FAC SIMILE AUTOCERTIFICAZIONE SULLA NATURA GIURIDICA
DELL’ENTE PARTNER STRANIERO

DA USARE ESCLUSIVAMENTE PER I PROGETTI CARIPLO
CHE VEDONO LA PARTECIPAZIONE  DI UN ENTE PARTNER STRANIERO

GLI ALLEGATI PREVISTI NELLA LETTERA
POSSONO ESSERE ALLEGATI IN LINGUA ORIGINALE, 
NON È NECESSARIO TRADURLI IN INGLESE O IN ITALIANO

N.B. queste istruzioni in giallo, una volta lette,
 devono essere cancellate perché non fanno parte del documento.

(to be printed on the official letterhead of the partner institution)

Fondazione Cariplo
Via Manin, 23
20121 - Milano

Re: declaration of non-profit status

I, the undersigned, (insert name and surname of the Legal Representative or of the person authorized to commit the institution), as legal representative of (insert legal name of the research institution) submit the application for grant as partner for the research proposal (insert title of the project).

I hereby declare that (insert legal name of the research institution) is a non-profit institution. 

Please find in attachment the following mandatory documentation for foreign institutions:
•	a copy of the articles of Association, Incorporation, Partnership etc. (Atto Costitutivo);
•	a copy of the Statute (Statuto);
•	a copy of an identity document of the legal representative or of the person authorized to commit the institution, signing the present document;
•	(only in case of “non-profit private partner”) balance sheet of the last two years and forecast budget of the current year.

Kind regards.

Name of the legal representative
(insert Name and Surname of the Legal Representative 
or person authorized to commit the Institution)

Signature……………………………….

Date …………………………………