UNI-IMPRESA 2024 CALL 

Partnership participation in the project (project title): ______________________________________________
Submitted by ________________________________________________________________________________
[Department and Scientific Coordinator of Padua University]
The undersigned ____________________________________________________________________ 
born in _____________________________________________________________ on _____________________, residing in __________________________________________________________________________________,
address ____________________________________________________________________________________
as
 legal representative
 delegate of the legal representative (power of attorney/proxy no. _______________________  of ________________) of the Entity/Company  ________________________________________________________,
with registered office in __________________________________________________________, address [street and area code*________________________________________________________________________________, Tax Code ____________________________________, VAT reg. no. _____________________________________

HEREBY DECLARES
1.	that it is participating in the project as partner, and accordingly undertakes to share the objectives, time frames, purposes and tools thereof 
2.	that it has read the Uni-Impresa 2024 Call (the Call) and undertakes to comply with the conditions set forth therein and the provisions of the agreement specified by article 8 of the Call, that will be negotiated after the project has been admitted to funding, on the basis of the form prepared by the University and available on the following page www.unipd.it/uni-impresa. On the understanding that if the parties fail to reach an understanding on the agreement, the partner shall be released from its obligations pursuant to this declaration, without prejudice to the obligations of confidentiality set forth by point 4
3.	that if the project is accepted for funding, it will co-finance the project with a contribution of EUR _____________________ in order to execute the project and as provided by Article 3 of the Call
4.	that it shall treat the programme of activities with the utmost confidentiality, also exerting its best efforts to treat, and ensure that its collaborators treat, as strictly confidential any facts, information, knowledge and documents of which it/they may become aware during the negotiation and preparation phases of the project
5.	that it appoints the following as company contact person for the project ___________________________________

Place and date  	

Partner's stamp
and original signature of the Legal Representative