Interim / Annual / Final* Technical Report No. … Please fill in the report number only for Annual Report

*Please select the type of the report submitted: interim, annual, final. Remove the other types of the report mentioned above.[1]

Executing Agency: <full organization / institution name>

Title of the project: <title of the project>

Activity Agreement: < AA number

Reporting period: number of months... / <day/month/year> - <day/month/year>

1.  BASIC INFORMATION

Project manager: <name of the project manager / <email> / <mobile phone number>

Partner/s: <name of the partner/s>

Project duration**: number of months... / <day/month/year> - <day/month/year>

** According to the Activity Agreement or to the last approved Addendum for extending the project period.

2.  SUMMARY OF THE PROJECT ACTIVITIES IMPLEMENTED

2.1. English Summary

Please insert here a short summary of maximum 1 page, in English. This summary should include the following information: a short description of the implemented activities, results/outputs and outcomes for the reported period.

2.2. Romanian Summary

Please insert here the Romanian translation of the summary inserted at section 2.1.

3.  ACHIEVEMENT OF OUTCOMES, OUTPUTS AND CORRESPONDING INDICATORS

3.1. Achievements regarding project objectives

Please fill in the following table with the outcomes, outputs and indicators of your project. (You should add or delete lines according to your project. However, you should include all the outcomes, outputs and indicators even if these were not planned to be developed during the reporting period. In this case you will mention “this is scheduled to be developed for the following period”).

PROJECT OUTCOME 1: <Please fill in the outcome name>
Output 1.1: <Please fill in the output name>
Indicator 1.1.1 / <Please fill in the indicator name> / <Please fill in the source of verification
Annex No…
<Please mention the quantitative achievement of the indicator in the reported period in absolute figures and percentage>
Please describe shortly the activities (quantitative and qualitative) and the achievement of the indicator. If the case, please mention the changes occurred from the initial planning of the corresponding activities, causes and effects and the proposed solutions.>
Indicator 1.1.2 / <Please fill in the indicator name> / <Please fill in the source of verification>
Annex No…
<Please mention the quantitative achievement of the indicator in the reported period in absolute figures and percentage>
<Please describe shortly the activities (quantitative and qualitative) and the achievement of the indicator. If the case, please mention the changes occurred from the initial planning of the corresponding activities, causes and effects and the proposed solutions.>
Output 1.2: <Please fill in the output name>
Indicator 1.2.1 / <Please fill in the indicator name> / <Please fill in the source of verification>
Annex No…
<Please mention the quantitative achievement of the indicator in the reported period in absolute figures and percentage>
<Please describe shortly the activities (quantitative and qualitative) and the achievement of the indicator. If the case, please mention the changes occurred from the initial planning of the corresponding activities, causes and effects and the proposed solutions.>
Indicator 1.2.2 / <Please fill in the indicator name> / <Please fill in the source of verification>
Annex No…
<Please mention the quantitative achievement of the indicator in the reported period in absolute figures and percentage>
<Please describe shortly the activities (quantitative and qualitative) and the achievement of the indicator. If the case, please mention the changes occurred from the initial planning of the corresponding activities, causes and effects and the proposed solutions.>
PROJECT OUTCOME 2: <Please fill in the outcome name>
Output 2.1: <Please fill in the output name>
Indicator 2.1.1. / <Please fill in the indicator name> / <Please fill in the source of verification>
Annex No…
<Please mention the quantitative achievement of the indicator in the reported period in absolute figures and percentage>
<Please describe shortly the activities (quantitative and qualitative) and the achievement of the indicator. If the case, please mention the changes occurred from the initial planning of the corresponding activities, causes and effects and the proposed solutions.>

3.2. Achievements regarding programme objectives

Please fill in this table only for the FINAL REPORT. For interim/annual reports is no needed to fill this table.

Indicators / Description (qualitative & quantitative)
1. Enhanced quality of partnerships between Swiss and Romanian institutions/organizations
2. Most significant change based on Swiss knowledge and expertise
3. Most significant insight Swiss partners gained through engagement
4. Proportion of Swiss financing per Romanian Partner
5. Number of people (men/women) that benefited from Swiss knowledge and expertise
6. Level of exchange (number of persons, ideas, tools, frequency of exchange visits)
7.Level of cooperation in local networks
8. Number of partners on the Romanian and Swiss side
9. Number of workshops for good parctice and learning transfer

4.  PROJECT ACTIVITIES

Please fill in the following table with the actual situation of the time frame of the planned activities. (You should add or delete lines according to your project).

