2025 II round. Application for translation and publishing of an illustrated publication Application for translation and publication of an illustrated publication 1. Information about the applicant 1.1. Applicant*(name of the legal person, company code) 1.2. 1.2. Representative (authorised signatory)*(name, and position) 1.3. Contact person*(for queries relating to the information provided in the application) 1.4. Country of registration*-- Choose your country --AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCote D'IvoireCroatiaCubaCuraçaoCyprusCzechiaDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the CongoReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands 1.5. Address* 1.6. Website 1.7. E-mail* 1.8. Phone number* 1.9. Applicant’s profile*(max 1500 characters) 1.10. List of translations published by the Applicant in the last two years* 2. Information about the publication 2.1. Author/s* 2.2. Title in Lithuanian (or title in original language)* 2.3. Publisher and year of the publication from which the translation will be made* 2.4. Volume of the publication*(approximate number of characters with spaces) 2.5. Target audience* 2.6. Language into which the publication is to be translated* 2.7. Preliminary title in target language* 2.8. The work is to be translated from the original language*YesNo 2.9. If the work is not to be translated from Lithuanian but from another (intermediary) language, please indicate the reasons and the language2.10. Format of the publication*PaperElectronicAudio 2.11. Planned distribution channels of the publication and partners*(max 1500 characters) 2.12. Planned marketing activities*(max 1500 characters) 2.13. Estimated publication date*(month and year) 2.14. Estimated print run*(no less than 500 copies) 2.15. Brief justification of the need for the project (why translation of the publication is relevant)* 3. Information about the translator 3.1. Name* 3.2. E-mail* 3.3. Link to free publicly available information on the translator’s professional activities and a list of translated works(if available)3.4. Brief justification of the translator's motivation for translating the publication* 4. Detailed estimate of project costs and deadlines for activities Project implementation activities Completion of activities (year, month) Projected costs, EURO Planned funding source Translation Editing, proofreading Design, layout Printing Distribution and marketing Other activities: ✕ Add a row + Total of projected costs, EURO: 5. Information on the costs requested for funding Project implementation activity Amount requested for funding, EURO Translation Publication (up to 1000 EURO)Please specify the publishing activities for which funding is requested: Acquiring copyrights Editing, proofreading Design, layout Printing Total Price per page, line, EURO (if applicable)*(a page contains 1800 characters with spaces) 6. The following required annexes are to be submitted with this application 6.1. A copy of the contract or other written agreement between the Applicant and the copyright holder/s of the publication referred to in the application, granting the Applicant the right to use the publication to the extent specified in the application** possible attachment formats: jpg, png, pdf, doc, docx, xls, xlsx** maximum attached file size 2 MB 6.2. A copy of the contract or other written document between the Applicant and the translator agreeing on the translation of the publication referred to in the application*YesNot applicable * possible attachment formats: jpg, png, pdf, doc, docx, xls, xlsx** maximum attached file size 2 MB 6.3. A free-form description of the translator’s professional activities and a list of translated works (hereafter referred to as the 'description of activities' in this clause) or a link to freely publicly available information on the translator’s professional activities and a list of translated works (if applicable)*Description of activities is provided with the application or the application provides a linkNot applicable * possible attachment formats: jpg, png, pdf, doc, docx, xls, xlsx** maximum attached file size 2 MB 6.4. A free-form application covering letter confirming the accuracy of the information provided in the application and its annexes.** possible attachment formats: jpg, png, pdf, doc, docx, xls, xlsx** maximum attached file size 2 MB 6.5. Copy of the power of attorney or other document if the covering letter is signed by an authorised person other than the head of the legal entity (if applicable)*Power of attorney is provided with the applicationThe application signed by the Head * possible attachment formats: jpg, png, pdf, doc, docx, xls, xlsx** maximum attached file size 2 MB 6.6. Annex to the Description ‘Declaration of a ‘Single Undertaking’** possible attachment formats: jpg, png, pdf, doc, docx, xls, xlsx** maximum attached file size 2 MB 7. The following optional annexes are to be submitted with this application 7.1. Other documents* possible attachment formats: jpg, png, pdf, doc, docx, xls, xlsx** maximum attached file size 2 MB 8. By submitting this application to the Lithuanian culture institute, I confirm on behalf of the applicant that 8.1. The Applicant is carrying out publishing activities*YesNo 8.2. The Applicant is not carrying out activities in the primary production of fishery and aquaculture products*YesNo 8.3. The Applicant is not carrying out activities in the primary production of agricultural products*YesNo 8.4. The Applicant is not carrying out export-related activities in third