The Investing in Skills Application Form MUST be filled in electronically and printed in DUPLEX (back-to

Investing in Skills - Application Form

Section 1: Profile of the Applicant applying for Training Aid
Name of Applicant
(type the Legal Name of the entity)

Type of Business Structure If Other, please specify

The applicant commenced operations within the previous three years? Yes No

Address

Registration №
(In case of Self Employed, type the VAT №
ID no. of the Proprietor)

PE № Contact Person
(Name and Surname)

ID № Designation

Telephone / Mobile № E-mail Address

Tick Size of Undertaking1: Micro Small Medium Large

1
Size of Undertaking as defined in Annex I of the COMMISSION REGULATION (EU) No 651/2014 of 17 June 2014 declaring certain categories of aid compatible with t
application of Articles 107 and 108 of the Treaty. http://eur-lex.europa.eu/legal-content/EN/TXT/PDF/?uri=CELEX:32014R0651&from=EN

Delegation of Authority accepted by: (Delegation of Authority is used when another person/s is signing on behalf of the con

Delegated Person No. 1 Delegated Person No. 2 Delegat

Name and Surname

Designation

ID №

Telephone / Mobile №

E-mail Address

Signature

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Section 2: Details of Training Programme
Training Programme
Title

Name of Training
Service Provider
Training Venue Address

Is the training programme accredited? Yes No

Is training being carried out to comply with National Mandatory Standards on training? Yes

Duration in Hours per Start Date End Date

Trainee (dd/mm/yyyy) (dd/mm/yyyy)
(Excluding Breaks)

Total Number of Groups Total Number of Trainees

Section 3: External Trainers' Costs

Are Trainers' Costs being claimed? Yes No
Section 4: Trainees' Personnel Costs
Are Trainees' Personnel Costs being claimed? Yes No
Section 5: Trainers' and/or Trainees' Flight Expenses
Are Trainers' and Trainees' Flight Expenses being claimed? Yes No

No. of Trainers/Trainees Travelling:

Insert departure airport and destination From: To:

Distance (As per Erasmus+ Distance Calculator):
Between 100 Between 500 Between 2000 Between 3000 Between 4000
and 499 KM and 1999 KM and 2999 KM and 3999 KM and 7999 KM
(€180 per participant) (€275 per participant) (€360 per participant) (€530 per participant) (€820 per participant)

Section 6: Estimated Cost of the Training Programme

Nature of Expense
Total Trainers' Costs (Based on a Standard Scale of Unit Cost of €25 per trainee per hour)
Total Trainees' Personnel Costs (Based on a Standard Scale of Unit Cost of €4.90 per trainee per hour)
Total Trainers' and/or Trainees' Flight Expenses (As per Erasmus+ Distance Calculator)
Total Expenditure
Co-financing Rate
Eligible Amount

Does the 'Total Expenditure' (i.e. the 100% of the eligible training aid costs) meet the threshold specified in
Section 2.3.2 of the 'Investing in Skills Implementation and Guidance Notes'?

Section 7: Declaration
a. I confirm and accept that for all intents and purposes, I am the legal and authorised person appointed by the entity to act on b
the purpose of this scheme and will be held fully and personally responsible both towards Jobsplus and the Applicant for ascerta

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 b. I hereby declare that no funds invested in the Project by the Undertaking are of illicit origin, including products of money la
financing of terrorism.
c. I understand that reimbursement will be calculated on the hours listed on certified attendance sheets, when using the Standa
25.00 per trainee per hour. The final grant payable shall never exceed the amount agreed to in the grant agreement, per co
reimbursed only if all conditions outlined in the Guidance Notes have been observed.

d. I confirm that the application was submitted in full, together with supporting documentation.
e. The undersigned and any delegated persons confirm that they have read and agree to abide with the terms and conditions d
Skills Guidance Notes, as per applicable (current) versions as at date of submission of the Investing in Skills application form and
subject to any recovery of funds in Malta and also in any other Member State.

f. Personal information provided in this form will be processed in accordance with the Data Protection Act, Cap 440 of the La
treated in confidence.
g. I understand that under no circumstances can the IB reimburse more than 15 trainees for the same training under IIS, irrespectiv
from separate and unrelated Beneficiaries as indicated in Section 2.4 of the IIS Implementation and Guidance Notes.

h. Through this declaration the undertaking confirms that it has not benefited and will not seek aid directly or indirectly from an
same training programme provided to the same employees and for any other cost component being claimed. The Applican
claimed under Investing in Skills cannot be claimed from any other source.

Name and Surname of Date 1/10/2018 Signature of the

the Contact Person Contact Person
Section 8: Checklist of Attachments to be Submitted by Applicant With this Form
1) Training Programme Template
(To be printed on the Training Service Provider’s letterhead or rubber stamped at bottom of the second page)

2) Training Schedule Template

3) The latest Tax Return Form and Income Statement (Profit and Loss Account)
(In case of self employed persons / partnerships who have been operating for more than three years)

4) Estimates/projections signed by the accountant of the applicant

(In case of newly established enterprises who commenced operations within the previous three years)

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ST be filled in electronically and printed in DUPLEX (back-to-front)

n Skills - Application Form

aining Aid

###

###

###

###

###

###

###

Medium Large ###

o 651/2014 of 17 June 2014 declaring certain categories of aid compatible with the internal market in
al-content/EN/TXT/PDF/?uri=CELEX:32014R0651&from=EN ###
ity is used when another person/s is signing on behalf of the contact person) ###

Delegated Person No. 3 ###

###

###

Small or Micro

Medium or Large

Unit Cost per Trainee/hr

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 t
e

(
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s
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p
e
r

D
e
l
e
No g
a
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A
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ses

Between 8000 KM
or more
(€1,300 per participant)

mme
Total Cost in €
€ 0.00
€ 0.00
€ 0.00
€ 0.00
0%
€ 0.00

No

e legal and authorised person appointed by the entity to act on behalf of the Applicant for
y responsible both towards Jobsplus and the Applicant for ascertaining such authority.

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 Undertaking are of illicit origin, including products of money laundering or linked to the

urs listed on certified attendance sheets, when using the Standard Scale of Unit Cost of €
er exceed the amount agreed to in the grant agreement, per cost component and will be
s have been observed.

ith supporting documentation.

y have read and agree to abide with the terms and conditions defined in the Investing in
t date of submission of the Investing in Skills application form and that the Applicant is not
Member State.

in accordance with the Data Protection Act, Cap 440 of the Laws of Malta and shall be

more than 15 trainees for the same training under IIS, irrespective if these claims derive
on 2.4 of the IIS Implementation and Guidance Notes.

not benefited and will not seek aid directly or indirectly from any Scheme/Project for the
and for any other cost component being claimed. The Applicant is fully aware that costs
ther source.

itted by Applicant With this Form

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