Smart Urban Regions of the Future (SURF) REGISTRATION FORM (BASIC DATA) 1. Details of the applicants The Principal Investigator and co-applicant(s) constitute the obligatory research group within the consortium. Principal Investigator (main applicant) Name, title(s) male / female Date of PhD dd/mm/yyyy Position full professor / associate professor (UHD) End contract University/ Institute Department Section Postal Address Zip/city Tel E-mail Co-applicant (copy and paste in case there are more co-applicants) Name, title(s) Date of PhD Position male / female dd/mm/yyyy full professor / associate professor (UHD) / assistant professor (UD) / Lector / other: University/ Institute Department Section Address Zip/city Tel E-mail Co-applicant: non-academic (public and/or private partner) (copy and paste in case there are more co-applicants) Organisation Position Department Section Contact person male / female Address Zip/city Tel E-mail 2. Title of the proposal A short but specific title for the research for which funding is requested. (Same as the title entered in the project information screen). 3. Publishable summary of the proposed research (word count:______) Please provide a 250 words summary in English of the proposed research. Please use the same summary for the Iris factsheet. 1 Smart Urban Regions of the Future (SURF) DESCRIPTION OF THE CONSORTIUM 4. Composition of the consortium Please note that the persons mentioned under questions 1 and 2 constitute the consortium. Please specify their involvement in the proposed project in the table below. Consortium Member Involvement in the project Expertise 5. Quality of the consortium (word count:______) Please describe the achievements of the scientific applicants (past performance): scientific performance, results of prior subsidies, quality of the applicants, demonstrated for example by prior assessments, subsidies assigned, types of recognition, past performance in cooperating with non-scientific partners, etc. (250 words maximum per person/partner). Please describe the past performance of the consortium partners: previous experience in cooperating with research partners and/or consortia, previous experience regarding innovation, etc. (250 words maximum per person/partner). 6. Management of the consortium (word count:______) Please provide a description of the envisaged management structure of the consortium. Participation of partners in consortium (roles and responsibilities). Involvement during the research period. Max 250 words. 7. List of key publications Please provide relevant key publications of the main applicant and co-applicants, maximum 25 in total. RESEARCH PROPOSAL 8a. Description of the proposed research (word count:______) Please provide an overall description of the project in which the cohesion between the subprojects is articulated. Describe the following topics: scientific quality (including the demand articulation from practice), Societal and Policy relevance, connection with the SURF programme (Including the demand articulation from practice) and the scientific method. Max 1500 words per sub project. Part A: Subprojects universities. max 1500 words per sub project Subproject 1 (word count:______) Subproject 2 (word count:______) Subproject N (word count:______) 2 Smart Urban Regions of the Future (SURF) Part B: Subproject universities of applied sciences Subproject N+1 (word count:______) 8b. Description of the proposed knowledge dissemination and valorization Max 500 words. 9. Time plan 9a. Duration of the project Duration of the project as a whole is at least 3 years and cannot exceed a period of 5 years. (Subprojects are allowed to last for a shorter period). The envisaged start date should be between 1 January 2016 and 1 July 2016. Envisaged start date: Envisaged end date: 9b. Timetable Please provide a timetable over the grant period (preferably through a Gantt Chart, in which all subprojects are described separately). 10. Literature references Please provide literature references per subproject, with a maximum of 10 per subproject. 3 Smart Urban Regions of the Future (SURF) FINANCIAL AND ADMINISTRATIVE DETAILS 11a. Requested funding part A: Budget table A Please provide in the table below details of the budget you request from NWO as well as details on cofunding. Please see paragraph 3.2 of the Call for Proposals for guidelines on the budget. PERSONNEL COSTS Funding requested from NWO (N1) Description* fte Nr of Co-funding by external partner (M1) € Name partner Cash months € Postdoc or PhD* Postdoc or PhD Other VSNU staff Total N1 (Staffing) Total M1 (Staffing) BENCH FEE for PhDs / Postdocs Allocated by NWO Does not apply PhDs: aantal x € 5.000 ----------- -------- Postdocs: aantal x € 5.000 ----------- -------- ----------- -------- Totaal N2 (Bench Fee) MATERIAL COSTS Funding requested from NWO Specify ** Co-funding by external partner € Name partner in kind cash € Fieldwork and datasets Travel and subsistence Equipment Workshops and conferences Management project consortium Total N2 (Material costs) Totaal M2 (Material costs) SUMMARY Funding requested from NWO Co-funding by external partner Staffing (Total N1) Staffing (Total M1) Bench fee (Total N2) Does not apply Material Costs (Total N3) Material Costs (Total M2) Total requested from NWO (N4) Total co-funding (M3) TOTAL PROJECT BUDGET Funding requested from NWO (N4)*** € Maximum 75% of total project budget Cash co-funding by external partner € Minimum 50% of total co-funding In kind co-funding by external partner € Total co-funding (M3) € Minimum 25% of total project budget Total project budget (N4+M3) € *Please choose one of the given options. The research proposal should involve the appointment of at least two researchers (PhD students and/or postdoc researchers). The funding requested from NWO together with the cash co financing of the partners may not exceed the rates of the VSNU salary tables! ** The amount for the different parts in the material budget do not correspond with the amounts partners contribute for material costs. 4 -------- Smart Urban Regions of the Future (SURF) *** Regarding funds requested from NWO (see also section 3.1 and 3.2 of the Call for Proposals): The maximum budget that can be requested from NWO is EUR 1,5 million. Personnel costs In calculating the costs for PhDs and/or postdocs you must use the salary table provided on the NWO website: http://www.nwo.nl/financiering/hoe-werkt-dat/Salaristabellen. Co-funding by external partners The project is subject to a co-financing requirement of at least EUR 250.000, of which at least 50% in cash. The co-financing is added to the grant to be applied for from NWO and should be included in the budget. The figures mentioned in this table must correspond with those mentioned in the letters of commitment. Research costs & Bench fee No budget can be requested for expenses covered by the bench fee. Management of the project consortium, for example a (non-academic) process manager, up to 5% of the NWO grant. Please contact Ms. Anke van der Made (a.vandermade@nwo.nl) in case of questions regarding the Budget Table A. 12. Motivation for the requested budget Please provide a motivation for the Personnel and Research costs mentioned above 13. Requested funding part B: Budget Table B Name applicant University of Applied Sciences: Duration of the project: Project activities Staffing Material costs Total project budget SII Total costs € € € - % Co-funding by external partner 0,00% € 0,00% € € - % Funding % requested from SIA 0,00% € 0,00% 0,00% € 0,00% € Maximum € 300.000 Maximum 0,00% 75% Explanation of this format: This budget table is an integral part of the project application for the SURF-call: Smart Urban Regions of the Future. In this budget table the contribution from the applicant of the University of Applied Sciences is estimated. Please provide details on the budget you request from Regieorgaan SIA as well as details on co-funding in the separate excel sheet. This excel sheet should be submitted with the application using the Iris-system. Please provide a description of staff costs and material costs in column A and list the name of the corresponding organization in column B (this column is included in case there are several Universities of Applied Sciences participating in the project). If the field you are completing concerns staff costs, fill in column C to F and H. Column G and I will then be calculated automatically. If the field you are completing concerns material costs (i.e. all costs that are not based on hourly 5 Smart Urban Regions of the Future (SURF) wages), fill in columns J and K. Thereby column L will be calculated automatically. All totals are presented and calculated automatically in columns M,N and O. Regarding funds requested from Regieorgaan Sia The maximum budget that can be requested from Regieorgaan Sia is €300.000,The projects are subject to co-financing requirements of at least 25%, i.e. Regieorgaan Sia contributes up to a maximum of 75% of the total costs. Changes to the budget that occur whilst the project is running must always be approved in advance by Regieorgaan Sia Please contact Ms. Martje van Ankeren (m.vanankeren@regieorgaan-sia.nl) in case of questions regarding the Budget Table B. 14. Motivation for the requested budget Please provide a motivation for the Personnel and Research costs mentioned above. 15. Sum of Budget table A and Budget table B: € 16. Other grant applications If one of the applicants has submitted a similar proposal to another funding source, please provide the requested information in the table below. Please add a new table for each proposal. Title proposal: Applicant(s): Funding agency / budget applied for: Date of submission / date of decision: 17. Statement regarding obligatory letter of commitment from external partner(s) Please tick the appropriate box. The obligatory letter(s) of commitment has/have been attached to this application in IRIS. ☐ ☐ YES NO 18 . Statements by the main applicant YES/NO I have informed the host institution on this application and the institution has agreed to provide all necessary support if this project is funded. YES/NO I have completed this form truthfully. Name: Place: Date: Deadline for submitting this form: 8 September 2015, at 13.59 hours CET. Please submit the application to NWO in electronic form (pdf format is required!) using the Iris system, which can be accessed via the NWO website http://www.iris.nwo.nl. The application must be submitted 6 Smart Urban Regions of the Future (SURF) from the account of the main applicant. For any technical questions regarding submission, please contact the IRIS helpdesk (iris@nwo.nl). 7