countries or Member States, namely activities directly linked to quantities exported, to the establishment and operation of a distribution network, or to other costs linked to export activity*YesNo 8.5. An enforcement order has not been issued in respect of the Applicant to recover funds pursuant to a decision of the European Commission under which State aid previously received in the Republic of Lithuania has been declared unlawful and incompatible with the internal market*Yes (has not been issued)No (has been issued) 8.6. The Applicant is organisationally and financially capable of implementing the Project properly and on time, i.e.:8.6.1. The Applicant has not acquired the status of a legal entity subject to bankruptcy, restructuring or liquidation due to bankruptcy, and is not in the process of reorganisation*Yes (has not acquired)No (has acquired) 8.6.2. The Applicant has not been convicted of a criminal offence against the financial system, the economy and business order by a final court judgement, or a conviction for the aforementioned offences has not fully expired (this also applies to the head of a legal entity)*Yes (has not been convicted)No (has been convicted) 8.6.3. The Applicant has not been the subject of a decision by the Institute and/or other competent authority to recover funding received from the Institute and not more than one year has passed since the decision was fully implemented*Yes (has not been)No (has been) 8.6.4. Within two years prior to the date of submission of the Application, the Applicant has not transferred (as defined by Commission Regulation (EU) No 651/2014 of 16 June, as amended by Articles 2(61a) and 14(16), under which certain categories of aid are declared compatible with the internal market in accordance with Articles 107 and 108 of the Treaty) an activity identical to or similar to the activity referred to in the application or part thereof from an undertaking located in another state of the European Economic Area to an undertaking located in the Republic of Lithuania, for which funding is requested, and undertakes that he/she shall refrain from doing so during the implementation of the Project, as well as for a period of 2 years following the end of the implementation of the Project*Yes (has not transferred)No (has transferred)The applicant is not registered in the Republic of Lithuania(only applicable to applicants registered in the Republic of Lithuania) 8.6.5. At the time of the assessment of the Application, the Applicant is not subject to a restriction (for up to 5 years) not to receive European Union financial assistance on account of illegal employment of third-country nationals*Yes (is not subject to a restriction)No (is subject to a restriction)The applicant is not registered in one of the EU or EEA Member States(only for applicants registered in the European Union or in the Member States of the European Economic Area) 8.6.6. The Applicant has submitted to the Register of Legal Entities sets of annual financial statements, as well as sets of annual consolidated financial statements, as stipulated in the Regulations of the Register of Legal Entities, approved by the Resolution No. 1407 of the Government of the Republic of Lithuania of 12 November 2003 ‘On the Approval of the Provisions of the Register of Legal Entities’*YesNoThe applicant is not registered in the Republic of Lithuania(only applicable to applicants registered in the Republic of Lithuania) 8.7. The project does not have a negative impact on the horizontal principles of sustainable development, innovation/creativity and equal opportunities for all set out in the National Progress Plan*Yes (does not have)No (has) 8.8. Financing will not be allocated to the expenses of completing those Project activities which have already received financing from other sources (state or municipal budgets and funds, the member states of the European Union and (or) the European Economic Area or resources of other states)*Yes (will not be allocated)No (will be allocated) 8.9. The personal data specified in the application has been collected and submitted to the Lithuanian Culture Institute in a lawful manner, in compliance with the requirements of the legal acts regulating the protection of personal data, and may be processed by the Lithuanian Culture Institute, as the data controller, for the purposes of project administration, monitoring and document management for 10 years after the implementation of the project, if the application is awarded funding, or for 3 years after adoption of the decision on the funding of the application, if funding is not awarded 8.10. I have read the Description of the Procedure for Funding Projects Promoting the Translation of Lithuanian Literature through the State Budget, approved by Order No. IV-260 of the Minister of Culture of the Republic of Lithuania of 20 March 2024 ‘On the Approval of the Description of the Procedure for Funding Projects Promoting the Translation of Lithuanian Literature through the State Budget’, I understand and accept its contents, I agree to the requirements and other conditions set out therein and I undertake to implement them 8.11. The information provided in the application is accurate and correct 8.12. I undertake to inform the Lithuanian Culture Institute immediately in writing in the event of any change in the information provided in the application on account of which funding could not be granted to the Applicant or should be granted to a different extent than requested in the application. Submit application