How To Build A Project Consortium

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1 FP 7 K.B.B.E ERA-NET on Systems Biology Applications: ERASysAPP Application Form A) Title of the transnational collaborative project: Acronym (max. 10 character): Project Duration: Total project cost ( ): Total requested budget ( ): Project Consortium Coordinator Family Name: First Name: Institution: Institution s legal status 1 : Type of Institution Academic/PRO Public Health Industrial TTO Department and position: Address: Postal Code: City: Country: Phone: Fax: Other information 2 : Other project partner participating personnel (please provide names and positions, 1 line per person) Funding organisation: 1 Please choose among: A. Academia (universities, other higher education institutions or public research organizations- PRO); B. Public health research sector (hospitals or other health care organizations); C. Industry/SMEs (all sizes of private companies); D. Technology Transfer Office (TTO). 2 Industry: Additional information (such as VAT number, turnover, balance sheet) might be requested by your funding agency. Please check in the Country specific information for applicants. 1

2 Project Partner 2 Family Name: First Name: Institution: Institution s legal status: Type of Institution Academic/PRO Public Health Industrial TTO Department and position: Address: Postal Code: City: Country: Phone: Fax: Other information: Other project partner participating personnel (please provide names and positions, 1 line per person) Funding organisation: No funds requested 2

3 Project Partner 3 Family Name: First Name: Institution: Institution s legal status: Type of Institution Academic/PRO Public Health Industrial TTO Department and position: Address: Postal Code: City: Country: Phone: Fax: Other information: Other project partner participating personnel (please provide names and positions, 1 line per person) Funding organisation: No funds requested 3

4 Project Partner 4 Family Name: First Name: Institution: Institution s legal status: Type of Institution Academic/PRO Public Health Industrial TTO Department and position: Address: Postal Code: City: Country: Phone: Fax: Other information: Other project partner participating personnel (please provide names and positions, 1 line per person) Funding organisation: No funds requested 4

5 Project Partner 5 Family Name: First Name: Institution: Institution s legal status: Type of Institution Academic/PRO Public Health Industrial TTO Department and position: Address: Postal Code: City: Country: Phone: Fax: Other information: Other project partner participating personnel (please provide names and positions, 1 line per person) Funding organisation: No funds requested 5

6 Project Partner 6 Family Name: First Name: Institution: Institution s legal status: Type of Institution Academic/PRO Public Health Industrial TTO Department and position: Address: Postal Code: City: Country: Phone: Fax: Other information: Other project partner participating personnel (please provide names and positions, 1 line per person) Funding organisation: No funds requested 6

7 Project Partner 7 Family Name: First Name: Institution: Institution s legal status: Type of Institution Academic/PRO Public Health Industrial TTO Department and position: Address: Postal Code: City: Country: Phone: Fax: Other information: Other project partner participating personnel (please provide names and positions, 1 line per person) Funding organisation: No funds requested 7

8 Project Partner 8 Family Name: First name: Institution: Institution s legal status: Type of Institution Academic/PRO Public Health Industrial TTO Department and position: Address: Postal Code: City: Country: Phone: Fax: Other information: Other project partner participating personnel (please provide names and positions, 1 line per person) Funding organisation: No funds requested 8

9 1. Summary (max. 1 page) 2. Scientific background (max. 2 pages) 3. Work plan (max. 16 pages) 4. Added value of the proposed transnational collaboration (max. 1 page) 5. Data management (max. 3 pages) 6. Related projects (max. ½ page per participant) 7. CV s (web form) 8. Facilities and large equipment (max. 1 page) 9. Justification of requested resources (max. 1 page) 10. Training opportunities, if applicable (max. ½ page) 11. IPR management (max. 1 page) 9

10 12. Societal and ethical aspects (ELSA) (max. ½ page) 13. For companies: short description of the company, similar initiatives (max. ½ page per company) 14. Technology Transfer Office plan (max. 3 pages) 10

11 15. Financial plan of Project Budget (in K ) Partners YEAR 1 YEAR 2 YEAR 3 Total Total cost Requested Total cost Requested Total cost Requested Total cost Requested Partner 1 Partner 2 Partner 3 Partner 4 Partner 5 Partner 6 Partner 7 Partner 8 Total Please consider that not all types of expenditure are fundable by all funding organisations (please read the national annexes and/or contact the relevant ERASySAPP funding organisation for details). 11 of 20

12 Type Financial plan of Project Partner 1 (in ) Item YEAR 1 YEAR 2 YEAR 3 Total Total cost Requested Total cost Requested Total cost Requested Total cost Requested Personnel: scientists in person month (incl. PhD students) Consumables & Equipment Data management Travel Other Total Please consider that not all types of expenditure are fundable by all funding organisations (please read the national annexes and/or contact the relevant ERASysAPP funding organisation for details). 12

13 Financial plan of Project Partner 2 (in ) Type Personnel: scientists in person month (incl. PhD students) Item YEAR 1 YEAR 2 YEAR 3 Total Total cost Requested Total cost Requested Total cost Requested Total cost Requested Consumables & Equipment Data management Travel Other Total Please consider that not all types of expenditure are fundable by all funding organisations (please read the national annexes and/or contact the relevant ERASysAPP funding organisation for details). 13

14 Type Personnel: scientists in person month (incl. PhD students) Financial plan of Project Partner 3 (in ) Item YEAR 1 YEAR 2 YEAR 3 Total Total cost Requested Total cost Requested Total cost Requested Total cost Requested Consumables & Equipment Data management Travel Other Total Please consider that not all types of expenditure are fundable by all funding organisations (please read the national annexes and/or contact the relevant ERASysAPP funding organisation for details). 14

15 Type Financial plan of Project Partner 4 (in ) Item YEAR 1 YEAR 2 YEAR 3 Total Total cost Requested Total cost Requested Total cost Requested Total cost Requested Personnel: scientists in person month (incl. PhD students) Consumables & Equipment Data management Travel Other Total Please consider that not all types of expenditure are fundable by all funding organisations (please read the national annexes and/or contact the relevant ERASysAPP funding organisation for details). 15

16 Type Financial plan of Project Partner 5 (in ) Item YEAR 1 YEAR 2 YEAR 3 Total Total cost Requested Total cost Requested Total cost Requested Total cost Requested Personnel: scientists in person month (incl. PhD students) Consumables & Equipment Data management Travel Other Total Please consider that not all types of expenditure are fundable by all funding organisations (please read the national annexes and/or contact the relevant ERASysAPP funding organisation for details). 16

17 Type Financial plan of Project Partner 6 (in ) Item YEAR 1 YEAR 2 YEAR 3 Total Total cost Requested Total cost Requested Total cost Requested Total cost Requested Personnel: scientists in person month (incl. PhD students) Consumables & Equipment Data management Travel Other Total Please consider that not all types of expenditure are fundable by all funding organisations (please read the national annexes and/or contact the relevant ERASysAPP funding organisation for details). 17

18 Type Financial plan of Project Partner 7 (in ) Item YEAR 1 YEAR 2 YEAR 3 Total Total cost Requested Total cost Requested Total cost Requested Total cost Requested Personnel: scientists in person month (incl. PhD students) Consumables & Equipment Data management Travel Other Total Please consider that not all types of expenditure are fundable by all funding organisations (please read the national annexes and/or contact the relevant ERASysAPP funding organisation for details). 18

19 Type Financial plan of Project Partner 8 (in ) Item YEAR 1 YEAR 2 YEAR 3 Total Total cost Requested Total cost Requested Total cost Requested Total cost Requested Personnel: scientists in person month (incl. PhD students) Consumables & Equipment Data management Travel Other Total Please consider that not all types of expenditure are fundable by all funding organisations (please read the national annexes and/or contact the relevant ERASysAPP funding organisation for details) 19

20 16. ANNEX: charts, figures and diagrams as PDF (max. 2 pages) 20 of 20

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