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APPLICATION FOR A JOINT RESEARCH GRANT UNDER THE NRF-NWOEXCHANGE PROGRAMME IN ‘ASTRONOMY’AND‘ENABLING TECHNOLOGIES FOR ASTRONOMY’ 2015

The identical completed application form has to be submitted simultaneously to both NWO and NRF.

PART I: GENERAL INFORMATION

Title:
Theme
(tick appropriate box) /
  1. Astronomy

  1. Enabling technologies for Astronomy

Modality
(tick appropriate box) /
  1. Individual Visit

  1. Joint Research Seminar

  1. Joint Research Project

Desired Starting Date: / Desired Completion Date:
Overall Budget Distribution / 2016 / 2017 / 2018 / Total
Applied for at NRF (Rand)
Applied for at NWO (€)

Names, Addresses and Affiliations of Principal Investigators

South Africa / Netherlands
Full name:
Title:
University/Institution:
Dept./Faculty:
Address:
Telephone No.:
Fax No.:
E-mail:
Gender:
Race: / (not applicable to NWO)
Nationality
Citizenship and ID/ Passport Number (attach copy) / (not applicable to NWO)

SHORT SUMMARY

An abstract should be written in the space below, describing the work of both partners (Dutchand South African) in such a way as to be comprehensible to a non-specialist in the research field(max. 300 words):

Names and affiliations of otherresearchers/students participating in the project in South Africaand the Netherlands as appropriate (add rows where required).

Full name and nationality / Degree / Institution/s / NL or
SA / Student or researcher / Race (SA only)
/Gender

Signatures(All copies submitted should contain the signature of the submitting Principal Investigators of both The Netherlands and South Africa,as well as the Research Authorising Officer for the South African institution)

Dutch Principal Investigator’s Name:
Position:
Signature: / Date:
South African Principal Investigator’s Name:
Position:
Signature: / Date:
South African Research officer:
Signature: / Date:

PART II –DID YOU RECEIVE FUNDING FROM A PREVIOUS CALL FOR COOPERATION BETWEEN SA AND NL. IF YES PLEASE GIVE DETAILS (EXTEND SPACE WHERE REQUIRED)

PART III - DETAILED DESCRIPTION OF THE PROPOSED PROJECT

a) An Individual Visit (max. 1000 words)
b) A Joint Research Seminar (max. 1000 words) or
c) A Joint Research Project (max 3000 words)
Please use the following headings:
  1. Project description
  2. Objectives
  3. Methodology
  4. Expected outcomes
  5. Added value to NL-SA cooperation in ‘Astronomy’ or ‘Enabling Technologies for Astronomy’

PART IV - TIME SCHEDULE AND WORK PLAN

Please outline the activities planned by the NWO and South African investigators for the total period of the project (extend space where required)

Research Activity / Location of Research Activity / Proposed Days
Country / Institution / Start / End
Month / Year / Month / Year
Explanatory Remarks (where required)

PART V - BUDGET DESCRIPTION

Please check 3.2 ‘What can be applied for’ in the call for proposals before completing the budget table.

BUDGET APPLIED FOR BY THE SOUTH AFRICAN PI (in Rands)

Travel, accommodation and subsistence allowance: (add rows where required)

Description: / Budget (Rand)
2016 / 2017 / 2018 / Total
Airfare for SA researcher(s) to NL
Local travel and subsistence in SA
Joint seminar operational costs in SA
TOTAL

BUDGET APPLIED FOR BY THE DUTCH PI (in Euros)

Travel, accommodation and subsistence allowance: (add rows where required)

Description: / Budget (Euros)
2016 / 2017 / 2018 / Total
Airfare for NL researcher(s) to SA
Local travel and subsistence in NL
Joint seminar operational costs in NL
TOTAL

3. OTHER SOURCES OF SUPPORT

3.1Is this research currently being supported by other sources?

YES / NO

If yes, please indicate the sources, amounts and periods of support.

3.2Has this project been submitted to other agencies for financial support?

YES / NO

If yes, please indicate which agencies, and when.

PART VI - BIOGRAPHICAL AND PROFESSIONAL INFORMATION

1.Principal Investigator –South Africa

Title
Surname
Other Names
Nationality
Year of Birth

Resume´

Please include the following in your Resume’ below:

  • Relevant academic and professional experience
  • Research areas (outline the areas of research in which the researcher has been involved).
  • Publications and patents (during last three years).

2.Principal Investigator –The Netherlands

Title
First Names
Family Name
Nationality
Year of Birth

Resume´

Please include the following in your Resume’ below:

  • Relevant academic and professional experience
  • Research areas (outline the areas of research in which the researcher has been involved).
  • Publications and patents (during last three years).