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 partnerRegistered 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 partner
Share 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 premises
Estimated total number of achieved tourist arrivals in 2015
Estimated total number of achieved overnight stays in 2015
Planned 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 partner
to represent the strategic partner
______
Place ______
Date ______
1
Application form 2 – Information about organised travel programmes in 2016 by strategic partner for Croatia
Indicator / Total Croatia / Istria / Kvarner region / Zadar / Šibenik / Split / Dubrovnik / City of Zagreb / InlandExpected number of travellers in 2015
Total
With organised charter transport
With organised bus transport
Total number of leased beds in all commercial accommodation premises in 2015
Planned number of travellers
(for organised applied programmes)
2016
2017
2018
Total number of leased beds in all commercial accommodation premises in 2016
Total
In hotels
In rooms and apartments in private accommodation
In camping sites
On boats
In other accommodation
Airline charter transport in 2016
Planned total number of seats
Planned 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 partnerStamp of the strategic partner
______
Place ______
Date______
1
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 travellers2015 / Plan for 2016 / 2015 / Plan for 2016
1.
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 partnerStamp of the strategic partner
______
Place ______
Date ______
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 ______, ______2015
Placedate
Stamp
______
(Signature of the person authorised to represent
the holder of the accommodation offer)
1
Application form 5 – Media plan
1
Application form 6 – General information about the promotional Agency
Name of the promotional AgencyRegistered 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
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______,______,______2015
PlaceDate
Stamp
______
(Signature of the person authorised to
represent the strategic partner)
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 additionaldocumentation if asked, to determine with certainty that ______(company) is not in difficulty
In______,______,______2015
PlaceDate
Stamp
______
(Signature of the person authorised to
represent the strategic partner)
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 UNDERTAKING1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
In______,______,______2015
PlaceDate
Stamp
______
(Signature of the person authorised to
represent the strategic partner)
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______,______,______2015
PlaceDate
Stamp
______
(Signature of the person authorised to
represent the strategic partner)
ANNEX 3b: MODEL III – ADVERTISING OF ORGANISED TRAVEL PROGRAMMES BY MARKET LEADERS
Application form 1 – General information about the market leader
Name of the LeaderRegistered Head office of the Leader
E-mail address of the Leader
Tax number of the Leader
Person authorised to represent the Leader (name, surname, position)
E-mail address of the person authorised to represent the Leader
Share 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 premises
Estimated total number of achieved tourist overnight stays in 2015
Estimated total number of achieved tourist overnight stays in 2015
Planned total number of tourist arrivals in 2016 – in organised air transport
Planned total number of tourist overnightstays in 2016 – in organised air transport
Planned total number of tourist arrivals in 2016 – in organised bus transport
Planned total number of tourist overnight stays in 2016 – in organised bus transport
Signature of the person authorised to represent the LeaderStamp of the Leader
______
Place______
Date______
1
Application form 2 – Information about organised travel programmes by the market leader for Croatia in 2016
Indicator / Total Croatia / Istria / Kvarner Region / Zadar / Šibenik / Split / Dubrovnik / City of Zagreb / InlandExpected number of travellers in 2015
Total
With organised charter transport
With organised bus transport
Total number of leased beds in all commercial accommodation premises in 2015
Planned number of travellers
2016
2017
2018
Total number of leased beds in all commercial accommodation premises for 2016
Total
In hotels
In rooms and apartments in private accommodation
In camping sites
On boats
In other accommodation
Airline charter transport in 2016
Planned total number of seats
Planned total number of travellers
Planned number of rotations in starting date and end of charter programmes for each departure airport
Specially organised transport by bus in 2016
Planned total number of travellers
Planned 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 LeaderStamp of the Leader
______
Place ______
Date ______
1
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 travellers2015 / Plan for 2016 / 2015 / Plan for 2016
1.
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 partnerStamp of the Leader
______
Place ______
Date ______
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______,______2015
PlaceDate
Stamp
______
(Signature of the person authorised to represent
the holder of the accommodation offer)
1
Application form 5 – Media plan
1
Application form 6 – General information about the promotional Agency
INFORMATION ABOUT THE PROMOTIONAL AGENCY
Name of the promotional AgencyRegistered 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
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______,______,______2015
PlaceDate
Stamp
______
(Signature of the person authorised
to represent the Leader)
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 additionaldocumentation if asked, to determine with certainty that ______(company) is not in difficulty
In______,______,______2015
PlaceDate
Stamp
______
(Signature of the person authorised to
represent the leader)
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 UNDERTAKING1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
In______,______,______2015
PlaceDate
Stamp
______
(Signature of the person authorised to
represent the leader)
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______,______,______2015
PlaceDate
Stamp
______
(Signature of the person authorised to
represent the leader)
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 consolidatorRegistered Head office of thecharter 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 consolidatorStamp of the Charter consolidator
______
Place ______
Date ______
1
Application form 2 – Information about the programme by the consolidator of organised travel to Croatia in 2016
No. / List of departure airports abroad / List 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 consolidatorStamp of the Consolidator
______
Place ______
Date ______
1
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 travellers2015 / 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 2016
TOTAL 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 consolidatorStamp of the Consolidator
______
Place ______
Date ______
1
Application form 4 – Media plan
1
Application form 5 – General information about the promotional Agency
INFORMATION ABOUT THE PROMOTIONAL AGENCY
Name of the promotional AgencyRegistered Head office of thepromotional 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
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______,______,______2015
PlaceDate
Stamp
______
(Signature of the person authorised to
represent the Charter consolidator)
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 additionaldocumentation if asked, to determine with certainty that ______(company) is not in difficulty
In______,______,______2015
PlaceDate
Stamp
______
(Signature of the person authorised to
represent the charter consolidator)
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 UNDERTAKING1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
In______,______,______2015
PlaceDate
Stamp
______
(Signature of the person authorised to
represent the charter consolidator)
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______,______,______2015
PlaceDate
Stamp
______
(Signature of the person authorised to
represent the charter consolidator)
ANNEX 3d: MODEL III – THE ADVERTISING OF ORGANISED TRAVEL PROGRAMMES BY THE CONSOLIDATOR OF ORGANISED TRAVEL
Application form 1 – General information about the consolidator of organised travel programmes
Name of the consolidator of organised travelRegistered 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 travel
Share 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 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