11Th Transnational Call for Proposals

EuroTransBio:

11th transnational call for proposals

PROPOSAL FORM

PART A - Overview

Project Title *
Max. 120 caracters
Acronym *
Max. 15 caracters / The project is in the field of Biotechnology and is an industrial/applied research and development project: / YESNO
Topic of the project* / Agro/ FoodHealth Industrial Biotech Environment Marine/acquatic applicationsOther
Other :
Number of partners
in the consortium / SME / Large company
Research organisation / Other (please specify)
Duration of the project*
(2 -3 years are recommended) / years / Expected Start (dd/mm/yy) / Expected End (dd/mm/yy)
Total budget of the project (K€)[1]* / 0 K€
Requested funding (K€)[2]* / 0 K€
Budget per Country
Please calculate and enter the budget per country / AustriaFlanders (Belgium)Wallonia (Belgium)FinlandAlsace (France)GermanyItalyRussiaAndalusia (Spain)Basque Country (Spain)Other / % / AustriaFlanders (Belgium)Wallonia (Belgium)FinlandAlsace (France)GermanyItalyRussiaAndalusia (Spain)Basque Country (Spain)Other / %
AustriaFlanders (Belgium)Wallonia (Belgium)FinlandAlsace (France)GermanyItalyRussiaAndalusia (Spain)Basque Country (Spain)Other / % / AustriaFlanders (Belgium)Wallonia (Belgium)FinlandAlsace (France)GermanyItalyRussiaAndalusia (Spain)Basque Country (Spain)Other / %
AustriaFlanders (Belgium)Wallonia (Belgium)FinlandAlsace (France)GermanyItalyRussiaAndalusia (Spain)Basque Country (Spain)Other / % / AustriaFlanders (Belgium)Wallonia (Belgium)FinlandAlsace (France)GermanyItalyRussiaAndalusia (Spain)Basque Country (Spain)Other / %
AustriaFlanders (Belgium)Wallonia (Belgium)FinlandAlsace (France)GermanyItalyRussiaAndalusia (Spain)Basque Country (Spain)Other / % / AustriaFlanders (Belgium)Wallonia (Belgium)FinlandAlsace (France)GermanyItalyRussiaAndalusia (Spain)Basque Country (Spain)Other / %
AustriaFlanders (Belgium)Wallonia (Belgium)FinlandAlsace (France)GermanyItalyRussiaAndalusia (Spain)Basque Country (Spain)Other / % / AustriaFlanders (Belgium)Wallonia (Belgium)FinlandAlsace (France)GermanyItalyRussiaAndalusia (Spain)Basque Country (Spain)Other / %

PART A – Overview (continued)

Project summary

Project consortium: / Name of the organisation: / Type of organisation: / Country: / Budget per partner in %[3]:
Partner 1 (Coordinator): / SMELarge industryResearch organisation Other / AustriaFlanders (Belgium)Wallonia (Belgium)FinlandAlsace (France)GermanyItalyRussiaAndalusia (Spain)Basque Country (Spain)Other / %
Partner 2: / SMELarge industryResearch organisation Other / AustriaFlanders (Belgium)Wallonia (Belgium)FinlandAlsace (France)GermanyItalyRussiaAndalusia (Spain)Basque Country (Spain)Other / %
Partner 3: / SMELarge industryResearch organisation Other / AustriaFlanders (Belgium)Wallonia (Belgium)FinlandAlsace (France)GermanyItalyRussiaAndalusia (Spain)Basque Country (Spain)Other / %
Partner 4: / SMELarge industryResearch organisation Other / AustriaFlanders (Belgium)Wallonia (Belgium)FinlandAlsace (France)GermanyItalyRussiaAndalusia (Spain)Basque Country (Spain)Other / %
Partner 5: / SMELarge industryResearch organisation Other / AustriaFlanders (Belgium)Wallonia (Belgium)FinlandAlsace (France)GermanyItalyRussiaAndalusia (Spain)Basque Country (Spain)Other / %
Partner 6: / SMELarge industryResearch organisation Other / AustriaFlanders (Belgium)Wallonia (Belgium)FinlandAlsace (France)GermanyItalyRussiaAndalusia (Spain)Basque Country (Spain)Other / %
Partner 7: / SMELarge industryResearch organisation Other / AustriaFlanders (Belgium)Wallonia (Belgium)FinlandAlsace (France)GermanyItalyRussiaAndalusia (Spain)Basque Country (Spain)Other / %
Partner 8: / SMELarge industryResearch organisation Other / AustriaFlanders (Belgium)Wallonia (Belgium)FinlandAlsace (France)GermanyItalyRussiaAndalusia (Spain)Basque Country (Spain)Other / %
Partner 9: / SMELarge industryResearch organisation Other / AustriaFlanders (Belgium)Wallonia (Belgium)FinlandAlsace (France)GermanyItalyRussiaAndalusia (Spain)Basque Country (Spain)Other / %
Partner 10: / SMELarge industryResearch organisation Other / AustriaFlanders (Belgium)Wallonia (Belgium)FinlandAlsace (France)GermanyItalyRussiaAndalusia (Spain)Basque Country (Spain)Other / %

