As Set out in Section 12 (Reviews & Reporting Procedures) of The

PhD Studentship

Annual Report (incorporating the Company Annual Report) [September 2018]

/

As set out in Section 12 (Reviews & Reporting Procedures) of the

PhD Standard Conditions of the Award of Medical Research Scotland Research Funding, this report is required ANNUALLY during tenure of the PhD Studentship. You will have been informed of the deadline for its submission. This report should be completed, as appropriate, by the Principal Supervisor, the PhD Student, the IP Manager from the Administering Institution and the Company Supervisor and designated Company signatory and then submitted by the Principal Supervisor from the Administering Institution.

/ For office use only:
Received:

Studentship Ref. No: PhD--

COMPLETE ALL SECTIONS (A, B & C)

Once complete, this form (saved as a Word doc file) and accompanying documents should be sent by email to: and, in addition, one hard copy, incorporating hard copies of any accompanying documents AND original signatures, should be sent by post to the Trust Administrator, Medical Research Scotland, Turcan Connell, Princes Exchange, 1 Earl Grey Street, Edinburgh EH3 9EE, to arrive no later than 2 working days after the email.

SECTION A – ADMINISTERING INSTITUTION ANNUAL REPORT

1. Principal Supervisor from Administering Institution

Surname: / Studentship Ref. No: PhD--
Title: SelectProfDrMrMs / Forename(s): / Position held:
Address Department: / Institution:
Address: / Address:
Address: / Town: / Postcode:
Tel No(s): / Email address:

2. PhD Studentship

2.1 PhD Studentship Title (to be copied from the original application form).:
2.2 PhD Student’s Full Name :
2.3 PhD Studentship start date (dd/mm/yyyy): / 2.4 Anticipated date of PhD thesis submission (mm/yyyy):
2.5 Company Name:
2.6 PhD Studentship Project Lay Summary (to be copied from the original Application Form).:

3. Progress of the PhD Studentship

3.1 Year of PhD Studentship (1st, 2nd etc.).: / Select1st2nd3rd4th
3.2 Is the PhD Studentship still in progress?: / SelectYesNo
If ‘No’, please explain.:
3.3 Is the student supported by the PhD Studentship still matriculated and actively working towards the PhD degree?: / SelectYesNo
If ‘No’, please explain.:
3.4 Are all the supervisors currently actively involvedin the Studentship as named on the original application?: / SelectYesNo
If ‘No’, please explain and give details (names of the supervisors and reasons for all changes must be provided).:
3.5 Is the Company named on the application still actively involved in the project (See also Section B – Company Annual Report – below.)?: / SelectYesNo
If ‘No’, please explain and give details (names of the Companies involved and reasons for all changes must be provided).:
3.6 Is the Administering Institution providing the training specified in the original application?: / SelectYesNo
If ‘Yes’, please provide details of the training that has been provided.:
If ‘No’, please explain why not.:

4. Research Progress of PhD Studentship

PLEASE NOTE: Funding for the next year of the PhD Studentship will not be paid until (a) the student has passed the Administering Institution's annual assessment AND (b) this report is deemed satisfactory.

4.1 PhD Student’s Report Please summarise (150 words max) your perspective of progress on your research to date, highlighting any particular successes or challenges. This should be written by the student in his/her own words.(NB: this field is limited to 1,500 characters and spaces.):
4.2 Principal Supervisor’s Report
4.2.1 Has the student passed the Administering Institution’s annual assessment procedures?
IF THE OUTCOME OF THE ADMINISTERING INSTITUTION’S ANNUAL ASSESSMENT IS NOT KNOWN YET, PLEASE DO NOT SUBMIT THIS REPORT AND CONTACT KATRINA MUIR VIA TO REQUEST AN EXTENSION FOR SUBMISSION OF THE REPORT FOR WHEN THE OUTCOME WILL BE KNOWN. PLEASE INDICATE IN YOUR REQUEST THE DATE THE REPORT WILL BE SUBMITTED. / SelectNoYes
4.2.2 If the answer to 4.2.1 is ‘No’, please summarise (50 words) what action will be being taken as a result. (NB: This field is limited to 500 characters and spaces.):
4.2.3 Please summarise (150 words max) your perspective of your student’s progress to date, highlighting any particular successes or challenges. (NB: this field is limited to 1,500 characters and spaces.):

5. Publications & Presentations

Any publications or presentations (oral or posters) arising from the PhD Studentship research during the past year, or since submission of the last annual report, should be listed below (fully referenced and with the full url for linking to any online versions). Electronic copies of publications and any posters presented at meetings, other than within the Administering Institution and/or Company or at Medical Research Scotland events, should be included with this report. PLEASE NOTE that Medical Research Scotland will NOT make the Annual Payment in respect of the PhD Studentship to the Administering Institution unless electronic copies of all documents listed are received AND the report is deemed satisfactory.

