DATE______
To Kazuya Ogawa, Ambassador of Japan to Bosnia and Herzegovina
(Applying Organization)
Postal code: －
Address:
Organization name: Seal
Title of representative:
Name of representative:
Telephone number:
Name of responsibleperson:
Application to the Embassy of Japan in Bosnia and Herzegovina
for Nominal Support and Pledge
Wesubmit this application form and other designated documents to the Embassy of Japan in Bosnia and Herzegovinato apply for nominal support in relation to hosting the project described below.
Shouldnominal support begranted, we pledge to observe the matters specified under 4. below. In the event that the Embassy of Japan findsany violation of this pledge, we will raise no objection to revocation by the Embassy of permission to use said nominal support.
1. Project title
2. Name of hosting organization
3. Nominal support, etc. sought
4. Matters to be observed
(1) The hosting organization (and the applying organization) shallbe completelyresponsible for the project and shallpay careful attentionto safety in carrying out the project.
(2)The hosting organization shallnot engage in political activity, religious activity, or any other activities or actions contrary to the purpose of the project.
(3)If the project involves participants from Taiwan or any other region, etc. with which Japan does not have diplomatic relations, the organization shallfollow the instructions given by the Embassy of Japan in Bosnia and Herzegovina.
(4)The project shallbe non-profit and be carried out in thepublic interest, and the organization shallnot engage in coercion in relation to the solicitation of donations, the provision ofassistance or participationin the project.
(5)Any surplus afterthe settlement of accounts shallbe donated to reputablecharitable organizations or projects or reserved for subsequent non-profit projects. Any deficit shallbe borne by the hosting organization or the applying organization.
(6)The project shallbe carried out in line with the outline containedin the document attached to the application form. If the organization intends to make any changes due to an unavoidable reason, it shallprovide notification to that effect immediately.
(7)The organization shallsubmit a report, including a statement of accounts, within three months after the expiration of the project period.