Budget summary1

Project costs per year (in K€) / Year: / Year: / Year: / Year: / Total:
Partner 1 (Coordinator): / 0 K€ / 0 K€ / 0 K€ / 0 K€ / 0 K€
Partner 2: / 0 K€ / 0 K€ / 0 K€ / 0 K€ / 0 K€
Partner 3: / 0 K€ / 0 K€ / 0 K€ / 0 K€ / 0 K€
Partner 4: / 0 K€ / 0 K€ / 0 K€ / 0 K€ / 0 K€
Partner 5: / 0 K€ / 0 K€ / 0 K€ / 0 K€ / 0 K€
Partner 6: / 0 K€ / 0 K€ / 0 K€ / 0 K€ / 0 K€
Partner 7: / 0 K€ / 0 K€ / 0 K€ / 0 K€ / 0 K€
Partner 8: / 0 K€ / 0 K€ / 0 K€ / 0 K€ / 0 K€
Partner 9: / 0 K€ / 0 K€ / 0 K€ / 0 K€ / 0 K€
Partner 10: / 0 K€ / 0 K€ / 0 K€ / 0 K€ / 0 K€
Total project costs: / 0 K€ / 0 K€ / 0 K€ / 0 K€ / 0 K€
2-3 year-projects recommended

Duties of the partners

By submitting the proposal to the EuroTransBio Electronic Submission System, the legal representatives agree to the following declarations:

They are authorized to represent their organisation(s) in this context.

All information supplied is true, accurate and complete and all fields in this proposal have been properly filled in. They will supply further information if needed.

They are acquainted with the EuroTransBio Guidelines of the 11th Call Program as well as with the national funding rules of the programme of their country/region.

They are committed to draw up a Consortium Agreement if the project is positively evaluated.

They agree to the use of information from this proposal to be used for accounting purposes and anonymized statistics.

They agree to the publication of the project title, duration and its acronym, the type of biotech, the legal name and countries of the participating partners, the publishable summary, the total costs and the funding of the project.

They agree that all proposals will be processed at the ETB Office hosted by Forschungszentrum Jülich GmbH. The proposals will be transmitted only to evaluators and experts who have signed a confidentiality agreement.

Optional : To avoid conflicts of interest in the evaluation process you have the possibility to name the main direct competitors to your project and/or exclude individual referees (please justify):

PROPOSAL FORM

PART B –Summary

Executive Summary of the project (maximum 1 page - Ariel size 11 or Times New Roman size 12)
Project Title (max. 120 characters)
Project goals (max. 500 characters)
Scientific and technological project description, including innovation degree and relevance to industrial/applied research and development (max. 2 000 characters)

PROPOSAL FORM

PART C - Consortium

Partner 1 = Project coordinator
Legal name of organization:
Type of organization [4]
(Coordinator should be SME) / SMELarge industryResearch organisationother / specify for other
Country* (the coordinator should be from an ETB country) / AustriaFlanders (Belgium)Wallonia (Belgium)FinlandAlsace (France)GermanyItalyRussiaAndalusia (Spain)Basque Country (Spain)Other / If other please specify
ZIP code: / Town:
Street name, number:
Website: / P.O.Box:
E-mail:
Contact information
Contact person for the project
Ms / Mr MsMr / First name: / Family name:
Function: / Phone (with int. prefix):
E-Mail: / Fax(with int. prefix):
Legal representative (only if different from contact person)
Ms /Mr MsMr / First name: / Family name:
Function: / Phone (with int. prefix):
E-Mail: / Fax(with int. prefix):
Information on the partner organisation
Legal form: / Foundation (year):
Company/Commercial registration number: / VAT number:
Financial information on the partner: / 2013 / 2014 / 2015 estimate
Number of employees
Number of employees in R&D
Turnover in K€
Balance sheet total in K€
R&D expenses in K€
Cash flow in K€
Project costs for partner 1
(to be provided in K€ -
only integral numbers) / Indicate if the costs are listed with or without taxes according to the national funding rules (eligible costs) of your country:
costs are listed without taxes costs are listed with taxes
Year: / Year: / Year / Year / Total5):
Project costs per partner 1) in K€ / Personnel / K€ / K€ / K€ / K€ / 0 K€
Overhead / K€ / K€ / K€ / K€ / 0 K€
Travel & subsistence / K€ / K€ / K€ / K€ / 0 K€
Material & supply / K€ / K€ / K€ / K€ / 0 K€
Equipment / K€ / K€ / K€ / K€ / 0 K€
Depreciation and rents / K€ / K€ / K€ / K€ / 0 K€
Other costs 2) / K€ / K€ / K€ / K€ / 0 K€
Subcontractors 4) / K€ / K€ / K€ / K€ / 0 K€
Total costs/partner 3) / 0 K€ / 0 K€ / 0 K€ / 0 K€ / 0 K€
Financing per partner in K€ / Funding requested / K€ / K€ / K€ / K€ / 0 K€
Co-financing / 0 K€ / 0 K€ / 0 K€ / 0 K€ / 0 K€
Co- financing: Please describe how you plan to finance the rest of the project costs of your part of the project (internal financing, investments from owners and other financers, other funding sources):

