmt. Housing policy and admin. management Low-cost housing Multisector aid for basic social services Culture and recreation Statistical capacity building Narcotics control Social mitigation of HIV/AIDS
Transport and Storage Transport and storage
Transport Policy & Admin. Management Road Transport Rail Transport Water Transport Air Transport Storage Education & Training In Transport & Storage
Communications Communications
Communications Policy & Admin. Mgmt Telecommunications Radio/Television/Print Media Information and communication technology (ICT)
Energy Energy generation and supply
Energy Policy And Admin. Management Power Generation/Non-Renewable Sources Power Generation/Renewable Sources Electrical Transmission/Distribution Gas distribution Oil-Fired Power Plants Gas-Fired Power Plants Coal-Fired Power Plants Nuclear Power Plants Hydro-electric Power Plants Geothermal energy Solar energy Wind power Ocean power Biomass Energy education/training Energy research
Banking and Financial Services
Financial Policy & Admin. Management Monetary institutions Formal Sector Financial Institutions Informal/Semi-Formal Financial intermediaries
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24081 25
250 25010 25020
31 311
31110 31120 31130 31140 31150 31161 31162 31163 31164 31165 31166 31181 31182 31191 31192 31193 31194 31195
312 31210 31220 31261 31281 31282 31291
313 31310 31320 31381 31382 31391
32 321
32110 32120 32130 32140 32161 32162 32163 32164 32165 32166 32167 32168
Education/trng in banking & fin. services Business and Other Services
Business and other services Business support services and institutions Privatisation
Agriculture, Forestry and Fishing Agriculture
Agricultural Policy And Admin. Mgmt Agricultural development Agricultural Land Resources Agricultural Water Resources Agricultural inputs Food Crop Production Industrial Crops/Export Crops Livestock Agrarian reform Agricultural alternative development Agricultural extension Agricultural Education/Training Agricultural Research Agricultural services Plant and post-harvest protection and pest control Agricultural financial services Agricultural co-operatives Livestock/Veterinary Services
Forestry Forestry Policy & Admin. Management Forestry development Fuel wood/charcoal Forestry education/training Forestry research
Fishing Fishing Policy And Admin. Management Fishery development Fishery education/training Fishery research Fishery services
Industry, Mining and Construction Industry
Industrial Policy And Admin. Mgmt Industrial development Small and medium-sized enterprises (SME) development Cottage industries and handicraft Agro-Industries Forest industries Textiles - leather & substitutes Chemicals Fertilizer plants Cement/lime/plaster Energy manufacturing Pharmaceutical production
Forestry services
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32169 32170 32171 32172 32182
322 32210 32220 32261 32262 32263 32264 32265 32266 32267 32268
323 32310
33 331
33110 33120 33130 33140 33181
332 33210
41 410
41010 41020 41030 41040 41050 41081 41082
43 430
43010 43030 43040 43050 43081 43082
51 510
51010 52
520 52010
53 530
Basic metal industries Non-ferrous metal industries Engineering Transport equipment industry Technological research and development
Mineral resources and mining Mineral/Mining Policy & Admin. Mgmt Mineral Prospection And Exploration Coal Oil and gas Ferrous metals Non-ferrous metals Precious metals/materials Industrial minerals Fertilizer minerals Offshore minerals
Construction Construction Policy And Admin. Mgmt
Trade and Tourism Trade policy and regulation
Trade Policy And Admin. Management Trade facilitation Regional trade agreements (RTAs) Multilateral trade negotiation Trade education & training
Tourism Tourism Policy And Admin. Management
General Environment Protection General environmental protection
Environmental Policy And Admin. Mgmt Biosphere protection Bio-diversity Site Preservation Flood Prevention/Control Environmental education/training Environmental research
Other multisector Other multisector
Multisector Aid Urban Development And Management Rural Development Non-agricultural alternative development Multisector education/training Research/scientific institutions
General budget support General budget support
General budget support Development food aid/food security
Development food aid/food security assistance Food Aid / Food Security Programmes
Other commodity assistance Other commodity assistance
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53030 53040
60 600
60010 60020 60030 60040 60061 60062 60063
72 720
72010 72030
72050 73
730 73010
74 740
74010 91
910 91010
92 920
92010 92020 92030
93 930
93010 99
998 99810 99820
70
72040
700
Import support (capital goods) Import support (commodities)
Action relating to debt Action relating to debt
