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ANNEX 3a: MODEL III – ADVERTISING OF ORGANISED TRAVEL PROGRAMMES BY STRATEGIC PARTNERS
Application form 1 – General information about the strategic partner
Name of the strategic partner
Registered Head office of the strategic partner
E-mail address of the strategic partner
Tax number of the strategic partner
Person authorised to represent the strategic partner (name, surname, position)E-mail address of the person authorised to represent the strategic partnerShare in nominated Media plan in the absolute amount (without VAT)
Name of the bank
Address of the bank
Giro account number/IBAN/SWIFT
Number of beds in hotels
Number of beds in camping sites
Number of beds in other types of accommodation premisesEstimated total number of achieved tourist arrivals in 2015Estimated total number of achieved overnight stays in 2015Planned total number of tourist arrivals in 2016(organised – airline)Planned total number of tourist overnight stays in 2016(organised – airline)
Signature of the person authorised Stamp of the strategic partnerto represent the strategic partner
________________________________
Place ___________________________
Date ___________________________
1
Application form 2 – Information about organised travel programmes in 2016 by strategic partner for CroatiaIndicator Total
Croatia Istria Kvarner region Zadar Šibenik Split Dubrovnik City of
Zagreb Inland
Expected number of travellers in 2015TotalWith organised charter transportWith organised bus transportTotal number of leased beds in all commercial accommodation premises in 2015Planned number of travellers(for organised applied programmes)201620172018Total number of leased beds in all commercial accommodation premises in 2016TotalIn hotelsIn rooms and apartments in private accommodationIn camping sitesOn boatsIn other accommodationAirline charter transport in 2016Planned total number of seatsPlanned number of rotations and starting date and end of charter programmes for each departure airport (please list departure and arrival airports)
With financial and legal liability, we confirm the accuracy of the above stated information. All data are subject to the control of the State Inspectorate of the Republic of Croatia
Signature of the person authorised to represent the strategic partner Stamp of the strategic partner________________________________Place ___________________________Date____________________________
2
Application form 3 – List of key partners (hotels and other companies) with the number of leased beds in Croatia
No. Exact name and address of the hotel or other company where the strategic partner has leased beds in Croatia
Number of leased beds
Number of travellers
2015 Plan for
2016
2015 Plan for
20161.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
With financial and legal liability, we confirm the accuracy of the above stated information. All data are subject to the control of the State Inspectorate of the Republic of Croatia
Signature of the person authorised to represent the strategic partner Stamp of the strategic partner
_________________________________
Place ___________________________
Date ___________________________
3
Application form 4 – Certificate about the number of leased beds
CERTIFICATE ABOUT THE NUMBER OF LEASED BEDS IN 2016
I_______________________(name and surname) from__________________________, as a person authorised to represent the holder of the accommodation offer __________________________(company) with the Head office in______________________ declare that_______________________(strategic partner) in the registered hotel accommodation premises of our company, in 2016, has leased in total____________________beds.
In __________________, _________2015Place date
Stamp
________________________________________(Signature of the person authorised to represent
the holder of the accommodation offer)
4
Application form 5 – Media plan
5
Application form 6 – General information about the promotional Agency
Name of the promotional Agency
Registered Head office of the promotional Agency
E-mail address of the promotional Agency
Tax number of the promotional Agency
Person authorised to represent the promotional Agency (name,surname,position)E-mail address of the person authorised to represent the promotional agency
Name of the bank
Address of the bank
Giro account number/IBAN/SWIFT
6
Application form 7 – Declaration about paid dues
DECLARATION ABOUT PAID DUES
I, ________________________________(name and surname) from______________________________, as a person authorised to represent the strategic partner____________________________(company) with the Head office in____________________, declare that____________________________(company) at the moment of giving this declaration has no unpaid dues such as tourist tax, tourist membership fees or any other financial debts to the CNTB, as well as no unpaid dues arising from business with Croatian legal entities and individuals based on enforceable court judgments.In________________________,_________,________2015Place Date
Stamp
_________________________________(Signature of the person authorised to
represent the strategic partner)
7
Application form 8 – Declaration of the undertaking that he is not in difficulty
DECLARATION OF THE UNDERTAKING THAT HE IS NOT IN DIFILCUTIY
I, ________________________________(name and surname) from______________________________, as a person authorised to represent the strategic partner____________________________(company) with the Head office in____________________, declare that____________________________(company) at the moment of giving this declaration is not in difficulty.
