Annexure III

APPLICATION FORM FOR UNDERTAKING RESEARCH ACTIVITIES WITH INAE SUPPORT

  1. Title of the Proposed Research Study
  1. Project Classification (Please tick one of the following)

SHORT TERMMEDIUM TERMLONG TERM

(4-12months) (12-24 months) (24-48 months)

  1. Host Institution in which the major part of the proposed studies will be conducted

Name......

Address......

......

......

Telephone......

Fax......

Email......

  1. Project Leadership

Principal Engineering Investigator (PEI) Coordinator* from the Host Institute

of INAE

Name:......
Designation: ......
Institution......
Address......
......
......
Tel:Office ......
Residence......
Mobile......
Fax No......
Email ...... / Name:......
Designation:......
Institution......
Address......
......
......
Tel:Office ......
Residence......
Mobile......
Fax No......
Email ......

*If identified

  1. Proposed Project Details

5.1Aims and Objectives

5.2Current knowledge base and salient features of past work undertaken in the concerned area (along with bibliographic information)

5.3Brief Description of proposed research Programme (200-300 words)

5.4Engineering Scope of the Investigations

5.5Project Duration: ------months

5.6Major Sub-activities and their proposed timeframe for execution (bar chart to be attached)

5.7Nature of Collaboration sought with the Host Institution

Joint Investigations with INAE Collaboration

Outsourcing Facilities and Manpower

Any other Relationship ......

5.8Major Facilities Required : Details to be given under following heads

5.8.1Facilities already available with the Host institution

5.8.2Facilities proposed to be acquired from project funds

5.8.3Sharing of Facilities of Other Institutions

5.9Mobilization of Manpower for the proposed Project

5.9.1Availing Part time services from Host Institution

YesNo

5.9.2Hiring of Project Assistants / Research Scholars / Research Associates

YesNo

5.9.3Availing Services of INAE Fellows

YesNo

In case of a ‘YES’ answer under 4.10.1 and 4.10.3 heads, the list of such persons including their names, designations, institutional affiliation and the nature of their inputs and duration of their involvement to be given (Table). In case of ‘YES’ answer under 4.10.2 heads, the number of research scholars / Associates to be engaged with project funds as per INAE guidelines and duration of their engagement to be indicated.

5.10Whether the intellectual property to be generated through the proposed project activities will be shared with the Host Institution

YesNo

If ‘Yes’ details of the working arrangement with the host institution to be provided

  1. Budget Estimates : The details to be provided in the following format employing INAE guidelines on financial compensation of Research Projects:
  2. HONORARIA
  3. INAE FELLOWS

NUMBER
(A) / Rs PER
INSTALMENT
(B) / NO OF
INSTALMENTS
(C) / FINANCIAL
COMPENSATION
(AXBXC)
1 / RETIRED
2 / INSERVICE
Sub – Total Rs.

6.1.2CONSULTANTS

Rs PER
INSTALMENT
(A) / NO OF
INSTALMENTS
(B) / FINANCIAL
COMPENSATION
(AXB)
1 / INTERNAL*
2 / EXTERNAL
Sub – Total Rs.

*Project Engineers / Scientists

Budget Head 1 Sub-Total Rs......

(1.1+1.2)

6.2FINANCIAL COMPENSATION TO RESEARCH ASSISTANTS / SCHOLARS / ASSOCIATES

CATEGORY / Rs MAN MONTH
(A) / MAN MONTHS
(B) / FINANCIAL
COMPENSATION
(AXB)
1 / RESEARCH ASSISTANTS
2 / RESEARCH SCHOLARS (JRF/SRF)
3 / RESERCH ASSOCIATES
4 / BUDGET HEAD 2
Sub-Total of 1 to 3 items / Rs.

6.3FINANCIAL COMPENSATION TO TECHNICAL / SECRETARIAL SUPPORT STAFF

CATEGORY / Rs /MANDAY
(A) / MANDAYS
(B) / FINANCIAL
COMPENSATION
(AXB)
1 / HELPERS
2 / SECRETARIAL STAF
3 / SUPERVISORS
4 / BUDGET HEAD 3
Sub – Total of 1 to 3 items / Rs.

6.4CONSUMABLES / CONTINGENCIES / SOFTWARE / REPRINTS / BOOKS / OVERHEADS

Materials / Amount, Rs
1 / CHEMICALS, MATERIALS and CONSUMABLES
2 / SOFTWARE PACKAGES / DATABASE ACCESS CHARGES
3 / BOOKS / REPRINT DOWNLOADS
4 / POSTAGE / TELEPHONE / INTERNET CHARGES
5 / INSTITUTIONAL OVERHEADS
-INAE
-HOST INSTITUTION
6 / CONTINGENCIES (unforeseen expenditure)
7 / BUDGET HEAD 4
Sub – Totalof 1 to 7 items / Rs.

6.5TRAVEL WITHIN INDIA

MODE OF TRAVEL / Amount, Rs
1 / AIR
2 / TRAIN / BUS
3 / TAXI
4 / BUDGET HEAD 5
Sub – Totalof 1 to 3 items / Rs.

6.6WORKSHOP / SEMINAR / PMC MEETINGS

NUMBER / FINANCIAL ALLOCATION
Rs
1 / WORKSHOP / SEMINAR
2 / BRAINSTORMING MEETINGS
3 / PMC MEETINGS
4 / BUDGET HEAD 6
Sub – Totalof 1 to 3 items / Rs.

TOTAL PROJECT EXPENDITURERs......

(Total of 5.1 to 5.6 HEADS) (Rs. In words) ......

  1. Certificate from the Head or Authorized Authority of the Host Institution:

This is to certify that the facilities and manpower as identified in the project proposal will be provided to Dr / Prof...... , the Principal Engineering Investigator. The sharing of intellectual property will be as per 4.11 clause.

Name:

Designation:

Place:

Date:

  1. Undertaking from the Principal Engineering Investigator (PEI)

This is to certify that the information provided in this proposal is authentic from the best of our knowledge. All efforts will be made to fulfil the objectives of the project within the indicated time frame.

Name:Name:

Principal Engineering InvestigatorCoordinator from Host Institution

Place:

Date: