FORMAT FOR SUBMISSION OF FULL PROPOSAL UNDER BIRAC-CEFIPRA-French Embassy in India Title of the project proposal Principal Indian Collaborator (Industry): Name and Affiliation Principal Indian Collaborator (Academic Institution): Name and Affiliation Principal French Collaborator (Industry): Name and Affiliation Principal French Collaborator (Academic Institution): Name and Affiliation “Description of the Technical solution-solving proposed (1 to 2 pages) 1 Kindly indicate the stage of development of the proposed project 1. Proof- of -Concept 2. Validation 3. Product development Duration of project (up to 24 months) Summary of the project proposal (20 lines maximum) Indicate innovative solution to the problem addressed with goals, objectives, short work plan. Provide preliminary data along with IP and regulatory requirements if any and justification for collaborations. PART-I PROJECT DESCRIPTION AND OTHER RELATED INFORMATION 1. Objectives of the project (2 pages max) 2. State of the art and novelty of the project (one page max) 3. Methodology (5 pages max) 2 4. Objective-wise activity plan, milestones, outputs with timelines and budget Sl. No. Objectives Activities Objective 1 Activities 1 Milestones Timelines Output/ Delivera bles Budget Particulars 1. Activities 2 5. Presentation of each partner and their specific role and responsibilities (2 page max/partner) into the project. 6. Describe the added value of the Indo-French collaboration (2 pages max). 7. Existing infrastructure facilities related to the project activities available in the industry/ institutes where the project work will be carried out (2 pages max). 7. Social, environmental and economical Impact (2 pages max) 8. Main deliverables/outcomes foreseen: 3 9. Market Survey and needs addressed by the project (2 pages max) 10. Commercialization plan, expected turnover and percentage on ATO thereof (if applicable) 11. Suggested referees for evaluation of the project (please suggest not more than five Indian and five French referees with their addresses including e-mails & phone numbers. Kindly inform the name of scientists to whom the proposal may not be sent for conflict of interest PART II – BUDGET ESTIMATE Budget Estimate (Exchange Rate: 1Euro =Rs…………….) Sl. No. Particular Heads Budget proposed Indian Side 1. Manpower 2. Recurring Expenses (consumables, contingency & local travel) 3. Equipment 4. International Travel 5. Overhead charges (10% of the total 4 Budget contribution from company / SME Total Budget estimate budget with maximum limit of Rs. 500000) Total (Indian Side) French Side 1. Manpower 2. Recurring Expenses (consumables, contingency & local travel) 3. International Travel 4. Overhead charges (8% of recurring head and international travel) Total (French Side) Grand Total (Indian+ French Side) in Euro Grand Total (Indian+ French Side) in Rs. Detail Particulars of budget proposed along with justification (Indian Side) A.1 Budget for Manpower to be hired by the Indian Collaborator (s) for the project Collaborator Manpower No. Monthly Emoluments Proposed Budget (in Rs.)*** 1st year 2nd year 3rd year Year wise total Total budget under Manpower head** * Kindly indicate the requirements of the Principal collaborator and Joint collaborator separately when they are not from the same institution. ** Overhead charges to be indicated separately. Please do not include in the budget requirements. * ** Justification/Rationale on above budget should be given in detail A.2 Budget under Other Recurring Expenses for the Indian Collaborator (s) Collaborators Item Proposed Budget (in Rs.)* 1st Year 2nd Year Cost of consumable Materials & Contingencies 5 3rd Year (List of consumable materials) Cost of project related local travel within India Any other miscellaneous Cost of consumable Materials & Contingencies (List of consumable materials) Cost of project related local travel within India Any other miscellaneous Cost of consumable Materials & Contingencies (List of consumable materials) Cost of project related local travel within India Any other miscellaneous Year wise total Total budget under recurring expenses *Justification/Rationale on above budget should be given in detail List of Consumables for the Indian Collaborator (s) Name of the collaborator Consumable particulars proposed Proposed Budget (in Rs.)* 1st year 2nd year 3rd year Year Wise total budget Total budget under consumable materials proposed *Justification/Rationale on above budget should be given in detail A.3 Budget for Equipment by the Indian Collaborators Name of the collaborator Purchase under equipment head 1st Cost of equipment purchased under equipment head Cost of equipment purchased under 6 Proposed Budget (in Rs.)