Socrates programme

BANK
BANK NAME		C	A	S	S	A		D	I		R	I	S	P	A	R	M	I	O		D	I		P	I	S	A
BRANCH ADDRESS		S	E	D	E	,		P	I	A	Z	Z	A		D	A	N	T	E		1
TOWN/CITY		P	I	S	A															POSTCODE							5	6	1	2	6
COUNTRY		I	T	A	L	Y
ACCOUNT NUMBER		7	5	1	2	4	3	7	4	0	8
IBAN		I	T	8	8	K	0	6	2	5	5	1	4	0	1	1	0	0	0	0	0	2	4	3	7	4	0	8

BENEFICIARY (to be filled if the account holder differs from the beneficiary)

NAME

OF THE ORGANISATION

ADDRESS

TOWN/CITY

POSTCODE

COUNTRY

REMARKS :

Please advise the contact person (project coordinator) when payment is made

BANK STAMP + SIGNATURE of BANK REPRESENTATIVE (Both Obligatory)

DATE + SIGNATURE of ACCOUNT HOLDER (Obligatory)

1 The Commission reserves the right to request a copy of these agreements.

2 If your application was to be selected and your bank details changed before the issue of the contract, you must inform the Commission about this change urgently in writing. In any case, any such change will lead to a delay in your advance payment.

SOCRATES PROGRAMME

Application Form for Full Proposal