CBMNet Proof of Concept Application Form

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
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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.
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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.
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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.
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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.
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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
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