JoinTheNet IV – Dissemination of material for education and training on health symptoms caused by violence (PTSD)

ANNEX 2.a DECLARATION BY PARTNER ORGANISATION [on letterhead paper of the organisation] (Each « partner » in the project - must fill in a copy of this declaration)

1. Title of DAPHNE III 2007 project and name of coordinating organisation:

JoinTheNet IV – Dissemination of material for education and training on health symptoms caused by violence (PTSD)/ Therapeutische Frauenberatung e.V., Goettingen (Germany)

2. Name of partner organisation (Full legal name): Cyprus Neuroscience & Technology Institute

3. Contact details of the partner organisation (contact person, address, telephone, e-mail address): Dr. med. Yiannis Laouris 5 Promitheos 1065 Nicosia CYPRUS Laouris@cnti.org.cy Tel +357 22873820 Fax +357 22873821

4. Specific role that the partner organisation will play in this project (maximum 10 lines) • putting a list of helpful institutions for PTSD on the website • putting all information about PTSD in your language on the website • putting all offers of trainings and workshops on the website

5. Reasons why the partner is suitable to play this role:

6. Persons responsible for participation in this project: Name: Georgina Shitta Function in organisation: Psychologist

7. Financial contributions to project (please specify ): None

• I certify that the information in this proposal about my organisation is accurate and complete.

• I declare I have read and accept the rules governing this call for proposals. I will grant power of attorney in the terms set out in the annex IV of the grant agreement to the applicant (coordinator) mentioned above, to act in my name and on my behalf in signing the possible grant agreement and its possible subsequent riders with the European Commission. I will be bound by the terms of this grant agreement.

• I declare that I am aware and agree that in case of a successful evaluation, the Commission shall, subject to payment arrangements, pay the grant in full to the coordinator which is entitled to receive funds from the Commission and distribute the amounts corresponding to the partners' participation in the action.

• I declare that I am aware that, except in cases of force majeure, as provided for in the standard grant agreement, I shall make good any damage sustained by the Commission as a result of the execution or faulty execution of my obligations.

• In particular, as provided for in the standard grant agreement, I accept in advance on-the-spot checks and inspections by Commission departments, the European Anti-fraud Office (OLAF) and the European Court of Auditors

I, the undersigned, certify on my honour that:

The partner organisation is not in one of the situations which would exclude it from taking part in a Community grant programme and accordingly declare that the organisation: • is not bankrupt or being wound up, is not having its affairs administered by the courts, has not entered into an arrangement with creditors or suspended business activities, and is not in any analogous situation arising from a similar procedure provided for in national legislation or regulations; • has not been convicted of an offence concerning its professional conduct by a judgment which has the force of res judicata; • is not guilty of grave professional misconduct proven by any means which the contracting authority can justify; • has met its obligations relating to the payment of social security contributions or taxes under the legislation of the country in which it is established or with those of the country of the contracting authority or those of the country where the contract is to the performed; • has not been the subject of a judgment which has the force of res judicata for fraud, corruption, involvement in a criminal organisation or any other illegal activity detrimental to the Communities' financial interests; • is not currently subject to an administrative penalty; • has not been declared to be in serious breach of contract for failure to comply with its contractual obligations subsequent to another procurement procedure or grant award procedure financed by the Community budget.

I have been informed that, under the Financial Regulation of 25 June 2002 as last amended by Council Regulation No 1995/2006 of 13 December 2006 applicable to the general budget of the European Communities, contracts may not be awarded to candidates who, during the procedure: • are subject to a conflict of interest; • are guilty of serious misrepresentation in supplying the information required by the contracting authority as a condition of participation in the contract procedure or fail to supply this information.