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и     Ref. Ares(2021)6603728 - 26/10/2021 BUDGET FORM - Action Grants IDENTIFICATION FORM Integration of national reception system: Construction of accommodation facilities Title                               METOIKOS in Samos, Kos, Leros, Chios and Lesvos islands, in accordance with Article 8. Law 4375/2016: Integration of the national reception system 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 ĮEligiblity period                |From:        |       1-Sep-20        |To:     |  31-Mar-22     | 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 construction of five new accommodation facilities, in Samos, Kos, Leros, Chios and Lesvos islands in order to increase 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            276.373.033,82 Page 1 of 24
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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 Page 2 of 24
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BUDGET FORM - Action Grants Page 3 of 24
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BUDGET FORM - Action Grants A        B          C              D                    E            F        G           H                      1 Budget   Name of    Activity Description of item          Unit       Amount   Number of total EURO      Additional information* heading Beneficiary           i.e. Who? What?            (days,      per unit   units person» etc.) in EURO 19 Page 4 of 24
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BUDGET FORM - Action Grants A        B          C             D                    E            F        G           H                      I Budget   Name of    Activny Description of item          Unit       Amount   Number of Total EURO      Additional Information’ heading Beneficiary          Le. Who? What?             (days,      per unit   units persons etc.| in EURO 19 Page 5 of 24
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BUDGET FORM - Action Grants A        B          C              D                    E           F        G           H                      1 Budget   Naine of   Activity Description of item          Unit      Amount   Number of Total EURO      Additional information' heading Beneficiary           i.e. Who? What?            (da/s,     per unit   units persons etc} in EURO 19 Page 6 of 24
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BUDGET FORM - Action Grants A        B          C              D                    E            F        G           H                      I Budget   Name of    Activity Description of Item          Unit      Amount    Number of Total EURO      Additional information* beading Beneficiary           i.e. Who? What?            (days,      per unit   units persons etc ) in EURO 19 Page 7 of 24
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BUDGET FORM - Action Grants A        B          C              D                    E            F        G           H                      I Budget   Name of    Activity Description of item          Unit       Amount   Number ot Total EURO      Additional Information* heading Beneficiary           ΪΛ. Who? What?             (days,      per unit   units personi ote.I in EURO 19 Page 8 of 24
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BUDGET FORM - Action Grants A        B          C              D                    E            F        G           H                      1 Budget   Name of    Activity Description of item          Unit       Amount   Number of Total EURO      Additional Information* heading Beneficiary           ie Who7 What?              (day·,      par unit   unite регьопь etc I In EURO 19 Page 9 of 24
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BUDGET FORM - Action Grants A        B          C              D                      E           F        G           H                      1 Budget   Name of    Activity Description of item           Unit       Amount   NumQer of Total EURO      Additional information' heading Beneficiary           i.e. Who? What?             (days,      per unit   units person» etc.) in EURO 19 Page 10 of 24
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