To be accompanied by pFACT Submission Report signed by Head... departmental administrator and Costing Tool (if applicable)

advertisement
KNOWLEDGE EXCHANGE AND ENTERPRISE FUNDING
EPSRC IAA 2015-17 - FUNDING APPLICATION
To be accompanied by pFACT Submission Report signed by Head of department and
departmental administrator and Costing Tool (if applicable). Completed submissions
to be emailed to: knowledge.exchange@ucl.ac.uk
General
Project title
PI/ Academic Lead
at UCL
CoI (if any)
UCL Department
Partner
Organisation (if
any)
Name
Email
Name
Email
Name
Organisation type
Number of employees
Lead contact name
Address
Planned Activities
Aims
How will this
contribute to
creation of
maximum impact
from this
research?
How will this
contribute to the
embedding of a
culture of
enterprise and
innovation within
UCL?
How does this
plan fit in with
UCL2034?
Vice-Provost (Enterprise), University College London
2nd Floor, Gordon House, 29 Gordon Square, London, WC1H 0PP
Tel: +44 (0)20 3108 5071
Email: VPEnterprise@ucl.ac.uk
www.ucl.ac.uk/enterprise
Email
Activities to be
undertaken (add
additional pages
and Gantt chart if
required)
Milestone
definitions
Description
Milestone 1
Milestone 2
Milestone 3
Milestone 4
Staffing and
recruitment
requirements
Justification of
resources
requested
Details of
Contribution from
Partner
Organisation (if
applicable)
Plan for ongoing
activity and
securing further
funding if project
is successful
Commercialisation
possibilities and
UCLB engagement
Project Track Record
Summary of
underpinning
research (please
specify link with
EPSRC portfolio)
Research grant details (awarding body, reference number)
Measures of
Success
Duration
Previous KE from
project including
details of any
funding received
Financial
Proposed Start
Proposed End
(no later than 30
March 2017)
Partner(s)
contribution
EPSRC funding
requested
(directly incurred
costs only)
Staff to be funded
1
Date
Date
Cash
In kind
Salaries with
oncosts
Milestone 1
Milestone 2
Milestone 3
Milestone 4
Total EPSRC funding requested
Name
Total
Consumables and
Travel
Employee number
UCL background Delete as appropriate
Not applicable/ PDRA/technical or support staff
FTE
Milestone and Duration
Staff to be funded
2
Name
Employee number
UCL background Delete as appropriate
Not applicable/ PDRA/technical or support staff
FTE
Milestone and Duration
Staff to be funded
3
Name
Employee number
UCL background Delete as appropriate
Not applicable/ PDRA/technical or support staff
FTE
Milestone and Duration
Expected
quarterly spend
profile (separate
wage from other
costs)
pFACT costing
number
MyFinance
Organisation Unit
Departmental
Administrator
Name
Email
Total
Download