Further, I declare that I agree with the obligation to provide CNTB with additional documentation if asked, to determine with certainty that ____________________________(company) is not in difficulty
In________________________,_________,________2015Place Date
Stamp___________________________________
(Signature of the person authorised to represent the strategic partner)
8
Application form 9 – Declaration of the undertaking about all entities controlled by the undertaking on a legal or de facto basis
D E C L A R A T I O N OF T H E U N D E R T A K I N G ABOUT A L L E N T I T I E S CO N T R O L L E D B Y T H E U N D E R T A K I N G
I, ________________________________(name and surname) from______________________________, as a person authorised to represent the strategic partner____________________________(company) with the Head office in____________________, declare that the____________________________(company) is associated with following entities:
No NAME AND ADRESS OF THE UNDERTAKING PERSON AUTHORISED TO REPRESENT THE UNDERTAKING
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
In________________________,_________,________2015Place Date
Stamp________________________________________
(Signature of the person authorised to represent the strategic partner)
9
Application form 10 – Declaration of the undertaking about all received de minimis aid in the current and previous two fiscal years
DECLARATION OF THE UNDERTAKING ABOUT ALL RECEIVED STATE AID IN THE CURRENT AND PREVIOUS TWO FISKAL
I, ________________________________(name and surname) from______________________________, as a person authorised to represent strategic partner____________________________(company) with the Head office in____________________, declare that the____________________________(company) received in the current and previous two fiscal years, regardless of the level of the aid provider (national, regional, local), following de minimis aid:
No STATE AID PROVIDER 2013. 2014. 2015.AMOUNT IN KUNA AMOUNT IN KUNA AMOUNT IN KUNA
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
In________________________,_________,________2015Place Date
Stamp________________________________________
(Signature of the person authorised to represent the strategic partner)
10
ANNEX 3b: MODEL III – ADVERTISING OF ORGANISED TRAVEL PROGRAMMES BY MARKET LEADERS
Application form 1 – General information about the market leader
Name of the Leader
Registered Head office of the Leader
E-mail address of the Leader
Tax number of the LeaderPerson authorised to represent the Leader (name, surname, position)E-mail address of the person authorised to represent the LeaderShare in the nominated Media plan in its absolute amount (without VAT)Name of the bank
Address of the bank
Giro account number/IBAN/SWIFT
Number of beds in hotels
Number of beds in camping sitesNumber of beds in other types of accommodation premisesEstimated total number of achieved tourist overnight stays in 2015Estimated total number of achieved tourist overnight stays in 2015Planned total number of tourist arrivals in 2016 – in organised air transportPlanned total number of tourist overnight stays in 2016 – in organised air transportPlanned total number of tourist arrivals in 2016 – in organised bus transportPlanned total number of tourist overnight stays in 2016 – in organised bus transport
Signature of the person authorised to represent the Leader Stamp of the Leader
_________________________________
Place___________________________
Date___________________________
11
Application form 2 – Information about organised travel programmes by the market leader for Croatia in 2016
IndicatorTotal
Croatia Istria Kvarner Region
Zadar Šibenik Split Dubrovnik City of Zagreb Inland
Expected number of travellers in 2015TotalWith organised charter transportWith organised bus transportTotal number of leased beds in all commercial accommodation premises in 2015Planned number of travellers201620172018Total number of leased beds in all commercial accommodation premises for 2016TotalIn hotelsIn rooms and apartments in private accommodationIn camping sitesOn boatsIn other accommodationAirline charter transport in 2016Planned total number of seatsPlanned total number of travellersPlanned number of rotations in starting date and end of charter programmes for each departure airport