Activity / Year 1 / Year 2 / Year 3
1 / 2 / 3 / 4 / 1 / 2 / 3 / 4 / 1 / 2 / 3 / 4
1.* <Please fill in the activity name> corresponding to indicator/s please fill in the indicator/s number
1.**<Please fill in the activity name> corresponding to indicator/s <please fill in the indicator/s number

*Planning submitted in the application form / during pre-contracting.

**Planning at the time of reporting. Please include this line only if changes were or/and will be made in the planning of the activity.

5.  PROJECT VISIBILITY FOR THE REPORTED PERIOD

Please mention the promoting methods, target group and their number. If applicable, for large grants, please include the updated visibility campaign.

Communication Tools / Description (Qualitative and Quantitative) / Please fill in the source of verification>
Please include all the project visibility materials in one annex
Annex No… /
Opening/closing/information conferences, promotional events for general public (forums, fairs, open days)* / Please detail the events in which the project was promoted. Describe briefly the event, key messages, target group/s, number of participants and how the project was promoted
Contact with media:
a. press conferences, briefings, interviews
b. press releases, newsletters, articles etc.
c. spots, promotional films, radio and television broadcasts / Please list all the materials developed during the report period. Specify the key messages, target group/s how and where publications / materials were distributed / published / broadcasted
Website or social media / Please add details about the website dedicated to the project or the section/s dedicated to the project on the website of the organization / partners. Please mention the number of visitors of the website / social media site
Additional promotional actions and channels / Please mention other types of project promoting which does not match with the categories above

*Do not forget that the Executing Agency is obliged to prepare and disseminate at least two press releases – one at the launching and the other at the closing of the project.

6.  PROJECT MANAGEMENT & FINANCES

6.1. Contractual Changes

Please list the notifications / amendments in chronological order during the reporting period as follows: Notification / addendum no. ... / dated ... + subject of the notification / addendum.

Type / No. / Date / Subject
Please fill in the type of the document: notification /addendum / <day/month/year> / Please fill in the subject of the notification or addendum
Please fill in the type of the document: notification /addendum / <day/month/year> / Please fill in the subject of the notification or addendum

6.2. Organizational Set-Up

Please state briefly the responsibilities of the project team during the reporting period, correlating the involvement in activities with information provided in the financial report.

No. / Name, position in the project* / Activities / The periods in which the person was involved / Workload*

*For independent experts, freelancers and persons without a constant activity in the Workload column will be filled in the total number of hours worked during the reported period.

6.3. The involvment of partner/s in the project

Please detail the involvement of each partner in the project, how each partner contributed to the development of the activities and achieving results in the reporting period. Please mention all the cooperation issues between EA and partner/s.

6.4. The relationship with SIB

Describe the relationship with the SIB in the reporting period. Please mention all the cooperation issues between EA and Swiss Intermediate Body.

6.5. Financial Aspects

Total budget of the project / CHF …
Grant amount / CHF … / … % of total budget
Own contribution (EA and Partner/s) / CHF … / … % of total budget
Advance payment received / CHF … / … % of grant amount
1st installment received (if the case) / CHF … / … % of grant amount
2nd installment received (if the case) / CHF … / … % of grant amount
3rd installment received (if the case) / CHF … / … % of grant amount
Total amount spent / CHF … / … % of amount spent from the total budget / … % of amount spent from the received payments

7.  LESSONS LEARNED

Please describe the difficulties during implementation and lessons learned from these experiences.

8.  OUTLOOK (NEXT STEPS)

Please include a short outlook for the next period/ next steps.

9.  ANNEXES

Please list the annexes attached to this report.You should add or delete lines according to your report.

Annex No. / Documents included
1.
2.
3.
4.
5.

Name of the project manager: <name of the project manager
Signature / Stamp: ... <please sign and stamp

Date: <day/month/year>

Please send the original signed and stamped report on hard copy. Supporting documents should be attached on CD, organized in folders according to section 9 – Annexes, except the printed (hard copy) publications, promotional materials. Each publication and promotional material produced through the project has to be sent at least in one original copy / piece.

[1] For filling in the Report please use only Arial Font, black color, size 10, 1.15 spacing. After completing the Report, please delete all the instructions for filling.