UK Space Agency,
Polaris House, North Star Avenue, Swindon, Wiltshire,
United Kingdom SN2 1SZ
Telephone +44 (0) 1793 418099
Web http://www.bis.gov.uk/ukspceagency
OPF
UKSA ref.:
COMPLIANCE WITH THE DATA PROTECTION ACT 1998
In accordance with the Data Protection Act 1998, the personal data provided on this form will be processed by the UK Space
Agency, and may be held on computerised database and/or manual files.
UK Space Agency
Outline Proposal
Please refer to the guidance notes concerning the relevant funding scheme or announcement of
opportunity before completing this outline proposal.
1. Scheme/announcement of opportunity against which you propose to submit an application
2. Title of Research Project [up to 150 chars]
3. Name and address of the lead Organisation for the proposal
Organisation
Division/Department
Address line 1
Address line 2
Address line 3
Town/city
Area/County
Country
Postal code
4. Your reference:
5. Lead Applicant
Surname
Forename(s)
Title
Division or Department
tel.
Fax
e-mail
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6. Correspondence address if different from Organisation
Address line 1
Address line 2
Address line 3
Town/city
Area/County
Country
Postal code
7. Provide an estimate of the likely total cost of the research proposal you wish to submit to
the UK Space Agency and the funds to be requested from the UK Space Agency. (In the case
of collaborative projects, state the total cost of the project and the total that will be sought
from the UK Space Agency by all the partners).
Estimated total cost of proposal (£)
Funds to be requested from UK Space Agency(£)
8. Collaborative Projects: if more than one organisation is intending to request funding directly
from the UK Space Agency for this project, list the organisations involved together with a brief
description of their role.
Name of project partner
Size
(S/M/L)
Role of project partner
9. For proposals requiring support to industry please tick the category
Category
Fundamental Research
Technical feasibility study preparatory to industrial research
Industrial research
Industrial research projects involving collaborators where the results will be disseminated
Technical feasibility study leading to experimental development
Experimental development
Experimental development involving collaboration
Reasons:
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10. Please provide a brief description of the proposal identifying the key technological
advances anticipated (up to 4000 characters)
11. Declaration
I/We hereby apply for inclusion in the list of organisations to be invited to submit a proposal. I/We
certify that the information supplied is accurate to the best of my/our knowledge and that I/we accept
the conditions and undertakings requested in the questionnaire. I/We understand that false
information could result in my/our exclusion from the list of approved organisations.
I/We also understand that it is a criminal offence to give or offer any gift or consideration whatsoever
as an inducement or reward to any servant of a public body and that any such action will empower
such body to cancel any grants currently in force and will result in my/our exclusion from the list of
approved organisations.
Lead Organisation
Signed
Name
Position
Date (dd/mm/yyyy)
Collaborating Organisation(s)
Organisation
Signed
Name
Position
Date (dd/mm/yyyy)
Organisation
Signed
Name
Position
Date (dd/mm/yyyy)
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Organisation
Signed
Name
Position
Date (dd/mm/yyyy)
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