DIGIT-ABLE Grant Form

101167933 — DIGIT-ABLE — SMP-COSME-2023-SEED

To be completed and submitted. Please make sure you have completed the evaluation when submitting this claim. An electronic
version of this file to be sent to DIGIT-ABLE Partner contact.

Participant’s Information and Organization Details

Please provide the participant's personal details and the organization's legal address to complete the registration process.

First Name

Last Name

Email

Organisation:

Legal address of the organization:

Registration No. / VAT

Attendence

Full day

Event name, place and date

DIGIT ABLE Seminar within EET Conference, May 19th 2026 and Study Visit May 20th 2026

Organization's Banking Information

Please provide the necessary banking details for the organization to process payments and transactions efficiently.

Bank name:

IBAN number (EUR):

SWIFT or BIC number:

Account holder name (organization):

Address of account holder:

Grant and Travel Information

Please select the appropriate distance band and upload any necessary justification documents related to your travel to Iasi, Romania.

Calculate One Way (air/rail) distance between legal address and the place of the event:Click Here

Select one option for your distance according to the distance band:

Justification documents (travel invoice, boarding pass, taxi, any document related to your travel to Iasi, Romania:

Choose File

Signature

Sign Here

I consent to the processing of my submitted information and uploaded documents for the purpose of managing my DIGIT-ABLE FSTP Travel Grant application.

DISCLAIMER

By accepting this declaration, I confirm that I have reviewed, accepted, and undertake to comply with the DIGIT-ABLE Open Call Terms & Conditions, as set out in the Guide for Applicants for Financial Support. (https://alaturidevoi.ro/en/proiect/digit-able-driving-digital-transition-for-social-enterprises-for-inclusion/)

I declare that my organisation is committed to participating in the DIGIT-ABLE project activities.

I confirm that all information provided in this form is true, complete, and accurate.

I confirm that my organisation is able to cover any costs that may exceed the DIGIT-ABLE financial support awarded.

I acknowledge that the personal data provided in this form will be processed by the DIGIT-ABLE project consortium for the purposes of assessing the application, managing the Open Call, implementing the project and fulfilling reporting, audit and legal obligations, in accordance with Regulation (EU) 2016/679. For more information on how personal data is processed, please consult ADV România’s Privacy Statement (https://alaturidevoi.ro/en/privacy-statement/)”