HERCULES
OPROEP 2011
Middelzware Onderzoeksinfrastructuur
Intentieverklaring

This document should be completed in English only

Deadline: 16.05.2011

Promoter-spokesperson for the application (only one allowed)

Last name
First name
Instelling van waaruit de aanvraag wordt ingediend
university college or university, from which the application is submitted

Title or name of the requested infrastructure

Hercules 1 / Hercules 2

Summary of the funding(in EUR)

This summary includes the non-refundable portion of the VAT.

Funding requested from the Hercules Foundation…………………………….

Total amount of co-financing…………………………….

and / or contribution by third parties…………………………….

Total subsidisable costs…………………………….

1.Information on the requested infrastructure/equipment

1.1Description of the scientific context of the requested equipment / infrastructure (The text is limited to max 3 pages A4 / 11250 characters, blanks incl.)

1.2Description of the requested equipment / infrastructure

Description of the infrastructure/equipment (including description of the upgrades to be provided):
Short description of the housing: specific installation requirements, conversions, new construction:
Short description of the permits required (e.g. planning permission, environmental permit, …):

1.3Does it involve the acquisition of new infrastructure/equipment or the expansion/replacement of existing infrastructure/equipment?

Please tick:
acquisition of new infrastructure/equipment
replacement of existing infrastructure/
expansion of existing infrastructure/equipment
Explanation and justification:
What infrastructure/equipment do you already have at your disposal?:
If it is an expansion and/or replacement of existing infrastructure/equipment, specify the year of purchase ofthe existing equipment/the year of installation of the existing infrastructure, the financing body, …:

2.Qualifications of the research groups concerned

2.1Scientific added value of the requested equipment/infrastructure for the research of the partners concerned

Give a description of the scientific added value of the requested equipment/infrastructure for the researchof the partners concerned. (Text limited to maximum 1 page A4) and provide an overview of the research projects (ongoing, applied for, or planned) that will make use of the
equipment/infrastructure. (Text limited to maximum 1 page A4.).

2.2Strategic added value of the requested equipment/infrastructure for the research groups concerned, for the institutions concerned and for the Flemish research area in general (Text limited to max. 1 A4)

3.Requested funding

Total amount of subsidisable costs

The total amount of subsidisablecosts for acquiring the required equipment/infrastructure (no overhead on allowance).

*** For the costs listed under A3., A4. and C3. the 15% rule applies (see notes).

INSTITUTION 1
(promoter-spokesperson) / INSTITUTION2 / third party / INSTITUTION3 / third party / TOTAL
A. Costs of research investments
A1. Costs for the purchase of infrastructure
A2. Costs for parts of the construction of the proposed research infrastructure
A3. Repair Costs ***
A4. Costs for adjustments of buildings and connection costs for the research infrastructure
***
B. Personnel costs for the development and construction of the research infrastructure
C. Maintenance costs and other costs during the amortization period
C1Costs from maintenance agreements
C2. upgrades ofresearch infrastructure
C3. Personnel costs for the ongoing maintenance and operation of research infrastructures ***
TOTAL SUBSIDISABLECOSTS