12
Specially organised transport by bus in 2016Planned total number of travellersPlanned number of rotations and date of departure and end of bus programmes for each country from where tourists arrive
With financial and legal liability, we confirm the accuracy of the above stated information. All data are subject to the control of the State Inspectorate of the Republic of Croatia
Signature of the person authorised to represent the Leader Stamp of the Leader_________________________________
Place ___________________________
Date ___________________________
13
Application form 3 – List of key partners (hotels, other companies) with the number of leased beds in Croatia
No. Exact name and address of the hotel or company where the Leader has leased beds in Croatia
Number of leased beds
Number of travellers
2015 Plan for
2016
2015 Plan for
20161.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
With financial and legal liability, we confirm the accuracy of the above stated information. All data are subject to the control of the State Inspectorate of the Republic of Croatia
Signature of the person authorised to represent the Leader partner Stamp of the Leader
_________________________________
Place ___________________________
Date ___________________________
14
Application form 4 – Certificate about the number of leased beds
CERTIFICATE ABOUT THE NUMBER OF LEASED BEDS IN 2016
I_______________________(name and surname) from__________________________, as a person authorised to represent the holder of the accommodation offer __________________________(company) with the Head office in______________________ declare that_______________________(leader) in the registered hotel accommodation premises of our company, in 2016, has leased in total____________________beds.
In___________________,___________2015Place Date
Stamp
_________________________________ (Signature of the person authorised to represent
the holder of the accommodation offer)
15
Application form 5 – Media plan
16
Application form 6 – General information about the promotional Agency
INFORMATION ABOUT THE PROMOTIONAL AGENCY
Name of the promotional Agency
Registered Head office of the promotional Agency
E-mail address of the promotional Agency
Tax number of the promotional Agency
Person authorised to represent the promotional Agency (name, surname, position)E-mail address of the person authorised to represent the promotional Agency
Name of the bank
Address of the bank
Giro account number/IBAN/SWIFT
17
Application form 7 – Declaration about paid dues
DECLARATION ABOUT PAID DUES
I, ________________________________(name and surname) from______________________________, as a person authorised to represent the leader____________________________(company) with the Head office in____________________, declare that____________________________(company) at the moment of giving this declaration has no unpaid dues such as tourist tax, tourist membership fees or any other financial debts to the CNTB, as well as no unpaid dues arising from business with Croatian legal entities and individuals based on enforceable court judgments.
In________________________,_________,________2015Place Date
Stamp
_______________________________(Signature of the person authorised
to represent the Leader)
18
Application form 8 – Declaration of the undertaking that he is not in difficulty
DECLARATION OF THE UNDERTAKING THAT HE IS NOT IN DIFILCUTIY
I, ________________________________(name and surname) from______________________________, as a person authorised to represent the leader____________________________(company) with the Head office in____________________, declare that____________________________(company) at the moment of giving this declaration is not in difficulty.