Publications & Presentations:

6. Intellectual Property agreements, protection & commercialisation

6.1 Have the Administering Institution/Company commenced protection and/or commercial exploitation of any Intellectual Property created/acquired from the research project to date?:
If ‘Yes’, please give details.:
If ‘No’, please explain why not.: / SelectYesNo
6.2 Is the collaboration between the Administering Institution and the Company working as anticipated?: / SelectNoYes
6.3 Please provide details of the Supervisor’s and Student’s perspective of the collaboration.:

SECTION B – COMPANY ANNUAL REPORT

7. Supervisor from the Company

Surname: / Forename(s):
Title: SelectProfessorDrMrMsMissMrs / Position held:
Company Name: / Company Registered No.:
Address: / Address:
Address: / Town: / Postcode:
Tel No(s): / Email address:

8. Progress of the PhD Studentship Project

Please respond to the following questions by selecting from the drop-down boxes provided. Space has been provided for you to give details or make comments where requested – the fields will expand to the maximum you require.

8.1 Is the student supported by the PhD Studentship still actively working on the research with the Company named on the application? / SelectYesNo
If ‘No’, please explain.:
8.2 Is the Company Supervisor(s)currently actively involved in the Studentship as named on the original application?: / SelectYesNo
If ‘No’, please explain and give details (names of the supervisors and reasons for all changes must be provided).:
8.3 Is the Company providing the training agreed in the original application?: / SelectYesNo
If ‘Yes’, please give details of the training that has been provided:
If ‘No’, please explain why not.:
8.4 Have the Company/Administering Institution commenced protection and/or commercial exploitation of any Intellectual Property created/acquired from the research project to date?:
If ‘Yes’, please give details.:
If ‘No’, please explain why not.: / SelectYesNo
8.5 Is the collaboration between the Company and the Administering Institution working as anticipated?: / SelectNoYes
8.6 Please provide details of the Company’s perspective of the collaboration.:

SECTION C – DECLARATIONS & SIGNATURES FOR ADMINISTERING INSTITUTION, STUDENT & COMPANY

9. By checking the boxes and then signing below we, the Principal Supervisor for this PhD Studentship Award in the Administering Institution, the PhD Student supported by the Award, and BOTH the Company Supervisor and the Director/Authorised Signatory within the Company who is responsible for Intellectual Property, confirm that:
9.1 All the foregoing statements are true;
9.2 Any enclosed documents are valid copies of the originals; and
9.3 All the monies paid by Medical Research Scotland have been used solely for the purposes of the PhD Studentship.
*************************************
9.4 FOR THE ADMINISTERING INSTITUTION
9.4.1 Principal Supervisor
FULL NAME (BLOCK CAPITALS ):
Signature:
(Original signature to be included in the hard copy sent by post. Please type the name of the signatory in the electronic version.)
9.4.2 PhD Student
FULL NAME (BLOCK CAPITALS ):
Signature:
Original signature to be included in the hard copy sent by post. Please type the name of the signatory in the electronic version.)
9.4.3 IP Manager
FULL NAME (BLOCK CAPITALS):
Signature:
Original signature to be included in the hard copy sent by post. Please type the name of the signatory in the electronic version.)
[SEE ALSO 9.6.1 BELOW] / Date:
(dd/mm/yyyy)
Date:
(dd/mm/yyyy)
Date:
(dd/mm/yyyy)
9.5 FOR THE COMPANY
9.5.1 Company Supervisor
FULL NAME (BLOCK CAPITALS ):
Position held:
Signature:
Original signature to be included in the hard copy sent by post. Please type the name of the signatory in the electronic version.)
9.5.2 Company IP Director/Authorised Signatory
FULL NAME (BLOCK CAPITALS):
Position held:
Signature:
Original signature to be included in the hard copy sent by post. Please type the name of the signatory in the electronic version.)
[SEE ALSO 9.6.2 BELOW] / Date:
(dd/mm/yyyy)
Date:
(dd/mm/yyyy)
9.6 Changes to Signatories
9.6.1 If the signatory at 9.4.3 (above) is not the individual who signed as the Academic Institution’s IP Manager/person responsible for IP Protection & Commercialisation in the Application Form for the Studentship, please indicate and explain the reason for the difference.: / SelectSameDifferent
9.6.2 If the signatory at 9.5.2 (above) is not the individual who signed as the Company’s person responsible for IP Protection & Commercialisation in the Application Form for the Studentship, please indicate and explain the reason for the difference.: / SelectSameDifferent

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Medical Research Scotland is the operational name of SHERT, the ScottishHospital Endowments Research Trust. Scottish Charity No. SC014959