Applications are to be submitted by e-mail to [email protected]. All applications will be acknowledged. Any enquiries should also be addressed to [email protected]. CBMNet Proof-of-Concept Application Form Project Title Funding requested from CBMNet (£) Cash/In kind contribution from Industry Partner (£) 1. Applicant Details Academic Partner Details Principal Investigator Institution Phone Number Email Co Investigator (1) Institution Phone Number Email Co Investigator (2) Institution Phone Number Email Industry Partner Details Investigator (1) Company Is your company an SME? Address Phone Number Email Investigator (2) Company CBMNet Proof-of-Concept Application Form Page 1 of 6 Is your company an SME? Address Phone Number Email 2. Project Details Proposed Start Date Proposed End Date Please describe how you project fits within the definition of Industrial Biotechnology and Bioenergy (IBBE) (max 150 words). IBBE is the use of biological resources for producing and processing materials, chemicals (including pharmaceutical precursors and biopharmaceuticals) and energy. These resources include plants, algae, marine life, fungi and micro-organisms. Project Description (max 500 words). Please provide a detailed description of the background to the project, aims of the project and the work to be undertaken. CBMNet Proof-of-Concept Application Form Page 2 of 6 Project Public Summary (max 250 words). Please provide a brief description of the background to the project, aims of the project and the work to be undertaken. Information may be used by CBMNet or the BBSRC for public dissemination if the award is funded. This may also be used to send to reviewers as an initial outline to check they are able to review the proposal. Key Deliverables (max 250 words) Please list the key deliverables for the project. Please include details of the work proposed, clearly defined project milestones and deliverables and relevance to the scope of the network. CBMNet Proof-of-Concept Application Form Page 3 of 6 Impact and commercial potential (max 250 words) What is the commercial potential for the project and how will the funding help realise this? Please also include details of how the proposed work will lead to impact. Ethical and social considerations (max 250 words) Please include a statement on whether there are any ethical or social considerations in the proposed work and how these will be dealt with. If relevant, details of how economic, environmental and social impacts of the proposed research will be considered. CBMNet Proof-of-Concept Application Form Page 4 of 6 3. Financial Details Project costs Please explain clearly the justification of the spend (Max 250 words) Project costs Please provide a summary of the break-down of project costs below. Projects should be costed at the appropriate fEC rate for your university as outlined in the Business Interaction Voucher Operational Guidelines document. Additionally, any financial and in-kind contributions from each partner need to be listed in this section. The applicant should declare if they are aware of any reason why any individual on the Management Board should not review the proposal. In addition, a CV of the lead applicant will be submitted (no more than 2 sides of A4) and a letter of support from the applicant’s University confirming acceptance of the 80% FEC rate. Summary Fund Heading Fund Heading Directly Incurred Staff Total Award @100% Travel and Subsistence Other Costs Directly Allocated Investigators Estate Costs Other Directly Allocated Indirect Costs TOTAL (100% fEC) Total amount requested from CBMNet (80% fEC) Industry Partner cash contribution This must be equal to the difference between the total project costs and amount requested from CBMNet Details of any Industry Partner in-kind contribution Please provide details of any in-kind contributions from the Industry Partner – examples could be materials supplied at cost, staff time, in-house equipment time etc. Please estimate the financial value of this. CBMNet Proof-of-Concept Application Form Page 5 of 6 Details of any reason why any individual on the Management Board or from any other organisation should not review the proposal. 4. Signatures Principal Investigator I confirm that I wish to apply for a CBMNet Proof-of-concept funding and that the information contained in the application is accurate to the best of my knowledge. Signature Print Name Date Print Name Date Print Name Date Print Name Date Print Name Date Co Investigator (1) Signature Co Investigator (2) Signature Industry Partner (1) Signature Industry Partner (2) Signature For office use only CBMNet Sign Off – Project Approved for Funding Signature(s) Print Name(s) Date Checklist Please ensure the following are also included with your application: 1. Lead applicants CV submitted 2. Letter of support from the applicant’s University 3. Letter of support from industrial partner CBMNet Proof-of-Concept Application Form Page 6 of 6
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