University of Melbourne
Project ID: LE17XXX (applicant to complete)
LEAD CI SURNAME (UoM): _______________
NON-LEAD CI SURNAME (UoM): ________________
ARC Linkage Infrastructure Equipment and Facilities (LIEF) 2017
Internal Authority to Submit and Certification Form
(Required for applications being reviewed by RIC)
Please submit this form with a Review Ready** application by Research, Innovation and Commercialisation (RIC)
LIEF Submission Due Date (TBC). RIC will review the application and email feedback to the nominated address
below.
LIEF Project ID (generated in RMS)
LE17XXX (please also populate document header with project ID)
Lead Chief Investigator – Name & Title
Department (to administer this grant)
Faculty
Lead CI’s Email Address (to receive
feedback)
Main contact number/mobile
Name and email of additional people
who would like to be copied into the
feedback email from MR
The Lead Chief Investigator confirms that the attached application is Review
Ready**
(**All Parts of the Application has been completed. Note: “Review ready” may exclude
the Statement addressing selection criteria section in Part C, but should include all other
sections required in Part C such as the ‘Research Infrastructure Arrangements’ and ‘Role
of Personnel’
Yes
Initial:
The Lead Chief Investigator confirms that the final application meets the below criteria
outlined in the Instructions to Applicants
Lead CI to
Certify:
12 point black text and specified font - Times New Roman. (Except References
which may be in 10 point)
Yes
Initial:
Yes
Initial:
Yes
Initial:
Yes
Initial:
Margins of at least 0.5cm on each side and at top and bottom of pages
The Proposal contains all the information necessary for assessment without the
need for further written or oral explanation, or reference to additional
documentation, including the World Wide Web (eg: Hyperlinks are inactive)
I have read the ARC’s definition of Medical and Dental Research and confirm that
my proposal lies outside of this definition.
http://www.arc.gov.au/applicants/md_research.htm
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University of Melbourne
Project ID: LE17XXX (applicant to complete)
All Chief Investigators (CIs) and Partner Investigators named on my proposal
meet requirements specified in the LIEF Funding Rules for funding commencing
in 2017, including the eligibility criteria outlined for CIs and PIs.
I confirm that each CI and PI (and/or their research group) is a significant and
regular user of the research infrastructure requested as per section E10.1.4 of
the ARC Funding Rules.
Yes
Initial:
Yes
Initial:
I am aware that a researcher must not be nominated as a CI or as a PI on more
than two LIEF Proposals in the same funding round and that a CI or PI receiving
funding under the LIEF scheme may only be named on a maximum of two
concurrent Projects under this scheme.
I confirm that any outstanding ARC reports (progress and final reports) which are
due have been submitted to the appropriate Administering Organisation for
submission to the ARC.
Certification by the UoM Head of Department/School/Director of the Lead CI*
i)
I agree that the project can be accommodated within the general facilities in my Department and that
sufficient working and office space is available for any proposed additional staff;
ii) I am prepared to have the project carried out in my Department under the circumstances set out in the
Proposal;
iii) I have noted the amount of time which the investigators nominated in the Proposal will be devoting to the
project and agree that it is appropriate to existing workloads;
iv) I will adhere to all funding contributions being committed by my Department and will advise Melbourne
Research if the situation changes.
HOD/Director Name*
HOD/Director Signature*
Date
*If the lead Chief Investigator is the HOD, certification must be obtained from the Dean.
Certification by Chief Investigators
I certify that:
i)
all the details on this Proposal are true and complete;
ii)
proper inquiries have been made and I am satisfied that I meet the eligibility criteria as specified in the Funding Rules;
iii)
I have complied with the Funding Rules, and if the Proposal is successful I agree to abide by the terms of the Linkage
Infrastructure, Equipment and Facilities Funding Agreement for funding commencing in 2017;
iv)
I understand and agree that all statutory requirements must be met before the proposed research can commence;
v)
I have notified the Administering Organisation of any actual or potential conflicts of interest I may have in relation to
the Proposal and I undertake that, if the Proposal is successful, I will notify the Administering Organisation of any
conflicts of interest which arise subsequent to the submission of the Proposal;
vi)
I will notify the Administering Organisation if there are any changes in my circumstances which may impact on my
eligibility to participate in, or ability to perform, the project subsequent to the submission of this Proposal; and
vii)
this Proposal does not duplicate Commonwealth-funded research including that in a Commonwealth-funded Research
Centre.
In participating in this Proposal, I consent to:
i)
this Proposal being referred under confidentiality conditions to third parties, who will remain anonymous, for
evaluation or assessment purposes; and
ii)
the ARC copying, modifying and otherwise dealing with information contained in the Proposal, for the purpose of
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University of Melbourne
Project ID: LE17XXX (applicant to complete)
conducting the funding round.
Certification by Head of Department/School/Director of other UoM CIs
i) My department/school supports this Proposal and will contribute the resources outlined in the Proposal;
ii) I have noted the amount of time which the investigators nominated in the Proposal will be devoting to the
project and agree that it is appropriate to existing workloads;
iii) I will adhere to all funding contributions being committed by my Department and will advise Melbourne
Research if the situation changes.
BASED IN THE ABOVE CERTIFICATIONS, PLEASE ARRANGE THE FOLLOWING SIGNATURES:
- Signatures of all Chief Investigators (including the lead CI) and their Head of Department
Please note that electronic signatures are acceptable.
Title and Full Name of CI
(Printed)
Organisation/
Institution Name
University of Melbourne
University of Melbourne
University of Melbourne
University of Melbourne
University of Melbourne
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Signature of
CI
Signature of Head of
Department/School