Further, I declare that I agree with the obligation to provide CNTB with additional documentation if asked, to determine with certainty that ____________________________(company) is not in difficulty
In________________________,_________,________2015Place Date
Stamp
________________________________________(Signature of the person authorised to
represent the leader)
19
Application form 9 – Declaration of the undertaking about all entities controlled by the undertaking on a legal or de facto basis
D E C L A R A T I O N OF T H E U N D E R T A K I N G ABOUT A L L E N T I T I E S CO N T R O L L E D B Y T H E U N D E R T A K I N G
I, ________________________________(name and surname) from______________________________, as a person authorised to represent the leader____________________________(company) with the Head office in____________________, declare that the____________________________(company) is associated with following entities:
No NAME AND ADRESS OF THE UNDERTAKING PERSON AUTHORISED TO REPRESENT THE UNDERTAKING
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
In________________________,_________,________2015Place Date
Stamp
________________________________________(Signature of the person authorised to
represent the leader)
20
Application form 10 – Declaration of the undertaking about all received de minimis aid in the current and previous two fiscal years
DECLARATION OF THE UNDERTAKING ABOUT ALL RECEIVED STATE AID IN THE CURRENT AND PREVIOUS TWO FISKAL
I, ________________________________(name and surname) from______________________________, as a person authorised to represent the leader____________________________(company) with the Head office in____________________, declare that the____________________________(company) received in the current and previous two fiscal years, regardless of the level of the aid provider (national, regional, local), following de minimis aid:
No STATE AID PROVIDER 2013. 2014. 2015.AMOUNT IN KUNA AMOUNT IN KUNA AMOUNT IN KUNA
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
In________________________,_________,________2015Place Date
Stamp________________________________________
(Signature of the person authorised to represent the leader)
21
ANNEX 3c: MODEL III – ADVERTISING OF ORGANISED TRAVEL PROGRAMMES BY THE CHARTER CONSOLIDATOR
Application form 1 – General information about the charter consolidator
Name of the charter consolidator
Registered Head office of the charter consolidator
E-mail address of the charter consolidator
Tax number of the charter consolidator
Person authorised to represent the charter consolidator (name, surname, position)
E-mail address of the person authorised to represent the charter consolidator
Share in the nominated Media plan in the absolute amount (without VAT)
Name of the bank
Address of the bank
Giro account number/IBAN/SWIFT
Number of beds in hotels
Number of beds in camping sites
Number of beds in other types of accommodation premises
Estimated total number of achieved tourist arrivals in 2015
Estimated total number of achieved tourist overnight stays in 2015
Planned total number of tourist arrivals in 2016
Planned total number of tourist overnight stays in 2016
Signature of the person authorised to represent the Charter consolidator Stamp of the Charter consolidator
_________________________________
Place ___________________________
Date ___________________________
22
Application form 2 – Information about the programme by the consolidator of organised travel to Croatia in 2016
No. List of departure airports abroadList of arrival airports in Croatia
Time period of operations in 2016
(starting and end date)
Planned number of rotations in 2016
Total number of planned seats in the charter to Croatia2015 2016 2017 2018
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.TOTAL NOMINATED NUMBER OF PLANNED SEATS TO CROATIA IN 2016
TOTAL NOMINATED NUMBER OF PLANNED TRAVELLERS TO CROATIA IN 2016
With financial and legal liability, we confirm the accuracy of the above stated information. All data are subject to the control of the State Inspectorate of the Republic of Croatia
Signature of the person authorised to represent the Charter consolidator Stamp of the Consolidator
_________________________________
Place ___________________________
Date ___________________________
23
Application form 3 – List of TO/TA that the charter consolidator nominates in 2016
No.Exact name and address of the
TO/TA which has leased seats at the consolidator
Country of the TO/TA that
consolidator nominates
Number of leased seats at the consolidator for
Croatia
Number of travellers
2015 Plan for 2016
2015 Plan for 2016
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
TOTAL NUMBER OF PLANNED SEATS FOR CROATIA IN 2016TOTAL NOMINATED NUMBER TRAVELLERS FOR CROATIA IN 2016
With financial and legal liability, we confirm the accuracy of the above stated information. All data are subject to the control of the State Inspectorate of the Republic of Croatia
Signature of the person authorised to represent the Charter consolidator Stamp of the Consolidator
_________________________________
Place ___________________________
Date ___________________________
24
Application form 4 – Media plan
25
Application form 5 – General information about the promotional Agency
INFORMATION ABOUT THE PROMOTIONAL AGENCY
Name of the promotional Agency
Registered Head office of the promotional Agency
E-mail address of the promotional Agency
Tax number of the promotional Agency
Person authorised to represent the promotional Agency (name, surname, position)E-mail address of the person authorised to represent the promotional Agency
Name of the bank
Address of the bank
Giro account number/IBAN/SWIFT
26
Application form 6 – Declaration about paid dues
DECLARATION ABOUT PAID DUES
I, ________________________________(name and surname) from______________________________, as a person authorised to represent the charter consolidator____________________________(company) with the Head office in____________________, declare that____________________________(company) at the moment of giving this declaration has no unpaid dues such as tourist tax, tourist membership fees or any other financial debts to the CNTB, as well as no unpaid dues arising from business with Croatian legal entities and individuals based on enforceable court judgments.
