Applicant’s full name

Phone no.

E-mail address

Applicant’s age and date of birth

Applicant’s place of permanent residence

Duration of permanent/temporary residence at the place indicated above

Does the applicant have sufficient experience and knowledge in the field of the planned business activity? Experience/knowledge should be properly documented, e.g. with employment contracts, references, certificates of completion of courses, training programmes, etc. Please specify all the relevant documents to confirm the above.

As part of the project, does the applicant consider employing an additional person and maintaining the position for a minimum of 2 years?

Has the applicant benefitted from LAG training schemes for this competition before? Does s/he consider participating in this type of training? Please note that this can be one of the criteria required in the competition.

Has the applicant been classified as one of the disadvantaged individuals listed below? Has the applicant been classified as one of the disadvantaged individuals listed below? unemployed persons under 35 years of age women people aged 50+ long-term unemployed persons receiving social assistance benefits people with disabilities

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