g5a_legal entity form individuals.pdf

I. PERSONAL DATA
FAMILY NAME(S) ①
DD MM YYYY
PLACE OF BIRTH COUNTRY OF BIRTH
(CITY, VILLAGE)
TYPE OF IDENTITY DOCUMENT
  IDENTITY CARD PASSPORT DRIVING LICENCE ② OTHER ③
ISSUING COUNTRY
IDENTITY DOCUMENT NUMBER
PERSONAL IDENTIFICATION NUMBER ④
POSTCODE P.O. BOX CITY
REGION 
⑤ COUNTRY
PRIVATE PHONE
PRIVATE E-MAIL
II. BUSINESS DATA
  VAT NUMBER
  REGISTRATION NUMBER
YES NO   PLACE OF REGISTRATION: CITY
COUNTRY
DATE SIGNATURE
① As indicated on the official document.
② Accepted only for Great Britain, Ireland, Denmark, Sweden, Finland, Norway, Iceland, Canada, United States and Australia.
③ Failing other identity documents: residence permit or diplomatic passport.
④ See table with corresponding denominations by country.
⑤ To be completed with Region, State or Province by non EU countries only, excluding EFTA and candidate countries.
LEGAL ENTITY
NATURAL PERSON
PRIVACY STATEMENT http://ec.europa.eu/budget/contracts_grants/info_contracts/legal_entities/legal_entities_en.cfm#en
THIS "LEGAL ENTITY" SHEET MUST BE COMPLETED AND SIGNED, AND SUBMITTED 
TOGETHER WITH A LEGIBLE PHOTOCOPY OF THE IDENTITY DOCUMENT
PERMANENT 
PRIVATE ADDRESS
  BUSINESS NAME
  (if applicable)
Do you run your own business 
without a separate legal 
personality (e.g. sole traders, 
self-employed etc.) and you 
provide as such services to the 
Commission, other Institutions, 
Agencies and EU-Bodies?
Please use CAPITAL LETTERS and LATIN CHARACTERS when filling in the form.
FIRST NAME(S) ①
DATE OF BIRTH
If YES, please provide business data and attach copies of official 
supporting documents
TABLE WITH CORRESPONDING FIELD DENOMINATION BY COUNTRY
 
ISO CODE PERSONAL IDENTIFICATION NUMBER 
AT N/A 
BE N° d'identification du Registre national / Identificatienummer van het Rijksregister 
BG ЕГН- Единен граждански номер (ЕГН)  
Edinen grazhdanski nomer  
CY N/A 
CZ Rodné číslo (RČ) 
DE N/A 
DK Personnummer  (Da. CPR, Det Centrale Personregister) 
EE Isikukood (IK) 
ES Documento Nacional de Identidad (DNI)/Numero de identificacion fiscal(NIF)/Id.N° 
FI Finnish: Henkilötunnus (HETU), Swedish: Personbeteckning 
FR N/A 
GR N/A 
HR Osobni identifikacijski broj (OIB) 
HU N/A 
IE N/A 
IT Codice fiscale 
LT Asmens kodas 
LU N/A 
LV Personas kods 
MT Identify card number 
NL Burgerservicenummer (BSN) 
PL Powszechny Elektroniczny System Ewidencji Ludności (PESEL) 
PT N° identificação civil 
RO Cod Numeric Personal (CNP) 
SE Personnummer 
SI Enotna matična številka občana (EMŠO) 
SK Rodné číslo (RČ)

PL Powszechny Elektroniczny System Ewidencji Ludności (PESEL) 
PT N° identificação civil 
RO Cod Numeric Personal (CNP) 
SE Personnummer 
SI Enotna matična številka občana (EMŠO) 
SK Rodné číslo (RČ)