In________________________,_________,________2015Place Date
Stamp
_________________________________ (Signature of the person authorised to
represent the Charter consolidator)
27
Application form 7 – Declaration of the undertaking that he is not in difficulty
DECLARATION OF THE UNDERTAKING THAT HE IS NOT IN DIFILCUTIY
I, ________________________________(name and surname) from______________________________, as a person authorised to represent the charter consolidator____________________________(company) with the Head office in____________________, declare that____________________________(company) at the moment of giving this declaration, is not in difficulty.
Further, I declare that I agree with the obligation to provide CNTB with additional documentation if asked, to determine with certainty that ____________________________(company) is not in difficulty
In________________________,_________,________2015Place Date
Stamp
________________________________________(Signature of the person authorised to
represent the charter consolidator)
28
Application form 8 – Declaration of the undertaking about all entities controlled by the undertaking on a legal or de facto basis
D E C L A R A T I O N OF T H E U N D E R T A K I N G ABOUT A L L E N T I T I E S CO N T R O L L E D B Y T H E U N D E R T A K I N G
I, ________________________________(name and surname) from______________________________, as a person authorised to represent the charter consolidator____________________________(company) with the Head office in____________________, declare that the____________________________(company) is associated with following entities:
No NAME AND ADRESS OF THE UNDERTAKING PERSON AUTHORISED TO REPRESENT THE UNDERTAKING
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
In________________________,_________,________2015Place Date
Stamp
________________________________________(Signature of the person authorised to
represent the charter consolidator)
29
Application form 9 – Declaration of the undertaking about all received de minimis aid in the current and previous two fiscal years
DECLARATION OF THE UNDERTAKING ABOUT ALL RECEIVED STATE AID IN THE CURRENT AND PREVIOUS TWO FISKAL
I, ________________________________(name and surname) from______________________________, as a person authorised to represent the charter consolidator____________________________(company) with the Head office in____________________, declare that the____________________________(company) received in the current and previous two fiscal years, regardless of the level of the aid provider (national, regional, local), following de minimis aid:
No STATE AID PROVIDER 2013. 2014. 2015.AMOUNT IN KUNA AMOUNT IN KUNA AMOUNT IN KUNA
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
In________________________,_________,________2015Place Date
Stamp
________________________________________(Signature of the person authorised to
represent the charter consolidator)
30
ANNEX 3d: MODEL III – THE ADVERTISING OF ORGANISED TRAVEL PROGRAMMES BY THE CONSOLIDATOR OF ORGANISED TRAVELApplication form 1 – General information about the consolidator of organised travel programmes
Name of the consolidator of organised travel
Registered Head office of the consolidator of organised travel
E-mail address of the consolidator of organised travel
Tax number of the consolidator of organised travel
Person authorised to represent the consolidator of organised travel (name, surname, position)E-mail address of the person authorised to represent the consolidator of organised travelShare in the nominated Media plan in its absolute amount (without VAT)
Name of the bank
Address of the bank
Giro account number/IBAN/SWIFT
Number of beds in hotels
Number of beds in camping sites
Number of beds in other types of accommodation premisesEstimated total number of achieved tourist arrivals in 2015Estimated total number of achieved tourist overnight stays in 2015
Planned total number of tourist arrivals in 2016
Planned total number of tourist overnight stays in 2016
Signature of the person authorised to represent the Consolidator of organised travel Stamp of the Consolidator of organised travel
_________________________________
Place___________________________
Date ___________________________
31
Application form 2 – Information about the programme by the consolidator of organised travel to Croatia in 2016
Indicators Total Croatia Istria Kvarner
Region Zadar Šibenik Split Dubrovnik City ofZagreb Inland
