APPLICATION FORM 2ND CALL FOR PROPOSALS ENVI-MED REGIONAL PROGRAMME

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1 APPLICATION FORM 2ND CALL FOR PROPOSALS ENVI-MED REGIONAL PROGRAMME To complete this form, please follow the instructions on calls for proposals at A. General presentation A1 Institution which is sponsoring and is responsible for the project NB: if the project sponsor (A1) is attached to an institution from one of the programme s partner countries, a co-sponsor attached to a French institution must be designated below (A1 Bis) so that a French-based administering institution, which is a co-signatory to the tripartite agreement with the Ministry of Foreign and European Affairs (MAEE) and National Institute of Sciences of the Universe (INSU), can be identified. A1 Bis Institution co-sponsoring the project and co-responsible for the project in France (project's administrative management) A1 Ter MISTRALS team validating the project : manager s name / connecting MISTRALS programm A2 Project title and acronym or abbreviation A3 Research area ICT-Asia 7th call for proposals Page 1 of 7

2 A4 Project aim A5 Project summary A5 bis Résumé du projet (in french) Page 2 of 7

3 A6 Information on the project sponsors * Mediterranean partner A: Mediterranean partner B: Mediterranean partner C: Mediterranean partner D: French partner A: French partner B: * Each project must link at least one French research team, including teams attached to French research units based abroad, with at least two teams from two different Mediterranean countries, at least one of which must be a non-eu state. Page 3 of 7

4 A7 Other associated organizations Mediterranean partners France B. Project details B1. Main focus of the project (basic research targeted research with or without company involvement) 200 words max. B2. Project description - 2 pages max. - Aims, origin, implementation plan including the contributions from each associated organization - Scope of the project - Results expected Page 4 of 7

5 B3. Timetable and main implementation stages B4. Contributions - 1 page max. - Presentation of the links between the various contributions and each organization s share B5. and Qualifications - 1 page max. - Presentation of each organization and B6. Further relevant information - 1 page max. - Project leaders experiences in implementing similar projects - Presentation of existing activities related to the project s main aim - Prospects of maintaining collaboration beyond this programme s financing period Page 5 of 7

6 C. Budget proposals C.1 Total budget Income Expenditure (detail for ENVIMED support requested in C.2) Year 1 Mediterranean partners: Total of eligible expenditures for ENVIMED support including other funds if any French partners : - : Other expenditures (please specify): Equipment: Operations: Grants: Year 2 Mediterranean partners: Total of eligible expenditures for ENVIMED support including other funds if any French partners : - : Other expenditures (please specify): Equipment: Operations: Grants: Total ENVI-MED regional programme, can only provide a financial contribution for the additional costs relating to the international nature of the projects, i.e. the mobility of researchers, doctoral students or post-doctoral students (travel and accommodation expenses), or the organization of international workshops and seminars (mobility and logistics). Page 6 of 7

7 C.2 Support requested from the ENVI-MED programme: Year 1 - : Year 2 - : Total* * The total amount allocated by ENVIMED may not exceed a total of 20,000 for the two years of the project, i.e. 10,000 per year. Page 7 of 7

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