Puglia Sounds - Teatro Pubblico Pugliese

Puglia Sounds - Teatro Pubblico Pugliese

Via Imbriani, 67 - 70121 Bari

VAT N: 01071540726

I, the undersigned______

born in ______(town/city) ______(Country) on ______(date of birth) email: ______

telephone number:______

in my capacity as Legal Representative of (Name of the Business of the Applicant)______

______VAT N.: ______;

SUBMIT

my project proposal under the Call published by Puglia Sounds- Teatro Pubblico Pugliese on 09/04/2018reg. n. 392/PROGETTI.

TO THIS END I ENCLOSE HERETOTHE FOLLOWING:

1. self-certification (self-attested affidavit) in place of an attested affidavit drawn up by completing the form attached to the Call duly signed by the Legal Representative of the Applicant, attesting to the eligibility requirements as indicated in paragraph 4 “Eligibility of Applicants” of the Call (Form 1);

for applicants exempt from the obligation to possess a DURC(single insurance contribution payment certificate), a self-certificate drawn up completing the facsimile form included in the attached forms pursuant to art. 76, 46 and 47 of D.P.R. 445/2000 as a proof of the non-applicability of DURC (Form 2);

2. official certificate of VAT registered details of the Applicant’s and/or a currently valid copy of the Chamber of Commerce company registrationreport including the Applicant’s ATECO Code;

3. copy of a currently valid identity document of the Legal Representative of the Applicant;

4. PROJECT drawn up by completing the Forms attached hereto and duly signed by the Legal Representative of the Applicant as under paragraph4 “Project Proposal Submission Terms and Conditions” of the Call.

5. CD or SB Drive containing a least a piece and a video of the artist/band proposed

In accordance with D.lgs no. 196/03, I the undersigned consent to the use of my personal data being processed for the

purposes of this Call and subsequent administrative and legal procedures related to the same Call

______

(Place and Date)

Legal Representative

______(signature and stamp)______

FORM 1

self-certification (self-attested affidavit) in place of an attested affidavit

(art.47 DPR 28.12.2000 nO.445)

I, the undersigned, ______

born in ______(town/city)______(Country) on ______(date of birth)

Tax code______

as Legal Representative of ______

(indicate the name of the Business of the Applicant)

aware that providing false information and/or false documents is subject to criminal penalty and forfeiture of rights in the event that the Teatro Pubblico Pugliese, after carrying out verification, identifies the non-veracity of the content of the present declarations in accordance with articles no. 75 (forfeiture of rights ) and 76 of D.P.R. no. 445 of December 28, 2000, hereby

DECLARE

 to hold a VAT Number that entitles me to operate in the field of production and/or distribution and/or organization of live shows of an artistic nature;
 to comply with the current employment lawsand collective labour contracts in force in the country of origin of the Applicant;
 to have no arrears in the payment of social security contributions to National Social Security;
 not to be involved in any legal action against National Social Securityand/or in pending legal sanctions or penalties and/or administrative proceedings connected to withdrawals of authorizations following misappropriation of public funds.

Finally, should my project proposaI be included in the “Project Folder Puglia Sounds Export 2018”, I hereby GIVE MY CONSENT to the publication of my project (entirely or in part) on the institutional websites of Puglia Sounds – TPP – Regione Puglia.

______

(Place and Date)

Legal Representative

______(Stamp andsignature)______

PLEASE ATTACH IDENTITY DOCUMENT COPY

FORM 2

Puglia Sounds - Consorzio Teatro Pubblico Pugliese

Via Imbriani, 67 - 70121 Bari

C.F. e P.IVA: 01071540726

self-certification (self- attested affidavit) in place of an attested affidavit

under DPR. n. 445/2000

for ITALIAN applicants exempted from DURC - social security contributions payment certificate.

I, the undersigned, ______born in (town/city/country) ______

date of birth ______Tax code ______

as Legal Representative of (indicate the business name of the applicant) ______

with Legal Office in (town/city/country) ______postcode ______

address ______

and Headquarters in (town/city/country) ______postcode ______

address ______

tel ______fax ______e-mail ______

Tax code ______VAT Number ______

INPS n. ______

INAIL n.______

with reference to the application herewith,

DECLARE

 I am not required by the law to submit DURC - social security contributions payment certificate

and, in addition

DECLARE

 I am aware of the legal sanctions for fraudulent statements under Articles 75 and 76 of the D.P.R. No. 445 of 12/28/2000.