Expected number of travellers in 2015TotalWith organised airline transportWith organised bus transportTotal number of leased beds in all commercial accommodation premises in 2015Planned number of travellers201620172018Total number of leased beds in all commercial accommodation premises for 2016TotalIn hotelsIn rooms and apartments in private accommodationIn camping sitesOn boatsIn other accommodationAirline charter transport in 2016Total planned number of seatsTotal planned number of travellersPlanned number of rotations and starting and end date of charter programmes for each departure airport
32
Specially organised bus transport in 2016Total planned number of travellersPlanned number of rotations and starting and end date of the bus programme for each country from where tourists come
With financial and legal liability, we confirm the accuracy of the above stated information. All data are subject to the control of the State Inspectorate of the Republic of Croatia
Signature of the person authorised to representThe Consolidator of organised travel Stamp of the Consolidator of organised travel
_________________________________
Place ___________________________
Date ___________________________
33
Application form 3 – List of TO/TA that the charter consolidator of organised travel programmes nominates in 2016
No. Exact name and address of TO/TA that the consolidator of organised travel nominates
Country of TO/TA that the
consolidator nominates
Number of travellers to Croatia
2015 Plan for 2016
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
TOTAL NOMINATED NUMBER OF TRAVELLERS TO CROATIA IN 2016
With financial and legal liability, we confirm the accuracy of the above stated information. All data are subject to the control of the State Inspectorate of the Republic of Croatia
Signature of the person authorised to represent Stamp of the Consolidator of organised programmesThe Consolidator of organised programmes
_________________________________
Place ___________________________
Date ___________________________
34
Application form 4- Certificate about the number of leased beds
CERTIFICATE ABOUT THE NUMBER OF LEASED BEDS IN 2016
I_______________________(name and surname) from__________________________, as a person authorised to represent the holder of the accommodation offer __________________________(company) with the Head office in______________________ declare that_______________________(consolidator) in the registered hotel accommodation premises of our company, in 2016, has leased in total____________________beds.
In _________________,__________2015(Place) (date)
Stamp
_________________________________
(Signature of the person authorised to represent the holder of the accommodation offer)
35
Application form 5 - Media plan
36
Application form 6 - General information about the promotional Agency
INFORMATION ABOUT THE PROMOTIONAL AGENCY
Name of the promotional Agency
Registered Head office of the promotional Agency
E-mail address of the promotional Agency
Tax number of the promotional Agency
Person authorised to represent the promotional Agency (name, surname, position)E-mail address of the person authorised to represent the promotional Agency
Name of the bank
Address of the bank
Giro account number/IBAN/SWIFT
37
Application form 7 – Declaration about paid dues
DECLARATION ABOUT PAID DUES
I, ________________________________(name and surname) from______________________________, as a person authorised to represent the consolidator of organised travel____________________________(company) with the Head office in____________________, declare that____________________________(company) at the moment of giving this declaration has no unpaid dues such as tourist tax, tourist membership fees or any other financial debts to the CNTB, as well as no unpaid dues arising from business with Croatian legal entities and individuals based on enforceable court judgments.In________________________,_________,________2015Place Date
Stamp
_________________________________ (Signature of the person authorised to represent
the Consolidator of organised travel)
38
Application form 8 – Declaration of the undertaking that he is not in difficulty
DECLARATION OF THE UNDERTAKING THAT HE IS NOT IN DIFILCUTIY
I, ________________________________(name and surname) from______________________________, as a person authorised to represent the consolidator of organised travel____________________________(company) with the Head office in____________________, declare that____________________________(company) at the moment of giving this declaration, is not in difficulty.