* year 2nd year 3rd Year equipment head Cost of equipment purchased under equipment head Year wise total budget Total budget on purchase of equipment by the Indian collaborators *Justification/Rationale on above budget should be given in detail Details of equipment to be purchased in India and imported S.No. Item Estimated cost In foreign* Currency Exchange* Rate Detailed Justification Cost in Rs. * To be given only for imported equipment Equipment approved under the project should be purchased early after the start of the project. In no case equipment purchase will be allowed after the middle of the project. A.4 International visit from India to France International Travel India to France Proposed Budget (in Rs.) 1st Year 2nd Year 3rd Year Proposed number of visits From India to France Activities to be performed during each visit 1st Year 7 Justification/ Rationale 2nd Year 3rd Year B. Detail Particulars of proposed budget along with justification (French Side) B.1 Budget for PhD/Post Doc internships (2 to 6 months) to be hired by the French Collaborator (s) for the project Name of the collaborator (s) from French side* Type of deployment No. Monthly Emoluments Proposed Budget (in Euro)*** 1st year 2nd 3rd year year Year wise total Total budget under Manpower head** * Kindly indicate the requirements of the Principal collaborator and Joint collaborator separately when they are not from the same institution. ** Overhead charges to be indicated separately. Please do not include in the budget requirements. *** Justification/Rationale on above budget should be given in detail B.2 Budget under Other Recurring Expenses for the French Collaborator (s) Name of the collaborator Particulars Proposed Budget (in Euro.)* 1st Year 2nd Year 3rd Year Cost of consumable Materials & Contingencies (List of consumable materials) Cost of project related local travel within France Any other miscellaneous 8 Cost of consumable Materials & Contingencies (List of consumable materials) Cost of project related local travel within France Any other miscellaneous Cost of consumable Materials & Contingencies (List of consumable materials) Cost of project related local travel within France Any other miscellaneous Year wise total Total budget under recurring expenses * Justification/Rationale on above budget should be given in detail List of Consumables for the French Collaborator (s) Name of the collaborator Consumable particulars proposed Proposed Budget (in Euro.)* 1st year 2nd year 3rd year Year wise total budget Total budget under consumable materials proposed * Justification/Rationale on above budget should be given in detail B.3 International Visit from France to India France to India Proposed Budget (in Euro.) 1st Year 2nd Year 3rd Year Proposed number of visits Activities proposed during each visit 9 Justification/ Rationale 1st Year 2nd Year 3rd Year ADMINISTRATIVE INFORMATION OF COLLABORATORS Principle collaborator in India (Please attach biography – 2 pages max - and the list of the 5 most relevant publications in the last five years) 1 Name and Designation 2 Sex 3 Date of Birth Male (Date) 4 Name of the Institution / Industry 5 Address :– Institution/ Industry (Month) Telephone No. ( Land line plus Mobile) : Fax No. : e-mail :– 6 Female Residence Address Telephone No. ( Land line plus Mobile) : 10 (Year ) 7 Name of the Head of the Institute Address :– Institution/ Industry Telephone No. ( Land line plus Mobile) : Fax No. : e-mail :– Principal Collaborator from France (Please attach biography – 2 pages max - and the list of the 5 most relevant publications in the last five years) 1 Name and Designation 2 Sex 3 Date of Birth Male (Date) 4 Name of the Institution / Industry 5 Address :– Institution/ Industry (Month) Telephone No. ( Land line plus Mobile) : Fax No. : e-mail :– 6 Residence Address Telephone No. ( Land line plus Mobile) : 7 Female Name of the Head of the Institute Address :– Institution/ Industry 11 (Year ) Telephone No. ( Land line plus Mobile) : Fax No. : e-mail :– Joint Collaborator(s) from India (Please attach biography – 2 pages max - and a list of the 5 most relevant publications in the last five years) (Please use a separate sheet for each of the Joint collaborators) 1 Name and Designation 2 Sex 3 Date of Birth Male (Date) 4 Name of the Institution / Industry 5 Address :– Institution/ Industry (Month) Telephone No. ( Land line plus Mobile) : Fax No. : e-mail :– 6 Residence Address Telephone No. ( Land line plus Mobile) : 7 Name of the Head of the Institute Address :– Institution/ Industry Telephone No. ( Land line