DeIC HPC APPLICATION FORM

Please read the guidelines in the call for proposals prior to completing the form

Date:

1. Social security number of applicant
2. Name of applicant
(responsible to the research council)
3.Occupation and education
(max. 39 characters)
4. Current place of work
(address, phone and e-mail)
5. Location for carrying out the project
(address, phone and e-mail)
6.Private address
(address, phone and e-mail)
7. Project title(max. 180 characters)
8. Type of grant applied for
9. Key words (max. 5 words)
10.Amount of grant applied for from the Council/Programme
11.During what period is the amount being applied for intended to be spent? / Start: daymonthyear
End: daymonthyear
12. Have you applied for the amount stated in item 10 from other sources?
From where and which amounts and budget items? / Other applications (specify below)No other applications
13. Urgent application / Justification must be enclosed
Reserved for the secretariat:
Modtaget / Temakode:
Virkemiddelkode:
Kontokode:
Fagkode:
Forbehandling:

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14. Scientific members of the project group for whom wage funds are being applied for(name, occupation, address of work):
Scientific members of the project group for whom wage funds are not being applied for(name, occupation, address of work):
15. Brief popular science project description, suitable for publication (max. 1,500 characters)

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16. Total budget for the project—broken down by calendar year (1/1-31/12)
Detailed budget for the amount applied for must be enclosed
Budget item / From research council / From place of work / From other sources
Person months / DKK / Person months / DKK / Person months / DKK
1st calendar year / Salaries/academic staff
Salaries/techn.-adm. staff
Equipment over DKK 40,000
Operational expenses
Overhead/adm.contributions
Total
2nd calendar year / Salaries/academic staff
Salaries/techn.-adm. staff
Equipment over DKK 40,000
Operational expenses
Overhead/adm.contributions
Total
3rd calendar year r / Salaries/academic staff
Salaries/techn.-adm. staff
Equipment over DKK 40,000
Operational expenses
Overhead/adm.contributions
Total
4th calendar year / Salaries/academic staff
Salaries/techn.-adm. staff
Equipment over DKK 40,000
Operational expenses
Overhead/adm.contributions
Total
5th calendar year / Salaries/academic staff
Salaries/techn.-adm. staff
Equipment over DKK 40,000
Operational expenses
Overhead/adm.contributions
Total
6th calendar year / Salaries/academic staff
Salaries/techn.-adm. staff
Equipment over DKK 40,000
Operational expenses
Overhead/adm.contributions
Total
Total (all years)

The institution’s signature and stamp confirm the budget and simultaneously constitute acceptance that the project can be carried out at the institution:

Institution’s stamp, and name and signature of signatory ______

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16a. The applied amounts for PhD and postdoctoral grants (including salary, operational expenses and overhead) sum to:

PhD grants: DKK in total: ______, number of months in total: ______and number of fellowsin total:______

and

Postdoctoral grants: DKK in total:______, number of monthsin total:______and number of fellows in total :______

17a. Have you within the last three years received other grants from a research council for this or another project?
Same project / Our ref. no. / Year / Amount granted / Project title
Yes / No
17b. Have you within the last three years received grants from other sources for this or another project?
(only grants above DKK 500,000)
Same project / Year / Amount granted / Project title
Yes / No
17c. Have you within the last three years been refused funding for this project from a research council?
Year / Project title
18. Additional information
19. List of appendices (the enclosures required are specified in the Council’s application guidelines/advertisement)

The applicant herewith confirms that all the information given is correct:

Date and signature: ______

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The Danish Act on Processing of Personal Data (Act No. 429 of 31 May 2000) gives you a number of rights when information concerning you is processed electronically. We would therefore draw your attention to the following:

  1. Upon request, you are entitled to inspect and, where relevant, correct information concerning you whenever such data are processed electronically.
  2. The council/commission/committee reserves the right to obtain information about any previous or current applications you may have made to a research council, a programme commission and/or the Danish Agency for Science, Technology and Innovation, and this information may be used in processing the application.
  3. If funding for the project is being or has been applied for elsewhere (cf. form 1, point 12), the council/commission/committee reserves the right to obtain information about whether the amount has been granted.
  4. The council/commission/committee sends applications for external assessment in the following instances: If the council/commission/committee lacks expert knowledge in a given application, where a total of more than DKK 10mill is applied for, or if a member of a council, a commission or a committee is the principal applicant or an associate and a total of more than DKK 1mill is being applied for.
  5. If your application is granted, in part or in full, information about your name, the project execution site, the title and duration of the project, key numbers and the size of the grant will be published in the Danish National Research Database ( (partly in English) and on the homepage of the Danish Agency for Science, Technology and Innovation ( Furthermore, the brief popular scientific project description can also be published at the same places.