| APPLICANT CONTACT DATA |
| Contact person |
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| Telephone number, relevant Voivodeship |
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| COMPANY INFORMATION |
| Legal status |
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| Type of basic activity acc. to Polish Classification of Activity |
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| Shares of other shareholders |
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| Business activity launch date |
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| No. of full-time employees |
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| Revenue and balance sheet total (last two fiscal years, i.e. 2008, 2009) |
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| Has the company already received EU grants and/or state aid? |
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| Does the company possess certificates, patents or awards related to the conducted activity? |
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| MATERIAL INFORMATION ON THE PROJECT (Investment) |
| Launch date (planned, actual) |
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| Location and impact (local, regional, national investment) |
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| Aim (basic tasks to complete) |
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| What other activities will the company undertake in relation to the project (purchase of land, construction, |
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| modernization of production buildings, etc.) |
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Impact on: - company's competitiveness, innovativeness
scale
- increase of employment rate
- natural environment
- H&S conditions |
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| FINANCIAL INFORMATION ON THE PROJECT |
| Cost - in PLN (provide method of calculation or estimation) |
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| Planned sources of funding (own resources, bank loan, leasing) |
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| Can the project be implemented without EU grants? |
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| INFORMATION ON EXECUTION AND DURABILITY OF THE PROJECT |
| Planned completion time (date of completion) |
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| Partial stages with crucial impact on the investment |
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| Possible problems and limitations that may emerge with relation to the project |
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| Company's plan for the future (retaining ownership for a minimum of 5 years, maintaining employment rate increase) |
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| Does the company have personnel qualified for execution/supervision? |
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| Is the company prepared in terms of accounting for settling the grants? |
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| Pursuant to Personal Data Protection Act of 29 August 1997 (Journal of Laws of 2002, No. 101, item 926) you hereby consent to entering you data to our database and processing of data provided in the completed form. At the same time we would like to inform that said data shall be used solely for the purpose of sending materials related to the activity conducted by our company. We would also like to inform that pursuant to Art. 32 of the aforementioned Act you have the right to request supplementing, updating and correcting your personal data, temporary or permanent cessation of processing thereof, or deleting, should said data be incomplete, outdated, false or have been collected in violation of the Act, or are no longer required for the purpose, for which they have been collected. |