plus Mobile) : Fax No. Female : 12 (Year ) e-mail :– Joint Collaborator(s) from France (Please attach biography and a list of the 5 most relevant publications in the last five years) (Please use a separate sheet for each of the Joint collaborators) 1 Name and Designation 2 Sex 3 Date of Birth Male (Date) 4 Name of the Institution / Industry 5 Address :– Institution/ Industry (Month) Telephone No. ( Land line plus Mobile) : Fax No. : e-mail :– 6 Residence Address Telephone No. ( Land line plus Mobile) : 7 Female Name of the Head of the Institute Address :– Institution/ Industry 13 (Year ) Telephone No. ( Land line plus Mobile) : Fax No. : e-mail :– COMPANY/ SME BACKGROUND Company from India 1. Details of company history including incorporation, R&D, achievements (patent/ paper publication or product/ process innovation) present ongoing projects and future projection etc. (3 pages max) 2. Key R&D personnels (those who will be directly involved in this project): their past track record, recent major achievements and their short biography (2 pages max) - 3. Company’s financial track record for last three years (Amount in millions of Rs.) SN Particulars FY--FY---FY--1 Reserves and Surplus 2 Secured Loan 3 Unsecured Loan 4 Net current Assets 5 Sales Turn Over 6 Total Income 7 Total Expenditure 8 Total R&D Expenditure (Capital Recurring) 9 Profit After Tax 10 Cumulative Profit/Loss carried 14 to BS Company from France 1. Details of company history including incorporation, R&D, achievements (patent/paper publication or product/process innovation) present ongoing projects and future projection etc. 2. Key R&D personnels (those who will be directly involved in this project): their past track record, recent major achievements and their short biography. 3. Project champion (?),. 4. Company’s financial track record for last three years (Amount in millions of Euro) SN Particulars FY--FY---FY--1 Reserves and Surplus 2 Secured Loan 3 Unsecured Loan 4 Net current Assets 5 Sales Turn Over 6 Total Income 7 Total Expenditure 8 Total R&D Expenditure (Capital Recurring) 9 PAT 10 Cumulative Profit/Loss carried to BS 15 CHECK LIST (To be submitted along with the proposal) The following check list has been included in the format so as to enable the scientists to submit proposals complete in all respects. Only those project proposals which have been duly filled in, including this check list, and complete in all respects, will be considered. Joint application signed by both the Principal Collaborators. Certificate on official letterhead from the Head of the Institution/ Chief Executive Officer or Managing Director of the Company of the Indian Principal Collaborator & Joint collaborator (s) with certification that the infrastructural facilities related to the project activity available in the institution / company including equipment, manpower and other facilities, and all necessary administrative support will be extended for the project and the institute / company will take the financial and other responsibilities of the part of the project work which will be conducted in that institution/ company. Certificate on official letterhead from the Head of the Institution/ Chief Executive Officer or Managing Director of the Company of the French Principal Collaborator & joint collaborator (s) with certification that the infrastructural facilities related to the project activity available in this institution including equipment, manpower and other facilities, and all necessary administrative support will be extended for the project and the institute / company will take the financial and other responsibilities of the part of the project work which will be conducted in that institution/ company. A list of other projects currently being handled by the Indian Principal Collaborator, giving titles of the projects, funding agency, quantum of funds, starting dates and duration. It is not enough to give the list of the projects being handled by the group or laboratory of the Principal Collaborator. We need the lists of projects in which the Principal Collaborator is directly involved. A list of other projects currently being handled by the French Principal Collaborator, giving titles of the projects, funding agency, quantum of funds, starting dates and duration. It is not enough to give the list of the projects being handled by the group or laboratory of the Principal Collaborator. We need the lists of projects in which the Principal Collaborator is directly involved. Two copies of Passport size photograph of the Indian Principal Collaborator. Two copies of Passport size photograph of the French Principal Collaborator. 16