ࡱ> MOL5@>bjbj22(BXX>1Z|$R9^FFF FFF\\N Q  \01\R\\8F < Part III. Partner promoter(s)A. Details of the partner NameStreet addressPostcodeCityRegionCountryEmailWebsiteTelephoneTelefaxPerson in charge of the project (contact person)Family name (Ms/Mr)First namePosition/functionEmailTelephoneTelefaxB. Profile of the partner Type and status FORMCHECKBOX  Non profit/non governmental organisation FORMCHECKBOX  Public body  FORMCHECKBOX  Informal group of young people FORMCHECKBOX  Body active at European level in the field of youth (ENGO) FORMCHECKBOX  Other please specify: Activity level FORMCHECKBOX  Local FORMCHECKBOX  Regional FORMCHECKBOX  National FORMCHECKBOX  European/International FORMCHECKBOX  Member organisation of the applicantPlease give a short description of your organisation/group (regular activities, member of, etc.) :  C. Preliminary agreement of the partner I, the undersigned, on behalf of (repeat the name of the partner) confirm our participation in each stage of the project (repeat the title of the project as stated in Part I): WALKING WITH WHITE CANE III declare having reached an agreement with all the promoters involved in the project with regard to the share of EU grant my organisation/group is entitled to receive in order to implement the project. 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