APPLICATION FOR A JOINT RESEARCH GRANT UNDER THE NRF-NWO
EXCHANGE PROGRAMME IN ‘ASTRONOMY’ AND ‘ENABLING TECHNOLOGIES
FOR ASTRONOMY’ 2015
The identical completed application form has to be submitted simultaneously to both NWO and NRF.
PART I: GENERAL INFORMATION
Title:
Theme
(tick appropriate box)
a. Astronomy
b. Enabling technologies for Astronomy
Modality
(tick appropriate box)
a. Individual Visit
b. Joint Research Seminar
c. Joint Research Project
Desired Starting Date:
Overall Budget Distribution
Desired Completion Date:
2016
2017
2018
Applied for at NRF (Rand)
Applied for at NWO (€)
Names, Addresses and Affiliations of Principal Investigators
South Africa
Netherlands
Full name:
Title:
University/Institution:
Dept./Faculty:
Address:
Telephone No.:
Fax No.:
E-mail:
Gender:
Race:
(not applicable to NWO)
Nationality
Citizenship and ID/
Passport
Number
(attach copy)
(not applicable to NWO)
Total
Page 2
SHORT SUMMARY
An abstract should be written in the space below, describing the work of both partners (Dutch and South
African) in such a way as to be comprehensible to a non-specialist in the research field (max. 300 words):
Names and affiliations of other researchers/students participating in the project in South
Africa and the Netherlands as appropriate (add rows where required).
Full name and nationality
Degree
Institution/s
NL or
SA
Student or
researcher
Race (SA only)
/ Gender
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Signatures (All copies submitted should contain the signature of the submitting Principal
Investigators of both The Netherlands and South Africa, as well as the Research Authorising Officer
for the South African institution)
Dutch Principal Investigator’s Name:
Position:
Signature:
Date:
South African Principal Investigator’s Name:
Position:
Signature:
Date:
South African Research officer:
Signature:
Date:
PART II – DID YOU RECEIVE FUNDING FROM A PREVIOUS CALL FOR COOPERATION
BETWEEN SA AND NL. IF YES PLEASE GIVE DETAILS (EXTEND SPACE WHERE REQUIRED)
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PART III - DETAILED DESCRIPTION OF THE PROPOSED PROJECT
a) An Individual Visit (max. 1000 words)
b) A Joint Research Seminar (max. 1000 words) or
c) A Joint Research Project (max 3000 words)
Please use the following headings:
1. Project description
2. Objectives
3. Methodology
4. Expected outcomes
5. Added value to NL-SA cooperation in ‘Astronomy’ or ‘Enabling Technologies for Astronomy’
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PART IV - TIME SCHEDULE AND WORK PLAN
Please outline the activities planned by the NWO and South African investigators for the total period
of the project (extend space where required)
Research Activity
Location of Research Activity
Country
Explanatory Remarks (where required)
Institution
Proposed Days
Start
Month
Year
End
Month
Year
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PART V - BUDGET DESCRIPTION
Please check 3.2 ‘What can be applied for’ in the call for proposals before completing the budget
table.
BUDGET APPLIED FOR BY THE SOUTH AFRICAN PI (in Rands)
Travel, accommodation and subsistence allowance: (add rows where required)
Description:
Budget (Rand)
2016
2017
2018
Total
Airfare
for
SA
researcher(s) to NL
Local travel and
subsistence in SA
Joint
seminar
operational costs in
SA
TOTAL
BUDGET APPLIED FOR BY THE DUTCH PI (in Euros)
Travel, accommodation and subsistence allowance: (add rows where required)
Description:
Budget (Euros)
2016
Airfare
for
NL
researcher(s) to SA
Local travel and
subsistence in NL
Joint
seminar
operational costs in
NL
TOTAL
2017
2018
Total
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3. OTHER SOURCES OF SUPPORT
3.1 Is this research currently being supported by other sources?
YES
NO
If yes, please indicate the sources, amounts and periods of support.
3.2 Has this project been submitted to other agencies for financial support?
YES
NO
If yes, please indicate which agencies, and when.
PART VI - BIOGRAPHICAL AND PROFESSIONAL INFORMATION
1.
Principal Investigator – South Africa
Title
Surname
Other Names
Nationality
Year of Birth
Resume´
Please include the following in your Resume’ below:
 Relevant academic and professional experience
 Research areas (outline the areas of research in which the researcher has been
involved).
 Publications and patents (during last three years).
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2.
Principal Investigator – The Netherlands
Title
First Names
Family Name
Nationality
Year of Birth
Resume´
Please include the following in your Resume’ below:
 Relevant academic and professional experience
 Research areas (outline the areas of research in which the researcher has been
involved).
 Publications and patents (during last three years).