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Annex 5 - Eligibility Checklist
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Used by IHNet to verify whether a candidate Impact Hub member is eligible to receive Financial Support to Third Parties under the LED project
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Name of candidate organisation
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Country
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Contact person
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Date of eligibility check
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Checked by
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1. Eligibility Criteria
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No.CriterionYes / NoEvidence / Comments
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1The organisation is a member of the Impact Hub Network
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2The organisation is not already participating in LED as an affiliated entity
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3The organisation is legally established
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4The organisation is based in one of the target countries: Portugal, The Netherlands, Germany, or Belgium
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5The organisation accepts the predefined scope of work, deliverables, budget and co-financing requirements assigned to it under the FSTP mechanism.
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6The organisation is not subject to any of the exclusion situations applicable to EU-funded actions.
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7The organisation confirms it will comply with reporting and evidence requirements
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8The organisation confirms it will comply with communication and EU visibility requirements
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9The organisation confirms that no double funding will occur
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10The organisation confirms that it will comply with applicable data protection rules
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11The organisation has submitted all the required documents, complete and signed (Annex 2, Annex 3, Annex 4)
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Count of 'No' responses0
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2. Eligibility Result
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Result
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3. Clarifications Required, if Any
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IssueClarification requestedDeadlineStatus
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4. Final Eligibility Decision
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The candidate organisation is:
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Justification:
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Insert short explanation.
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Checked by: Name
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Role
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Date
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Signature
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Legend: Green highlighted cells are to be filled in by the checker. Use the dropdowns for Yes/No and Status fields; mark result/decision cells with an "X".
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