1) Costs:A more detailed cost breakdown (e.g. list of equipment) may be required by the national funding agency of your country.

2) Other costs:e.g. patent costs

3) "ETB-funding requested" + "Co-financing (automatically calculated)" = "Total costs/partner (automatically calculated)"

4) Please give name and address of subcontractors (if any) below

5) Total costs are automatically calculated

Name and address of subcontractors
Partner 2 / from ETB-Country/Region* / YES NO
Legal name of organisation:
Type of organization [5] / SMELarge industryResearch organisationother / specify for other
Country / AustriaFlanders (Belgium)Wallonia (Belgium)FinlandAlsace (France)GermanyItalyRussiaAndalusia (Spain)Basque Country (Spain)Other / If other please specify
ZIP code: / Town:
Street name, number:
Website: / P.O.Box:
E-mail:
Contact information
Contact person for the project
Ms / Mr MsMr / First name: / Family name:
Function: / Phone (with int. prefix):
E-Mail: / Fax(with int. prefix):
Legal representative (only if different from contact person)
Ms /Mr MsMr / First name: / Family name:
Function: / Phone (with int. prefix):
E-Mail: / Fax(with int. prefix):
Information on the partner organisation
Legal form: / Foundation (year):
Company/Commercial registration number: / VAT number:
Financial information on the partner: / 2013 / 2014 / 2015 estimate
Number of employees
Number of employees in R&D
Turnover in K€
Balance sheet total in K€
R&D expenses in K€
Cash flow in K€
Project costs for partner 2
(to be provided in K€ -
only integral numbers) / Indicate if the costs are listed with or without taxes according to the national funding rules (eligible costs) of your country:
costs are listed without taxes costs are listed with taxes
Year: / Year: / Year: / Year: / Total5):
Project costs per partner 1) in K€ / Personnel / K€ / K€ / K€ / K€ / 0 K€
Overhead / K€ / K€ / K€ / K€ / 0 K€
Travel & subsistence / K€ / K€ / K€ / K€ / 0 K€
Material & supply / K€ / K€ / K€ / K€ / 0 K€
Equipment / K€ / K€ / K€ / K€ / 0 K€
Depreciation and rents / K€ / K€ / K€ / K€ / 0 K€
Other costs 2) / K€ / K€ / K€ / K€ / 0 K€
Subcontractors 4) / K€ / K€ / K€ / K€ / 0 K€
Total costs/partner 3) / 0 K€ / 0 K€ / 0 K€ / 0 K€ / 0 K€
Financing per partner in K€ / Funding requested / K€ / K€ / K€ / K€ / 0 K€
Co-financing / 0 K€ / 0 K€ / 0 K€ / 0 K€ / 0 K€
Co- financing: Please describe how you plan to finance the rest of the project costs of your part of the project (internal financing, investments from owners and other financers, other funding sources):

1) Costs:A more detailed cost breakdown (e.g. list of equipment) may be required by the national funding agency of your country.

2) Other costs:e.g. patent costs

3) “ETB-funding requested" + "Co-financing (automatically calculated)" = "Total costs/partner (automatically calculated)"

