Canada-France Collaboration Preliminary Project Form P 1. General Project Information 1.1 Project Title (should be short and generic but related to the project) 1.2 Summary 1.3 Technological Area 1.4 Market Application 1.5 Budget and Duration Participant Country Person-months Total 1.5 Start Date Remarks End Date Personnel costs (€)/C$ Equipment costs (€)/C$ Total costs (€)/C$ 2. Project Outline 2.1 Description of the project (max. 0.5 page) 2.2 Technological development envisionned 2.2.1 Describe the state of the art and technological developments envisionned. 2.2.3 Describe the concrete results expected at the end of the project (new products, prototype, IPR (Intellectual Property Rights), process, etc.) 2.3 Market Application and Exploitation 2.3.1 What is the market envisionned (description) 2.3.2 What is the estimated market size and expected market share 2 3. Main Participant 3.1 Organization Full name Registration No. 3.2 Organization Address Street Postal code Country Telephone 3.3 Contact person data Last Name Function Direct Telephone First Name Title e-Mail 3.4 Homepage 3.5Main Participant: description Number of Employees (Fulltime equivalent) Number of employees in R&D (Fulltime equivalent) Annual Turnover M EUR ( for French participant) Balance Sheet Total M EUR (for French participant) Year and month of latest financial report 3.6 Describe your expertise and core business and previous international collaborations Describe your contribution and goal to the project 3 Estimate the costs of your contribution to the project Person-months Personnel costs (€)or C$ Equipment costs (€)or C$ Total costs (€)or C$ 4. Other Participant 4.1 Organization Full name Registration No. 4.2 Organization Address Street Postal code Country Telephone 4.3 Contact person data Last Name Function Direct Telephone First Name Title e-Mail 4.4 Homepage 4.5 Other Participant: description Number of Employees (Fulltime equivalent) Number of employees in R&D (Fulltime equivalent) Annual Turnover M EUR ( for French participant) Balance Sheet Total M EUR (for French participant) Year and monthof latest financial report 4.6. Describe your expertise and core business Describe your contribution to the project 4 Estimate the costs of your contribution to the project Person-months Personnel costs (€)or C$ Equipment costs (€) or C $or C$ Total costs (€) or C$ 5. ADDITIONAL PARTICIPANT 5.1 Organization Full name Registration No. 5.2 Organization Address Street Postal code Country Telephone 5.3Contact person data Last Name Function Direct Telephone First Name Title e-Mail 5.4 Homepage 5.5 Additional participant description Type of Organisation Large Company SME University Research Institute Administration Other Number of Employees (Fulltime equivalent) Number of employees in R&D (Fulltime equivalent) Annual Turnover M EUR ( for French participant) Balance Total M EUR (for French participant) Year and of latest financial report 5.6 Describe your expertise and core business 5 Describe your contribution to the project Estimate the costs of your contribution to the project Person-months Personnel costs (€) or C£$ Equipment costs (€) or C $ Total costs (€) Or C$ (For more participants, please copy additional participants section) Contacts BPIfrance: Ms Ineke Petit, +33.1.41.79.91.32, ineke.petit@bpifrance.fr Ms Nathalie Trannois , +33 1 41 79 80 59, Nathalie.trannois@bpifrance.fr NRC-CNRC: Mr Mathieu Lefaivre, +1 514-283-3775, mathieu.lefaivre@cnrc-nrc.gc.ca Mr Eric Holdrinet, +1 514-496-4425, eric.holdrinet@cnrc-nrc.gc.ca: 6