Further, I declare that I agree with the obligation to provide CNTB with additional documentation if asked, to determine with certainty that ____________________________(company) is not in difficulty
In________________________,_________,________2015Place Date
Stamp________________________________________
Signature of the person authorised to represent theconsolidator of organised travel
39
Application form 9 – Declaration of the undertaking about all entities controlled by the undertaking on a legal or de facto basis
D E C L A R A T I O N OF T H E U N D E R T A K I N G ABOUT A L L E N T I T I E S CO N T R O L L E D B Y T H E U N D E R T A K I N G
I, ________________________________(name and surname) from______________________________, as a person authorised to represent the consolidator of organised travel____________________________(company) with the Head office in____________________, declare that the____________________________(company) is associated with following entities:
No NAME AND ADRESS OF THE UNDERTAKING PERSON AUTHORISED TO REPRESENT THE UNDERTAKING
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
In________________________,_________,________2015Place Date
Stamp________________________________________
Signature of the person authorised to represent theconsolidator of organised travel
40
Application form 10 – Declaration of the undertaking about all received de minimis aid in the current and previous two fiscal years
DECLARATION OF THE UNDERTAKING ABOUT ALL RECEIVED STATE AID IN THE CURRENT AND PREVIOUS TWO FISKAL
I, ________________________________(name and surname) from______________________________, as a person authorised to represent the consolidator of organised travel____________________________(company) with the Head office in____________________, declare that the____________________________(company) received in the current and previous two fiscal years, regardless of the level of the aid provider (national, regional, local), following de minimis aid:
No STATE AID PROVIDER 2013. 2014. 2015.AMOUNT IN KUNA AMOUNT IN KUNA AMOUNT IN KUNA
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
In________________________,_________,________2015Place Date
Stamp________________________________________
Signature of the person authorised to represent theconsolidator of organised travel
41
ANNEX 4: MODEL IV – ADVERTISING OF SPECIAL PROGRAMMES BY DESTINATIONApplication form 1 – General information about the County Tourist Board
Name of the County Tourist Board
Registered Head office of the County Tourist Board
E-mail address of the County Tourist Board
Tax number of the County Tourist Board
Person authorised to represent the County Tourist Board (name,surname,position)E-mail address of the person authorised to represent the County Tourist BoardShare in the nominated Media plan in its absolute amount (without VAT)
Name of the bank
Address of the bank
Giro account number/IBAN/SWIFT
Number of beds in hotels
Number of places in camping sites
Number of beds in other types of accommodation premisesEstimated total number of achieved tourist arrivals in 2015Estimated total number of achieved tourist overnight stays in 2015
Planned total number of tourist arrivals in 2016
Planned total number of tourist overnight stays in 2016
Signature of the person authorised to represent the County Tourist Board Stamp of the County Tourist Board
_________________________________
Place ___________________________
Date ___________________________
42
Application form 2 - General information about the carrier, TO/TA or organiser
Name of the carrier, TO/TA or organiser
Registered Head office of the carrier, TO/TA or organiser
E-mail address of the carrier, TO/TA or organiser
Tax number of the carrier, TO/TA or organiser
Person authorised to represent the carrier, TO/TA or organiser (name, surname, position)E-mail address of the person authorised to represent the carrier, TO/TA or organiserShare in the nominated Media plan in its absolute amount (without VAT)
Name of the bank
Address of the bank
Giro account number/IBAN/SWIFT
Number of beds in hotels
Number of places in camping sites
Number of beds in other accommodation premises
Estimated total number of achieved tourist arrivals in 2015Estimated total number of achieved overnight stays in 2015
Planned total number of tourist arrivals in 2016
Planned total number of tourist overnight stays in 2016
Signature of the person authorised to Stamp of the carrier, TO/TA or organiserrepresent the carrier, TO/TA or organiser
_________________________________
Place ___________________________
Date ___________________________
43
Application form 3 – Declaration about the planned number of travellers
DECLARATION ABOUT THE PLANNED NUMBER OF TRAVELLERS
I__________________________(name and surname) from _____________________________, as a person authorised to represent the carrier, TO/TA or organiser _________________________(company) with the Head office in ________________________declare that, on the basis of advertising the nominated programme, __________________________(company), plans to bring in the area of ________________________________(CTB), ________________travellers.