4) Please give name and address of subcontractors (if any) below

5) Total costs are automatically calculated

Name and address of subcontractors
Partner 3 / from ETB-Country/Region / YES NO
Legal name of organisation:
Type of organization [6] / SMELarge industryResearch organisationother / specify for other
Country* / AustriaFlanders (Belgium)Wallonia (Belgium)FinlandAlsace (France)GermanyItalyRussiaAndalusia (Spain)Basque Country (Spain)Other / If other please specify
ZIP code: / Town:
Street name, number:
Website: / P.O.Box:
E-mail:
Contact information
Contact person for the project
Ms / Mr MsMr / First name: / Family name:
Function: / Phone (with int. prefix):
E-Mail: / Fax(with int. prefix):
Legal representative (only if different from contact person)
Ms /Mr MsMr / First name: / Family name:
Function: / Phone (with int. prefix):
E-Mail: / Fax(with int. prefix):
Information on the partner organisation
Legal form: / Foundation (year):
Company/Commercial registration number: / VAT number:
Financial information on the partner: / 2013 / 2014 / 2015 estimate
Number of employees
Number of employees in R&D
Turnover in K€
Balance sheet total in K€
R&D expenses in K€
Cash flow in K€
Project costs for partner 3
(to be provided in K€ -
only integral numbers) / Indicate if the costs are listed with or without taxes according to the national funding rules (eligible costs) of your country:
costs are listed without taxes costs are listed with taxes
Year: / Year: / Year: / Year: / Total5):
Project costs per partner 1) in K€ / Personnel / K€ / K€ / K€ / K€ / 0 K€
Overhead / K€ / K€ / K€ / K€ / 0 K€
Travel & subsistence / K€ / K€ / K€ / K€ / 0 K€
Material & supply / K€ / K€ / K€ / K€ / 0 K€
Equipment / K€ / K€ / K€ / K€ / 0 K€
Depreciation and rents / K€ / K€ / K€ / K€ / 0 K€
Other costs 2) / K€ / K€ / K€ / K€ / 0 K€
Subcontractors 4) / K€ / K€ / K€ / K€ / 0 K€
Total costs/partner 3) / 0 K€ / 0 K€ / 0 K€ / 0 K€ / 0 K€
Financing per partner in K€ / Funding requested / K€ / K€ / K€ / K€ / 0 K€
Co-financing / 0 K€ / 0 K€ / 0 K€ / 0 K€ / 0 K€
Co- financing: Please describe how you plan to finance the rest of the project costs of your part of the project (internal financing, investments from owners and other financers, other funding sources):

1) Costs:A more detailed cost breakdown (e.g. list of equipment) may be required by the national funding agency of your country.

2) Other costs:e.g. patent costs

3) ETB-funding requested" + "Co-financing (automatically calculated)" = "Total costs/partner (automatically calculated)"

4) Please give name and address of subcontractors (if any) below

5) Total costs are automatically calculated

Name and address of subcontractors
Partner 4 / from ETB-Country/Region / YES NO
Legal name of organisation:
Type of organization [7] / SMELarge industryResearch organisationother / specify for other
Country* / AustriaFlanders (Belgium)Wallonia (Belgium)FinlandAlsace (France)GermanyItalyRussiaAndalusia (Spain)Basque Country (Spain)Other / If other please specify
ZIP code: / Town:
Street name, number:
Website: / P.O.Box:
E-mail:
Contact information
Contact person for the project
Ms / Mr MsMr / First name: / Family name:
Function: / Phone (with int. prefix):
E-Mail: / Fax(with int. prefix):
Legal representative (only if different from contact person)
Ms /Mr MsMr / First name: / Family name:
Function: / Phone (with int. prefix):
E-Mail: / Fax(with int. prefix):
Information on the partner organisation
Legal form: / Foundation (year):
Company/Commercial registration number: / VAT number:
Financial information on the Partner: / 2013 / 2014 / 2015 estimate
Number of employees
Number of employees in R&D
Turnover in K€
Balance sheet total in K€
R&D expenses in K€
Cash flow in K€
Project costs for partner 4
(to be provided in K€ -
only integral numbers) / Indicate if the costs are listed with or without taxes according to the national funding rules (eligible costs) of your country:
costs are listed without taxes costs are listed with taxes
Year: / Year: / Year: / Year: / Total5):
Project costs per partner 1) in K€ / Personnel / K€ / K€ / K€ / K€ / 0 K€
Overhead / K€ / K€ / K€ / K€ / 0 K€
Travel & subsistence / K€ / K€ / K€ / K€ / 0 K€
Material & supply / K€ / K€ / K€ / K€ / 0 K€
Equipment / K€ / K€ / K€ / K€ / 0 K€
Depreciation and rents / K€ / K€ / K€ / K€ / 0 K€
Other costs 2) / K€ / K€ / K€ / K€ / 0 K€
Subcontractors 4) / K€ / K€ / K€ / K€ / 0 K€
Total costs/partner 3) / 0 K€ / 0 K€ / 0 K€ / 0 K€ / 0 K€
Financing per partner in K€ / Funding requested / K€ / K€ / K€ / K€ / 0 K€
Co-financing / 0 K€ / 0 K€ / 0 K€ / 0 K€ / 0 K€
Co- financing: Please describe how you plan to finance the rest of the project costs of your part of the project (internal financing, investments from owners and other financers, other funding sources):

1) Costs:A more detailed cost breakdown (e.g. list of equipment) may be required by the national funding agency of your country.