ELIGIBILITY EXTENSION REQUEST
In connection with my proposal [call identifier: STG 2025/ COG 2025] acronym [indicate acronym], I am requesting an extension of the eligibility window period due to: 
☐	Maternity /parental leave 
☐ 	Paternity / parental leave 
☐ 	Long-term illness
☐ 	National service  
☐	Disability
☐ 	Clinical training 
☐  	Major disaster 
☐	Seeking asylum 

Calculation of the extension period for the applicable circumstances [each event should be listed separately]:
No.	Leave/event	[if applicable] Short description (e.g. taking care of a sick family member) 	Start date (not needed for a flat rate)	End date (not needed for a flat rate)	Calculated number of days/months/
years	Supporting document(s) (type)	
1.							
2.							
3.							
Total extension request [1+2+3+(…)]: