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Project Leverage Form

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This form should be filled on behalf of a  beneficary covering their involvement in a specific 5G PPP project.  The Project Name and PIC number are only used for avoiding overlap and will not be shown in the aggregated data.

Note: All the following fields should be filled in. Please enter 0 if you do not have an answer for a specific field.

A.1 General information To allow per project and per organisation type figures to be assessed
For what kind of Organisation are you contributing leverage figures?
For which 5G PPP project are you contributing to this report?
Please enter your PIC number to help avoid duplicate entries:
A.2 Direct leverage This means financial and/or in-kind contributions by partners to support project execution not covered by the direct funding and 25% overhead rate
A.2.1 What, in percentage terms, was your actual average overhead rate during this 5G PPP project period?
A.2.2 What additional (i.e. not reimbursed) in kind contributions did you make to this project (values in EUR);
Which categories of In-Kind contribution does this include?:
B.1 Follow-up of the project This means the total costs incurred for activities beyond the scope of the 5G PPP project during or after the project execution
B.1.1 What total costs (values in EUR) has your organisation incurred during or after this Project
Which categories of activities does this contribution include?: