PROPOSAL FOR COLLABORATIVE ADVANCED

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FORMAT FOR SUBMISSION OF FULL PROPOSAL UNDER
BIRAC-CEFIPRA-French Embassy in India
Title of the project proposal
Principal Indian Collaborator (Industry): Name and Affiliation
Principal Indian Collaborator (Academic Institution): Name and Affiliation
Principal French Collaborator (Industry): Name and Affiliation
Principal French Collaborator (Academic Institution): Name and Affiliation
“Description of the Technical solution-solving proposed (1 to 2 pages)
1
Kindly indicate the stage of development of the proposed project
1. Proof- of -Concept
2. Validation
3. Product development
Duration of project (up to 24 months)
Summary of the project proposal (20 lines maximum)
Indicate innovative solution to the problem addressed with goals, objectives,
short work plan. Provide preliminary data along with IP and regulatory
requirements if any and justification for collaborations.
PART-I
PROJECT DESCRIPTION AND OTHER RELATED
INFORMATION
1. Objectives of the project (2 pages max)
2. State of the art and novelty of the project (one page max)
3. Methodology (5 pages max)
2
4. Objective-wise activity plan, milestones, outputs with timelines and budget
Sl. No.
Objectives
Activities
Objective 1
Activities 1
Milestones
Timelines
Output/
Delivera
bles
Budget
Particulars
1.
Activities 2
5. Presentation of each partner and their specific role and responsibilities (2 page
max/partner) into the project.
6. Describe the added value of the Indo-French collaboration (2 pages max).
7. Existing infrastructure facilities related to the project activities available in the
industry/ institutes where the project work will be carried out (2 pages max).
7. Social, environmental and economical Impact (2 pages max)
8. Main deliverables/outcomes foreseen:
3
9. Market Survey and needs addressed by the project (2 pages max)
10. Commercialization plan, expected turnover and percentage on ATO thereof (if
applicable)
11. Suggested referees for evaluation of the project (please suggest not more than
five Indian and five French referees with their addresses including e-mails &
phone numbers.
Kindly inform the name of scientists to whom the proposal may not be sent for
conflict of interest
PART II – BUDGET ESTIMATE
Budget Estimate
(Exchange Rate: 1Euro =Rs…………….)
Sl.
No.
Particular Heads
Budget
proposed
Indian Side
1.
Manpower
2.
Recurring
Expenses
(consumables,
contingency &
local travel)
3.
Equipment
4.
International
Travel
5.
Overhead charges
(10% of the total
4
Budget
contribution
from company
/ SME
Total Budget
estimate
budget with
maximum limit of
Rs. 500000)
Total (Indian Side)
French Side
1.
Manpower
2.
Recurring
Expenses
(consumables,
contingency &
local travel)
3.
International
Travel
4.
Overhead charges
(8% of recurring
head and
international
travel)
Total (French Side)
Grand Total (Indian+
French Side) in Euro
Grand Total (Indian+
French Side) in Rs.
Detail Particulars of budget proposed along with justification (Indian Side)
A.1 Budget for Manpower to be hired by the Indian Collaborator (s) for the project
Collaborator
Manpower
No.
Monthly
Emoluments
Proposed Budget (in Rs.)***
1st year
2nd year
3rd year
Year wise total
Total budget under Manpower head**
* Kindly indicate the requirements of the Principal collaborator and Joint collaborator separately when
they are not from the same institution.
** Overhead charges to be indicated separately. Please do not include in the budget requirements.
* ** Justification/Rationale on above budget should be given in detail
A.2 Budget under Other Recurring Expenses for the Indian Collaborator (s)
Collaborators
Item
Proposed Budget (in Rs.)*
1st Year
2nd Year
Cost of consumable Materials &
Contingencies
5
3rd
Year
(List of consumable materials)
Cost of project related local travel
within India
Any other miscellaneous
Cost of consumable Materials &
Contingencies
(List of consumable materials)
Cost of project related local travel
within India
Any other miscellaneous
Cost of consumable Materials &
Contingencies
(List of consumable materials)
Cost of project related local travel
within India
Any other miscellaneous
Year wise total
Total budget under recurring expenses
*Justification/Rationale
on above budget should be given in detail
List of Consumables for the Indian Collaborator (s)
Name of the
collaborator
Consumable particulars
proposed
Proposed Budget (in Rs.)*
1st year
2nd year
3rd year
Year Wise total budget
Total budget under consumable materials proposed
*Justification/Rationale
on above budget should be given in detail
A.3 Budget for Equipment by the Indian Collaborators
Name of the
collaborator
Purchase under
equipment head
1st
Cost of equipment
purchased under
equipment head
Cost of equipment
purchased under
6
Proposed Budget (in Rs.)*
year
2nd year
3rd Year
equipment head
Cost of equipment
purchased under
equipment head
Year wise total budget
Total budget on purchase of equipment by the Indian collaborators
*Justification/Rationale
on above budget should be given in detail
Details of equipment to be purchased in India and imported
S.No.
Item
Estimated cost
In foreign*
Currency
Exchange*
Rate
Detailed Justification
Cost in Rs.
* To be given only for imported equipment
Equipment approved under the project should be purchased early after the start of the project. In
no case equipment purchase will be allowed after the middle of the project.
A.4 International visit from India to France
International Travel
India to France
Proposed Budget (in Rs.)
1st Year
2nd Year
3rd Year
Proposed number of visits
From India to France
Activities to be performed during each visit
1st Year
7
Justification/
Rationale
2nd Year
3rd Year
B. Detail Particulars of proposed budget along with justification (French Side)
B.1 Budget for PhD/Post Doc internships (2 to 6 months) to be hired by the French
Collaborator (s) for the project
Name of the
collaborator (s) from
French side*
Type of
deployment
No.
Monthly
Emoluments
Proposed Budget (in Euro)***
1st year
2nd
3rd year
year
Year wise total
Total budget under Manpower head**
* Kindly indicate the requirements of the Principal collaborator and Joint collaborator separately when
they are not from the same institution.
** Overhead charges to be indicated separately. Please do not include in the budget requirements.
*** Justification/Rationale on above budget should be given in detail
B.2 Budget under Other Recurring Expenses for the French Collaborator (s)
Name of the
collaborator
Particulars
Proposed Budget (in Euro.)*
1st Year
2nd Year
3rd Year
Cost of consumable Materials &
Contingencies
(List of consumable materials)
Cost of project related local travel
within France
Any other miscellaneous
8
Cost of consumable Materials &
Contingencies
(List of consumable materials)
Cost of project related local travel
within France
Any other miscellaneous
Cost of consumable Materials &
Contingencies
(List of consumable materials)
Cost of project related local travel
within France
Any other miscellaneous
Year wise total
Total budget under recurring expenses
* Justification/Rationale on above budget should be given in detail
List of Consumables for the French Collaborator (s)
Name of the
collaborator
Consumable particulars
proposed
Proposed Budget (in Euro.)*
1st year
2nd year
3rd year
Year wise total budget
Total budget under consumable materials proposed
* Justification/Rationale on above budget should be given in detail
B.3 International Visit from France to India
France to India
Proposed Budget (in Euro.)
1st Year
2nd Year
3rd Year
Proposed number of visits
Activities proposed during each visit
9
Justification/
Rationale
1st Year
2nd Year
3rd Year
ADMINISTRATIVE INFORMATION OF COLLABORATORS
Principle collaborator in India (Please attach biography – 2 pages max - and the list of the 5 most
relevant publications in the last five years)
1
Name and Designation
2
Sex
3
Date of Birth
Male
(Date)
4
Name of the Institution / Industry
5
Address :– Institution/ Industry
(Month)
Telephone No. ( Land line plus Mobile) :
Fax No.
:
e-mail :–
6
Female
Residence Address
Telephone No. ( Land line plus Mobile) :
10
(Year )
7
Name of the Head of the Institute
Address :– Institution/ Industry
Telephone No. ( Land line plus Mobile) :
Fax No.
:
e-mail :–
Principal Collaborator from France (Please attach biography – 2 pages max - and the list of the 5
most relevant publications in the last five years)
1
Name and Designation
2
Sex
3
Date of Birth
Male
(Date)
4
Name of the Institution / Industry
5
Address :– Institution/ Industry
(Month)
Telephone No. ( Land line plus Mobile) :
Fax No.
:
e-mail :–
6
Residence Address
Telephone No. ( Land line plus Mobile) :
7
Female
Name of the Head of the Institute
Address :– Institution/ Industry
11
(Year )
Telephone No. ( Land line plus Mobile) :
Fax No.
:
e-mail :–
Joint Collaborator(s) from India (Please attach biography – 2 pages max - and a list of the 5 most
relevant publications in the last five years) (Please use a separate sheet for each of the Joint
collaborators)
1
Name and Designation
2
Sex
3
Date of Birth
Male
(Date)
4
Name of the Institution / Industry
5
Address :– Institution/ Industry
(Month)
Telephone No. ( Land line plus Mobile) :
Fax No.
:
e-mail :–
6
Residence Address
Telephone No. ( Land line plus Mobile) :
7
Name of the Head of the Institute
Address :– Institution/ Industry
Telephone No. ( Land line plus Mobile) :
Fax No.
Female
:
12
(Year )
e-mail :–
Joint Collaborator(s) from France (Please attach biography and a list of the 5 most relevant
publications in the last five years) (Please use a separate sheet for each of the Joint
collaborators)
1
Name and Designation
2
Sex
3
Date of Birth
Male
(Date)
4
Name of the Institution / Industry
5
Address :– Institution/ Industry
(Month)
Telephone No. ( Land line plus Mobile) :
Fax No.
:
e-mail :–
6
Residence Address
Telephone No. ( Land line plus Mobile) :
7
Female
Name of the Head of the Institute
Address :– Institution/ Industry
13
(Year )
Telephone No. ( Land line plus Mobile) :
Fax No.
:
e-mail :–
COMPANY/ SME BACKGROUND
Company from India
1. Details of company history including incorporation, R&D, achievements (patent/
paper publication or product/ process innovation) present ongoing projects and
future projection etc. (3 pages max)
2. Key R&D personnels (those who will be directly involved in this project): their
past track record, recent major achievements and their short biography (2
pages max) -
3. Company’s financial track record for last three years
(Amount in millions of Rs.)
SN
Particulars
FY--FY---FY--1
Reserves and Surplus
2
Secured Loan
3
Unsecured Loan
4
Net current Assets
5
Sales Turn Over
6
Total Income
7
Total Expenditure
8
Total R&D Expenditure (Capital
Recurring)
9
Profit After Tax
10
Cumulative Profit/Loss carried
14
to BS
Company from France
1. Details of company history including incorporation, R&D, achievements
(patent/paper publication or product/process innovation) present ongoing
projects and future projection etc.
2. Key R&D personnels (those who will be directly involved in this project): their
past track record, recent major achievements and their short biography.
3. Project champion (?),.
4. Company’s financial track record for last three years
(Amount in millions of Euro)
SN
Particulars
FY--FY---FY--1
Reserves and Surplus
2
Secured Loan
3
Unsecured Loan
4
Net current Assets
5
Sales Turn Over
6
Total Income
7
Total Expenditure
8
Total R&D Expenditure (Capital
Recurring)
9
PAT
10
Cumulative Profit/Loss carried
to BS
15
CHECK LIST
(To be submitted along with the proposal)
The following check list has been included in the format so as to enable the scientists to submit
proposals complete in all respects. Only those project proposals which have been duly filled in,
including this check list, and complete in all respects, will be considered.
Joint application signed by both the Principal Collaborators.
Certificate on official letterhead from the Head of the Institution/ Chief Executive Officer or
Managing Director of the Company of the Indian Principal Collaborator & Joint collaborator (s)
with certification that the infrastructural facilities related to the project activity available in the
institution / company including equipment, manpower and other facilities, and all necessary
administrative support will be extended for the project and the institute / company will take the
financial and other responsibilities of the part of the project work which will be conducted in that
institution/ company.
Certificate on official letterhead from the Head of the Institution/ Chief Executive Officer or
Managing Director of the Company of the French Principal Collaborator & joint collaborator (s)
with certification that the infrastructural facilities related to the project activity available in this
institution including equipment, manpower and other facilities, and all necessary administrative
support will be extended for the project and the institute / company will take the financial and
other responsibilities of the part of the project work which will be conducted in that institution/
company.
A list of other projects currently being handled by the Indian Principal Collaborator, giving titles
of the projects, funding agency, quantum of funds, starting dates and duration. It is not enough
to give the list of the projects being handled by the group or laboratory of the Principal
Collaborator. We need the lists of projects in which the Principal Collaborator is directly
involved.
A list of other projects currently being handled by the French Principal Collaborator, giving titles
of the projects, funding agency, quantum of funds, starting dates and duration. It is not enough
to give the list of the projects being handled by the group or laboratory of the Principal
Collaborator. We need the lists of projects in which the Principal Collaborator is directly
involved.
Two copies of Passport size photograph of the Indian Principal Collaborator.
Two copies of Passport size photograph of the French Principal Collaborator.
16
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