Canada-France Collaboration
Preliminary Project Form
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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
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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:
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