In ____________________,____________2015(Place) (Date)
Stamp
_________________________________ (Signature of the person authorised to represent
the carrier, TO/TA or organiser)
44
Application form 4 – Media plan
45
Application form 5 – General information about the promotional Agency
INFORMATION ABOUT THE PROMOTIONAL AGENCY
Name of the promotional Agency
Registered Head office of the promotional Agency
E-mail address of the promotional Agency
Tax number of the promotional Agency
Person authorised to represent the promotional Agency (name, surname, position)E-mail address of the person authorised to represent the promotional Agency
Name of the bank
Address of the bank
Giro account number/IBAN/SWIFT
46
Application form 6 – Declaration about paid dues
DECLARATION ABOUT PAID DUES
I, ________________________________(name and surname) from______________________________, as a person authorised to represent the carrier, TO/TA or organiser____________________________(company) with the Head office in____________________, declare that____________________________(company) at the moment of giving this declaration has no unpaid dues such as tourist tax, tourist membership fees or any other financial debts to the CNTB, as well as no unpaid dues arising from business with Croatian legal entities and individuals based on enforceable court judgments.In________________________,_________,________2015Place Date
Stamp
_________________________________(Signature of the person authorised to represent
the carrier, TO/TA or organiser)
47
Application form 7 – Declaration of the undertaking that he is not in difficulty
DECLARATION OF THE UNDERTAKING THAT HE IS NOT IN DIFILCUTIY
I, ________________________________(name and surname) from______________________________, as a person authorised to represent the carrier, TO/TA or organiser ____________________________(company) with the Head office in____________________, declare that____________________________(company) at the moment of giving this declaration is not in difficulty.
Further, I declare that I agree with the obligation to provide CNTB with additional documentation if asked, to determine with certainty that ____________________________(company) is not in difficulty
In________________________,_________,________2015Place Date
Stamp
________________________________________Signature of the person authorised to represent the
carrier, TO/TA or organiser
48
Application form 8 – Declaration of the undertaking about all entities controlled by the undertaking on a legal or de facto basis
D E C L A R A T I O N OF T H E U N D E R T A K I N G ABOUT A L L E N T I T I E S CO N T R O L L E D B Y T H E U N D E R T A K I N G
I, ________________________________(name and surname) from______________________________, as a person authorised to represent the carrier, TO/TA or organiser ____________________________(company) with the Head office in____________________, declare that the____________________________(company) is associated with following entities:
No NAME AND ADRESS OF THE UNDERTAKING PERSON AUTHORISED TO REPRESENT THE UNDERTAKING
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
In________________________,_________,________2015Place Date
Stamp
________________________________________Signature of the person authorised to represent the
carrier, TO/TA or organiser
49
Application form 9 – Declaration of the undertaking about all received de minimis aid in the current and previous two fiscal years
DECLARATION OF THE UNDERTAKING ABOUT ALL RECEIVED STATE AID IN THE CURRENT AND PREVIOUS TWO FISKAL
I, ________________________________(name and surname) from______________________________, as a person authorised to represent the carrier, TO/TA or organiser ____________________________(company) with the Head office in____________________, declare that the____________________________(company) received in the current and previous two fiscal years, regardless of the level of the aid provider (national, regional, local), following de minimis aid:
No STATE AID PROVIDER 2013. 2014. 2015.AMOUNT IN KUNA AMOUNT IN KUNA AMOUNT IN KUNA
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
In________________________,_________,________2015Place Date
Stamp
________________________________________Signature of the person authorised to represent the
carrier, TO/TA or organiser
50