#### STICHTING BAKENS VERZET

#### 1018 AM AMSTERDAM, THE NETHERLANDS

Director,

T.E.(Terry) Manning,

Schoener 50,

1771 ED Wieringerwerf,

The Netherlands.

Tel: 0031-227-604128

Homepage: http://www.flowman.nl

E-mail: (nameatendofline)@xs4all.nl : bakensverzet

## MODEL FOR SUSTAINABLE SELF-FINANCING INTEGRATED RURAL AND POOR URBAN DEVELOPMENT FOR THE WORLD'S POOR

Incorporating innovative social, financial, economic, local administrative and productive structures, numerous renewable energy applications, with an important role for women in poverty alleviation in rural and poor urban environments.

"Money is not the key that opens the gates of the market but the bolt that bars them"

Gesell, Silvio The Natural Economic Order

Revised English edition, Peter Owen, London 1958, page 228

Edition 11: 03 October 2006

DECLARATION by the applicant:

A. The applicant declares that: (a) the information given in this application is correct; and (b) the applicant is directly responsible for the preparation and management of the action with its partners, and is not acting as an intermediary (notwithstanding the exceptions foreseen in the Guidelines). (c) the applicant and its partners (where applicable) do not fall into any of the categories (a) to (f) listed in section (number) of the Guidelines for Applicants and comply with the eligibility criteria set out in section (number) of those Guidelines; and (d) the applicant has the sources of financing and professional competence and qualifications specified in section (number) of the Guidelines for Applicants. (e) it undertakes to comply with the principles of good partnership practice foreseen in section (number) of the grant application form. (f) If selected, it is in a position to deliver immediately, upon request, the supporting documents stipulated under point (number) of the Guidelines for Applicants (g) the applicant confirms its own (if applicable) co-financing of ……………………..€. |  |
Furthermore, the applicant declares that : | To be filled in by the applicant | To be filled in by the funding organisation
1. It is eligible in accordance with the criteria set out under point (number) of the guidelines.) |  |
2. Partner 1 is eligible (in accordance with the criteria set out under point (number) of the guidelines.) (if any*) |  |
3. Partner 2 is eligible (in accordance with the criteria set out under point (number) of the guidelines.) (if any*) |  |
4. Partner … is eligible (in accordance with the criteria set out under point (number) of the guidelines.) (if any*) NB: add as many rows as partners |  |

B. SIGNATURE:
I, the undersigned and person responsible in the applicant organisation for the application, certify that the information given in this Declaration is correct. Date: Name: Signature: Position:

List of files for funding applications.

Complete index of the Model.

Model Homepage.

Typical list of graphs and drawings.
List of maps.
Documents for funding applications.

Homepage Bakens Verzet

* Please indicate “Not Applicable” (NA) if you have no partner