Attached is a copy of my current identity document.

______

(Place e Date)

Legal Representative

______

(Stamp and signature)

In accordance with D.lgs no. 196/03, I the undersigned consent to the use of my personal data being processed for the purposes of this Call and subsequent administrative and legal procedures related to the same Call.

______

(Place and Date)

Legal Representative

______(Stamp and signature)______

NOTE: The present statement, on plain paper (with no stamp duties) and without a certified authentic signature must be submitted and signed by the legal representative. If the present statement is signed by a proxy of the legal representative, the proxy (written authorization ì) in question must also be attached hereto.

TYPE OF PROPOSAL:

 YOUNG SENIOR 5 SENIOR 10

(Please tick one of the boxes)

PROJECT

1)ACTIVITIES CARRIED OUT IN THE THREE-YEAR PERIOD 2015-2016

OF THE ARTIST/MUSIC GROUP PROPOSED

1) CV OF THE APPLICANT (with a special focus of previous experiences in terms of management and booking of music shows and abroad)

______

Agreements (if any) with booking agents/promoters operating in a country other than that of the Applicant, if any (give the names of the booking agents/promoters and details of the agreements subscribed to with them) :

______

2) CV OF THE ARTIST/MUSIC GROUP PROPOSED with a special focus on previous experiences abroad (if any) for the proposal to be ranked as either “YOUNG” o “SENIOR” also in terms international record distributions (if any)

______

(Place and Date) Legal Representative

______(stamp and signature)______

PROJECT

2) PROJECT OF THE ACTIVITIES ABROAD OF THE ARTIST/MUSIC GROUP PROPOSED

TITLE

______

DESCRIPTION (800 to 2,000 characters)

______

DESCRPTION OF THE INTERNATIONAL MARKETS WHERE THE TOUR WILL TAKE PLACE AND OF THE STRATEGIC OBJECTIVES OF THE TOUR (800 to 2,000 characters)

______

DESCRIPTION OF THE ACTIVITIES TO BE CARRIED OUT FOR THE REALIZATION OF THE PROJECT OF MUSIC SHOW(S)/CONCERT(S) ABROAD, INCLUDING COMMUNICATION AND PROMOTION EFFORTS, DISTRIBUTION OF RECORD RELEASES, ETC.

PRESS OFFICE ABROAD

______

ANY OTHER ACTIVITY OF COMMUNICATION AND PROMOTION

______

RECORD RELEASES DISTRIBUTED ABROAD

Title of the record release: ______year of release ______

Produced by ______Mainstream distribution (indicate the country/ies):

Digital Platform/s used:______

______

(Place and Date) Legal Representative

______(stamp and signature)______

PROJECT

3) ORGANIZATIONAL PROJECT

DATE 1

- TITLE OF THE CONCERT PROPOSED ______

- DATE OF CONCERT ______TOWN ______FOREIGN COUNTRY ______

- VENUE CLUB/HALL ______SEATING CAPACITY ______

- AUDIENCE ADMISSION: please indicate whether the admission is free or by admission fees (tickets) and average ticket price (even if only indicatively) ______

-TYPE OF EVENT hosting the show/concert (indicate whether a festival, or a music show in a given hall or individual dates agreed upon with the promoter or directly with the halls, etc.)

______

DATE 2

- TITLE OF THE CONCERT PROPOSED ______

- DATE OF CONCERT ______TOWN ______FOREIGN COUNTRY ______

- VENUE CLUB/HALL ______SEATING CAPACITY ______

- AUDIENCE ADMISSION: please indicate whether the admission is free or by admission fees (tickets) and average ticket price (even if only indicatively) ______

- TYPE OF EVENT hosting the show/concert (indicate whether a festival, or a music show in a given hall or individual dates agreed upon with the promoter or directly with the halls, etc.)

______

DATE 3

- TITLE OF THE CONCERT PROPOSED ______

- DATE OF CONCERT ______TOWN ______FOREIGN COUNTRY ______

- VENUE CLUB/HALL ______SEATING CAPACITY ______

- AUDIENCE ADMISSION: please indicate whether the admission is free or by admission fees (tickets) and average ticket price (even if only indicatively) ______

- TYPE OF EVENT hosting the show/concert (indicate whether a festival, or a music show in a given hall or individual dates agreed upon with the promoter or directly with the halls, etc.)

