finMED - Boosting the financing of innovation for green growth sectors through innovative clusters services in the MED area

PUBLIC CALL FOR EXPRESSION OF INTEREST: 
PARTICIPATION TO B2F 
(WP5.2)

APPLICATION FORM
Organization
		
Address
		
Contact person
		
Role
		
Email 
		
Telephone 
		
Web site
		
Type of funds provided 
	Technical support/consultancy services
 Low-interest loans
 Non-repayable grants
Others
	
The individual declares his/her willingness to participate in the B2Fs planned as part of the finMED project.
Date and place: _____________				  Signature:________________

According to art.6 lett.a GDPR Reg (EU) 2016/679, the individual express its consent for processing his or her personal data for the purpose of collecting B2F participation
Date and place: _____________				  Signature:________________