Action relating to debt Debt forgiveness Relief of multilateral debt Rescheduling and refinancing Debt for development swap Other debt swap Debt buy-back
Emergency response Emergency response
Material relief assistance and services Aid to refugees (In Recipient Country)
Relief coordination; protection and support services Reconstruction relief and rehabilitation
Reconstruction relief and rehabilitation Reconstruction relief and rehabilitation
Disaster prevention and preparedness Disaster prevention and preparedness
Disaster prevention and preparedness Administrative costs of donors
Administrative costs of donors Administrative Costs
Support to NGO Support to NGO
Support to national NGOs Support to international NGOs Support to local and regional NGOs
Refugees Refugees (in donor countries) Refugees (in donor countries)
Unallocated/unspecified Unallocated/unspecified
Sectors Not Specified Promotion of Development Awareness
Emergency food aid
Humanitarian AidHumanitarian Aid
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AllChild soldiers Community Based Organisation(s) ConsumersDisabled Drug consumers Educational organisations (school, universities)Elderly people Illness affected people (Malaria, Tuberculosis, HIV/AIDS)Indigenous peoples Local authorities Non Governmental Organisations Prisoners Professional category Refugees and displaced Research organisations/Researchers SME/SMI Students Urban slum dwellers Victims of conflicts/catastrophes Women Young people Other (please specify):
Sector Year(s) of Experience Number of Projects Estimated Amount (in Euros)
3. CAPACITY TO MANAGE AND IMPLEMENT ACTIONS
3.1. Experience by Sector (for each sector selected in 2.2.)
3.2. Experience by Geographical area (country or region)
Geographical area (country or region) Year(s) of Experience Number of Projects Estimated Amount (in Euros)
Indicative list of regions
− Asia -Central Asia Region -Eastern Asia Region -South Asia Region -South East Asia Region − Caribbean Region − EU Europe − Europe apart from EU -Eastern Europe Region − Latin American Countries -Central American Region -South America Region − Near and Middle East -Eastern Europe Region -Gulf States -Mediterranean Region − North America Countries − Overseas countries and territories − Pacific Region
− Sub-Saharan Africa -Central Africa Region -East Africa Region -Indian Ocean Region -Southern Africa Region
-West Africa Region
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3.3. Resources
The data registered in this section must be in-line with the financial report submitted, and can be further explained under the Additional information section. If some or all these indicators are not relevant to your organisation, please type ''0''. It is necessary to provide your financial data for the past three years for which data is available.
3.3.1. Financial data (amounts in EUR).
3.3.2. Financing Source(s) (please tick the source(s) of the revenues of your organisation and specify the additional information requested)
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Year Turnover or equivalent
Net earnings or equivalent
Total sheet or budget balance
Shareholders’ equity or
equivalent
Medium and long-term debt
Short-term debt (< 1 year)
Year SourcesPercentage (total for a given year must be
equal to 100%)
Total 100%
Please note that applicants (except public law bodies and international organisations) requesting a grant of more than EUR 750 000.00 (EUR 100 000 for operating grant) must provide an audit report (ref. point 2.4 of the Guidelines for grant applicants).
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Year Sources Percentage (total for a given year must be
equal to 100%)
Total 100%
Total 100%
From to
From to
From to
3.3.3. Number of staff (full-time equivalent) (please tick one option for each type of staff):
4. LIST OF THE MANAGEMENT BOARD/COMMITTEE OF YOUR ORGANISATION
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Type of staff Paid Unpaid
HQ Staff: recruited and based in Headquarters (located in Developed Country)
Expat Staff: recruited in Headquarters (located in Developed Country) and based in Developing Country
Local staff: recruited and based in Developing Country
Percentage Female / Male total paid staff
Female Male
Title Name Profession Function Country of Nationality On the board since
5. SUPPORTING DOCUMENT CHECK LIST
6. ADDITIONAL INFORMATION ( NOT OBLIGATORY )
To be developed in 20.000 maximum characters (you may cut and paste unformatted text): Strategies/methodologies/philosophies and approaches of your organisation - How do you choose a country/region, a project, a partner - Conditions to create a strong partnership, ownership, «participatory approach », …
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Please ensure that the following documents will be submitted together with this form: