ĮĮĮĮ Ref. Ares(2021 (3639599 - 02/06/2021 BUDGET FORM - Action Grants IDENTIFICATION FORM METOIKOS — Construction of accommodation facilities METOIKOS in Samos, Kos and Leros islands, in accordance with Article 8, Law 4375/2016 Legal name of Hellenic Ministry of Migration and Asylum (HMoMaA) beneficiary/co-ordinator Address                             Keranis Building, 196-198, Thivon Av., PC 18233, Agios Ioannis Rentis, Greece lEligiblity period                  [From:       1      1-Sep-20         1Ē           31-Aug-21    1 Name and address of the bank Bank account n° I.B.A.N Banking details Bank account holder Payment reference (if necessary) Summary of activities The set of activities described in the relevant Grant Application Form will contribute to the implementation of the Greek Government overall planning concerning the migration and refugee crisis in Southern Eastern Europe and specifically it refers to the contribution of the Hellenic Ministry of Migration and Asylum in increasing the availability of shelter places in the islands. The requested funding is necessary due to the extremely increased flow of migrants and refugee, in relation to the limited availability of budget of the Ministry of Migration and Asylum. Total amount requested from the EU                                                       EURO            121.374.372,06 Page 1 of 14

BUDGET FORM - Action Grants BENEFICIARIES Country Legal name of            Hellenic Ministry of Migration and Asylum EL beneficiary/co-ordinator (HMoMaA) Co-beneficiary Code              Legal name of Co-beneficiary               Country Co-beneficiary 1 Co-beneficiary 2 Co-beneficiary 3 Co-beneficiary 4 Co-beneficiary 5 Co-beneficiary 6 Co-beneficiary 7 Co-beneficiary 8 Co-beneficiary 9 Co-beneficiary 10 Co-beneficiary 11 Co-beneficiary 12 Co-beneficiary 13 Co-beneficiary 14 Co-beneficiary 15 Co-beneficiary 16 Co-beneficiary 17 Co-beneficiary 18 Co-beneficiary 19 Co-beneficiary 20 2/14

BUDGET FORM - Action Grants AB                                        C                    Q                         Ш                 LL            G             H                       I 1                                                                              FORECAST BUDGET CALCULATION 2                           Estimated Expenditure 3     A       Staff 4      B      Travel 5     C        Equipment 6      D      Consumables 7      E      Other direct costs 8 Total Direct Costs 9      F      Indirect costs 10 Total Eligible Costs 11              Estimated Income I     Income generated by the financed activities. 12 Other income, including own contribution from K the beneficiary/-ies 13 14            EU Contribution 15 Total Income 16 17 18                                                                                                          Subtotal of selected entries Budget Name of Beneficiary               Activity         Description of item              Unit            Amount       Number of     Total EURO       Additional information* heading                                                    i.e. Who? What?            (days, persons        per unit      units etc.)           in EURO 19 3/14

BUDGET FORM - Action Grants A           B              C              D                   E           F        G           H                    I Budget Name of Beneficiary Activity Description of item        Unit      Amount    Number of Total EURO    Additional information* heading                              i.e. Who? What?      (days, persons  per unit   units etc.)     in EURO 19 4/14

BUDGET FORM - Action Grants A           B              C              D                   E           F        G           H                    I Budget Name of Beneficiary Activity Description of item        Unit      Amount    Number of Total EURO    Additional information* heading                              i.e. Who? What?      (days, persons  per unit   units etc.)     in EURO 19 5/14

BUDGET FORM - Action Grants A           B              C              D                   E           F        G           H                    I Budget Name of Beneficiary Activity Description of item        Unit      Amount    Number of Total EURO    Additional information* heading                              i.e. Who? What?      (days, persons  per unit   units etc.)     in EURO 19 6/14

BUDGET FORM - Action Grants A           B              C              D                   E           F        G           H                    I Budget Name of Beneficiary Activity Description of item        Unit      Amount    Number of Total EURO    Additional information* heading                              i.e. Who? What?      (days, persons  per unit   units etc.)     in EURO 19 7/14

BUDGET FORM - Action Grants A           B              C              D                   E           F        G           H                    I Budget Name of Beneficiary Activity Description of item        Unit      Amount    Number of Total EURO    Additional information* heading                              i.e. Who? What?      (days, persons  per unit   units etc.)     in EURO 19 8/14

BUDGET FORM - Action Grants A           B              C              D                   E           F        G           H                    I Budget Name of Beneficiary Activity Description of item        Unit      Amount    Number of Total EURO    Additional information* heading                              i.e. Who? What?      (days, persons  per unit   units etc.)     in EURO 19 9/14

BUDGET FORM - Action Grants A           B              C              D                   E           F        G           H                    I Budget Name of Beneficiary Activity Description of item        Unit      Amount    Number of Total EURO    Additional information* heading                              i.e. Who? What?      (days, persons  per unit   units etc.)     in EURO 19 10/14