PRELIMINARY PROPOSAL

This is a sample form for your information only. Applications must be submitted using the online application form only.

Please refer to the Guidelines for Applicants: BIRAX Ageing Call for Proposals.

Applicants must meet the eligibility criteria defined in the Call for Proposals and the Guidelines for Applicants.

Part 1 –project overview

Principal Investigator - UK
Name:
Name of Institution:
Principal Investigator - Israel
Name:
Name of Institution:
Project title
Please indicate which strand(s) you are applying for. You may choose more than one.
Cardiovascular / Age-related frailty and other geriatric syndromes
Diabetes / Age related multimorbidity
Neurodegenerative conditions / Ageing and technology
Arthritis and other musculoskeletal disorders
Project Summary (2,000 characters)

Part 2 – Project Overview

Relevance to the call - please detail the relevance of the proposal to the call as outlined in the scope. Please refer, as applicable, to which of the particular focus areas noted above the proposal relates(2,000 characters.)
Objectives and outcomes – what board objectives and outcomes do you foresee emanating from the project, both scientific and collaborative(2,000 characters.)
Propose activities – provide a brief outline of the methodology and activities of the project and indicate approximately how the project will be divided between the two institutions(2,000 characters.)
Please note at least 6 key words relevant to the project
Proof of concept – please provide a brief summary detailing existing proof of concept underpinning the work plan (2,000 characters.)
Nature of partnership – provide a brief outline of the nature of the proposed partnership including the complementarity / synergy of the two partners and the proposed mode and extent of the cooperation (including previous collaboration), (2,000 characters.)
Proposed duration of research project

Part 3 – Principle InvestigatorsContact Details

Contact Details of Principal Investigator - UK
Title:
Name:
Position:
Department:
Name of Institution:
Email:
Tel:
Contact Details of Principal Investigator - Israel
Title:
Name:
Position:
Department:
Name of Institution:
Email:
Tel:

Part 4 – Person Authorised to Endorse the Application

Person Authorised to Endorse Application - e.g. Dean of Faculty, UK
Title:
Name:
Position:
Department:
Name of Institution:
Email:
Tel:
Person Authorised to Endorse Application - e.g. University Research Authority, Israel.
Title:
Name:
Position:
Department:
Name of Institution:
Email:
Tel:

Part 5 – Dissemination

Please let us know how you heard about the BIRAX Ageing Call for proposals.

Part 6 – Supporting Documents

Supporting documents – please upload the CVs for both Principle Investigators in Word format.

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