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Call LOOK-EU-NET to support pilot European SME networks b. Application Form - the present call is and managed by Unioncamere

The Call is open from 12

th

July to 6

th

September 2019.

EXPRESSION OF INTEREST

GENERAL INFORMATION Company Name Complete Address Country -Region Web Site

……….………

……….………

……….………

……….………

……….………

CONTACT PERSON

Name Surname Role

e-mail address Phone -Mobile Phone

……….………

……….………

……….………

……….………

COMPANY DIMENSION

Is the company a SME sized company according to the definition of Recommendation CE 2003/361?

 YES  NO

Please, specify:  MICRO  SMALL  MEDIUM ADDED INFORMATION

Year of foundation N. employees or turnover (2018)

……….………

……….………

……….………

MANUFACTURING SME?

 YES  NO (specify ………)

RIS3 PRIORITIES Please, indicate the priority to which the company belongs with reference to the following RIS3 - Research and Innovation Strategies for Smart Specialization priorities (if any):

 Mechatronics.  Sustainable Living.  Agri-food industry

 Cultural and digital tourism.  HealthCare  Other, None Priority BRIEF DESCRIPTION OF THE

COMPANY (SECTOR/TARGET

……….………

1

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Call LOOK-EU-NET to support pilot European SME networks b. Application Form - the present call is and managed by Unioncamere

The Call is open from 12

th

July to 6

th

September 2019.

EXPRESSION OF INTEREST

MARKET/MAIN PRODUCTS- SERVICES)

……….………

……….………

……….………

……….………

MAIN CURRENT FOREIGN MARKETS

Does the company currently operate on foreign markets?  YES  NO If yes, please specify where and how:

……….………

……….………

MAIN FOREIGN MARKETS OF INTEREST

Is the company interested in new foreign markets?  YES  NO If yes, please specify where and how:

……….………

……….………

If yes, please specify the kind of collaboration required (purchase, sales, R&S, subcontracting

agreements, representation agreements, licences, know-how or technology transfer, joint venture, etc.):

……….………

……….………

Brief description of the potentials business partners (activity, sector, size, etc.)

……….………

……….………

……….………

The COMPANY DECLARES:

 To be a Small and Medium-Sized Enterprise (SME) according to the definition of the EU recommendation 2003/361;

 To be established in a EU Member State; To be active in one of the target sectors of the Call;

2

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Call LOOK-EU-NET to support pilot European SME networks b. Application Form - the present call is and managed by Unioncamere

The Call is open from 12

th

July to 6

th

September 2019.

EXPRESSION OF INTEREST

 To be active, not in liquidation or bankruptcy and not have been subject of bankruptcy proceedings or in the pre-settlement procedure;

 not be in receipt of an outstanding recovery order following a European Commission decision declaring the aid received illegal and incompatible with the common market;

 fulfill obligations related to payment of tax liabilities and liabilities for pension and health insurance in accordance with the legal provisions in the applicant’s Country;

 comply with the rules concerning accidents at work and occupational diseases, safety in the workplaces, the collective labor agreements and regulations relating to environmental protection, in accordance with the legal provisions in the applicant’s Country;

 To accept that data and information (present in the application form) about the company, will be shared between Third Parties and Project Partner for exclusive achievements of project objectives.

PLACE AND DATE ____________ SIGNATURE _____________________________

DISCLOSURE REFERRED TO EU REGULATION 2016/679 ABOUT THE PROCESSING OF PERSONAL DATA

DATA CONTROLLER: Unione regionale delle Camere di commercio dell’Emilia-Romagna. PURPOSE: To support activities for internationalization carried out in LOOK-EU-NET project and International Promotion Programs . LEGAL BASIS: The execution of the agreement by which the Unione regionale delle Camere di commercio dell’Emilia-Romagna adheres to the project. TERM: Personal data will be kept for the minimum period of time to comply with the corresponding purpose indicated above, and may be extended for a period of 5 years, in order to respond to the exercise of civil actions. RECIPIENTS: Your data may be transferred to the members of the project and the European Commission and entities in charge of audit. RIGHTS: It retains the right to request the Unione regionale delle Camere di commercio dell’Emilia-Romagna access to personal data, rectification, deletion, limitation of treatment or oppose treatment, as well as the right to portability of data, directing postal or email writing to Viale Aldo Moro 62 ,40127 Bologna –Italy, or staff@rer.camcom.it, indicating the specific right you wish to exercise and attaching a photocopy of your ID to prove your identity. Likewise, it retains the right to file a claim with the Italian Data Protection Authority. Information on data processing is available at the following web page: https://www.ucer.camcom.it/privacy/informativa-sulla-privacy

CONSENT1 to the processing of data and authorization for the purposes of Look EU NET project and Unioncamere Emilia-Romagna institutional activities, in accordance with the EU 2016/679 European Regulation.

 YES  NO

PLACE AND DATE ____________ SIGNATURE _____________________________

1 The company’s consent to the data processing as above referred is mandatory to take part to the project.

3

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