Restoring and Upgrading Venues with the Capacity to Host MICE Events in Gozo 2020

Fill in the form underneath to apply
Section A
I. Details of Venue and Project
Name of Venue:*
Address:*
Postcode:*
Telephone Number:*
Minimum Seating Capacity:*
Is it a Planning Authority Approval:*	Yes No

Project Status:	Drafting Concept Pending Planning Authority Approval Implementation Phase

Commensment of works Date:*
Completion of works Date:*
Financial Cost of the Project:*
Is venue Owned or Leased:*	Owned Leased

Name of Architect/Project Manager:

Upload Brief description of Project(Max 150 Word Format):*

Ownership Proof/ Lease Contract:*

Signed Declaration by Architect to confirm Planing Authority Approval are Mandatory or not:*

Section B
I. Non-Governmental Organization's Information
Organization Name:*
Organization Address:*
Postcode:*
Telephone Number:*
VO Number:*
VAT Number:*
President's Name:*
President's Mobile Number:*

Upload Document showing that the Organisation has established a *legal entityto run the outlet:

II. Private Enterprise's Information
Business Name:*
Business Address:*
Postcode:*
Telephone Number:*
Company Registration Number:*
VAT Number:*
Payer P.E. Number:*
Director's Name:*
ID Card Number:*
Date:*

Section C
Declaration:*
Note: Download, print, fill in and upload the document named Declaration* found at the top of this page*
Section D
State Aid Declaration:*
Note: Download, print, fill in and upload the document named State Aid Declaration* found at the top of this page*