______

DATE 4

- TITLE OF THE CONCERT PROPOSED ______

- DATE OF CONCERT ______TOWN ______FOREIGN COUNTRY ______

- VENUE CLUB/HALL ______SEATING CAPACITY ______

- AUDIENCE ADMISSION: please indicate whether the admission is free or by admission fees (tickets) and average ticket price (even if only indicatively) ______

- TYPE OF EVENT hosting the show/concert (indicate whether a festival, or a music show in a given hall or individual dates agreed upon with the promoter or directly with the halls, etc.)

______

DATE 5

- TITLE OF THE CONCERT PROPOSED ______

- DATE OF CONCERT ______TOWN ______FOREIGN COUNTRY ______

- VENUE CLUB/HALL ______SEATING CAPACITY ______

- AUDIENCE ADMISSION: please indicate whether the admission is free or by admission fees (tickets) and average ticket price (even if only indicatively) ______

- TYPE OF EVENT hosting the show/concert (indicate whether a festival, or a music show in a given hall or individual dates agreed upon with the promoter or directly with the halls, etc.)

______

TECHNICAL AND ARTISTIC STAFF WITH A1 COVERAGE OR WITH SIMILAR SOCIAL SECURITY COVERAGE UNDER THE LAW IN FORCE INVOLVED IN THE SHOWS/CONCERTS PROGRAMMED ABROAD

First name/Last name(as from I.D. job/titleperiod of employment

______

HELPER/ESCORT OF THE GROUP (max. n. 1)

First name/Last name(as from I.D.)job/title

______

TOTAL COST OF THE INTERNATIONALIZATION PROJECT PROPOSED

€ ______

DATE 1 – Cost € ______

DATE 2 – Cost € ______

DATE 3 – Cost € ______

DATE 4 - Cost € ______

DATE 5 - Cost € ______

DATE … – Cost € ______

______

(Place and Date)

Legal Representative

______(Stamp and signature)______

SUMMARY OF THE DATA OF THE PROPOSED PROJECT

1)Applicant:______;
2)Artist/band proposed:______;
1)Date 1
Title of the concert proposed:______;
Concert date:______;
Country:______;
Venue:______;
Access for the public______;
Cachet:______;
Data 2
Title of the concert proposed:______;
Concert date:______;
Country:______;
Venue:______;
Access for the public______;
Cachet:______;
Data 3
Title of the concert proposed:______;
Concert date:______;
Country:______;
Venue:______;
Access for the public______;
Cachet:______;
Date 4
Title of the concert proposed:______;
Concert date:______;
Country:______;
Venue:______;
Access for the public______;
Cachet:______;
3)Has the same artist/band realized in the period 2011-2013 tour in the same cities or Countries involved in this project? YES NO
4)Total cost for the travel expenses: Euros______.

(place and date)

Legal Representative

______(Stamp and signature)______

Teatro Pubblico Pugliese

Via Imbriani, 67

70121 Bari

C.F. e P.IVA: 01071540726

SUBJECT: Traceability of Payments–duties of suppliers/contractors under Law 136/2010 and subsequent amendments and additions: Disclosure of suppliers/contractors data.

Pursuant to the above Law on Traceability of Financial Flows the following supplier/contractor data are hereby disclosed:

Supplier/Contractor Data:

Business Name ______

Tax Code______

VAT number ______

Address ______

Zip code and Town ______

Legal Representative ______

Legal Representative Tax Code______

ID data of the current account/s dedicated to financial transactions:

Bank: ______

IBAN: ______

Personal data and Tax Code of the person(s ) authorized to make financial transactions through the above account:

Surname and First Name: ______

Tax number: ______

Place______Date ______Stamp and signature

FORM 4(Please copy and paste on headed paper of the organization/festival)

Statement related to the show

I hereby, in mu capacity as (role) of the ______(name of the organization/festival)______

confirm that on ______(date)______ the band/artist______

has perfomed live in ______(venue)______during ______(name of the festival)______.

The event has seen the participation of ______(number of people)______people as public.

The cost of the ticket for the show was €______.
Date ______/ ______
Stamp and Signature