Federation University Australia – ARC Certification Form

PROJECT ID: _DP1901______

Section 1: WRITTEN EVIDENCE FOR DISCOVERY PROJECTS

(For evidence of agreement from proposal Participants and Organisations)

The Administering Organisation is required to obtain, and retain, written evidence of all the relevant persons and organisations necessary to allow the proposed Project to proceed as specified in the Funding Rules for schemes under the Discovery Program (2017 edition)(the Funding Rules).

All signatures are to be firsthand confirmation in written form (for example, handwritten or electronic signatures, letters or emails) and must be obtained prior to the submission of the Proposal to the ARC.

Please note: The written evidence is to be retained by the Administering Organisation. The ARC reserves the right to seek the evidence from the Administering Organisation to support the certification of Proposals if requested.

Certification by Chief/Partner Investigators

I certify that:

i) All the details on this Proposal are true and complete;

ii) Proper inquiries have been made and I am satisfied that I meet the eligibility criteria as specified in the Funding Rules;

iii) As a Participant listed on the proposal I have responsibility for the authorship and intellectual content of this Proposal, and have appropriately cited sources and acknowledged significant contributions where relevant.

iv) I have complied with the Funding Rules and the Discovery Projects Instructions to Applicants for funding commencing in 2019 and if the Proposal is successful I agree to abide by the terms of the ARC Funding Agreement regarding funding for schemes under the Discovery Program (2017 edition);

v) I understand and agree that all statutory requirements must be met before the proposed research can commence;

vi) I have notified the Administering Organisation of any actual or potential Conflicts of Interest (see Section 2 below) I may have in relation to the Proposal and I undertake that, if the Proposal is successful, I will notify the Administering Organisation of any Conflicts of Interest which arise subsequent to the submission of the Proposal; and

vii) I will notify the Administering Organisation if there are any changes in my circumstances which may impact on my eligibility to participate in, or ability to perform, the project subsequent to the submission of this Proposal.

In participating in this Proposal, I consent to:

i) This Proposal being referred under confidentiality conditions to third parties, who will remain anonymous for evaluation or assessment purposes; and

ii) The ARC copying, modifying and otherwise dealing with information contained in the Proposal for the purpose of conducting the funding round.

Certification of Head of Department(s) (Exec Dean, Centre Director, etc.)

i) I agree that the project can be accommodated within the general facilities in my Faculty/Department and that sufficient working and office space is available for any proposed additional staff;

ii) I am prepared to have the project carried out in my Faculty/Department under the circumstances set out in the Proposal; and

iii) I have noted the amount of time which the investigator(s) nominated in the Proposal will be devoting to the project and agree that it is appropriate to existing workloads. I agree that relief from teaching or other duties, for specified Chief Investigator(s) named in the Proposal, will be arranged if the ARC grants such a request for relief of teaching or other duties.

Certification by Organisations (other than the Administering Organisation) contributing to the project (DVCR, CEO or delegate)

I certify that:

i) My organisation supports the Proposal and will contribute the resources outlined in the Proposal; and;

ii) I have read, understood and complied with the Funding Rules, and if the Proposal is successful I agree to abide by the terms of the ARC Funding Agreement regarding funding for schemes under the Discovery Program (2017 edition).

In the section below, for each Participant (CI, PI and Organisation) please obtain the Signature(s) of Chief/Partner Investigators, Head of Department, Investigator’s employer or Contributing organisation OR attach written evidence of agreement.

This written evidence needs to be firsthand confirmation in written form (e.g. handwritten or electronic letters or emails).

Person
Indicate if CI/PI/Org / Family name, title and initials (printed) / Signature of Chief/Partner Investigator / Conflict of Interest Declaration
(Y/N)
If Yes, please complete Section 2 below / Signature of Executive Dean/Head of Department or Investigator’s employer or contributing organisation (DVCR, CEO or delegate) / Name of Institution/
Organisation
1
2
3
4
5
6

** add more rows if required or copy this page if further signatures are required. Each signatory need only sign once.

Please collate all signatures, electronic letters or emails into one document and send in electronic format to FedUni Research Grants & Funding Team at

Individual emails may not be accepted.

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FedUni Admin Only

Approval of Deputy Vice-Chancellor Research & Innovation or equivalent:

Name: ______Signature: ______Date: ______

Section 2: Conflict of Interest Declaration

As per Section A8.6 of the ARC Funding Rules for schemes under the Discovery Program (2017 Edition) – Australian Laureate Fellowships,Future Fellowships, Discovery Projects, Discovery Early Career Researcher Award and Discovery Indigenous

A8.6.1Each participant or organisation named in a Proposal must declare to the Administering Organisation at the date of submission any Conflict of Interest that exists or is likely to arise in relation to any aspect of the Proposal.

A8.6.2If a Conflict of Interest exists or arises, the Administering Organisation must have documented processes in place for managing the Conflict of Interest for the duration of the Project. Such processes must comply with the Australian Code for the Responsible Conduct of Research (2007), the ARC Conflict of Interest and Confidentiality Policy and any relevant successor documents.

A8.6.3As part of the certification at A8.4.1, the Administering Organisation must certify that all Conflicts of Interest have been disclosed in accordance with A8.6.1, and that any Conflict of Interest will be managed in accordance with A8.6.2.

If a Conflict of Interest has been declared in Section 1 of this form, please complete the following:

Title: / First Name: / Surname:
Proposal ID: / Lead CI:
Project Title:
Briefly describe the Conflict of Interest and how this will be managed:

** Please copy table for additional declarations