1. General Project Information
1.1Title / Acronym
1.2Abstract(up to 1 paragraph)
1.3Technological Area
1.4Market Application
1.5Budget and Duration
Main Partners / Country / Person-months / Personnel costs (€) / Equipment costs (€) / Total costs (€)
Additional participants / Country / Person-months / Personnel costs (€) / Equipment costs (€) / Total costs (€)
Total
1.6Start Date End Date
Remarks
2. Project Outline
2.1 Description of the project (max. 0.5 page)
TECHNOLOGY
2.2 Technological Development planned (including each partner’s contribution)
2.3 Technological State of the Art and expected technological breakthrough
2.4 Concrete results expected at the end of the project leading to new IP (new products, prototype, , process, etc.)
MARKET APPLICATION AND EXPLOITATION
2.5 Target market(s)
2.6 Competitive advantages (cheaper, faster, more reliable, etc.)
2.7 What is the realistic market potential (size, expected share)
STRATEGIC AND TECHNOLOGICAL COMPLEMENTARITY
2.8Describe the rationale behind the partnership (existing IP, technology, expertise - but also maturity, size, customer base, geographical mapping). Do you expect an added value following the R&D stage in terms of future business development?
3. Main Partner from France
Organization
Full name
Registration No. Code APE
Address
Website (in English)
Contact person data
Last Name First Name
Function Title
Direct Telephone e-Mail
Main FrenchParticipant:description
Number of Employees (Fulltime equivalent)
Number of employees in R&D (Fulltime equivalent)
Annual Turnover M EUR
Balance Sheet Total M EUR
Year of latest financial report
Describe your expertise and core business
Describe your contribution to the project
Estimate the costs of your contribution to the project
Person-months / Personnel costs (€) / Equipment costs (€) / Total costs (€)
4. Main Partner from Israel
Organization
Full name
Registration No.
Address
Website (in English)
Contact person data
Last Name First Name
Function Title
Direct Telephone e-Mail
Main Israeli Participant:description
Number of Employees (Fulltime equivalent)
Number of employees in R&D (Fulltime equivalent)
Annual Turnover M EUR
Balance Sheet Total M EUR
Year of latest financial report
Describe your expertise and core business
Describe your contribution to the project
Estimate the costs of your contribution to the project
Person-months / Personnel costs (€) / Equipment costs (€) / Total costs (€)
4. Additional Participants
Participant1
Full name
Registration No. Code APE (if partner is FR)
Address
Website (in English)
Contact person data
Last Name First Name
Function Title
Direct Telephone e-Mail
Partner 1: description
Type of Organisation Large Company SME University
Research Institute Administration Other
Number of Employees (Fulltime equivalent)
Number of employees in R&D (Fulltime equivalent)
Annual Turnover M EUR
Balance Sheet Total M EUR
Year of latest financial report
Describe your expertise and core business
Describe your contribution to the project
Estimate the costs of your contribution to the project
Person-months / Personnel costs (€) / Equipment costs (€) / Total costs (€)
(For more partners/participants please cut and paste additional partner/participant sections)

Merci de retourner ce document à : – Tél 01 41 79 87 85

נא לשלוח את הטופס לרן ערד

1