7. Checklist for Proposers

Transnational Call 2011
Pre-proposal Form
Project Acronym:
Project Coordinator:
(organisation and country):
Refer to Guide for Proposers and Frequently Asked Questions when filling out this form.
To be completed by the Project Coordinator only.
Note: use font Times New Roman, size 12.
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1. Summary
A. Administrative Information
Project Short Title/Acronym:
Project Full Title:
Topic (Indicate the main project topic as listed below):
Processing of (multi)material systems (e,g. nanostructured materials, composites and
micro/nano multimaterial systems, processes for low cost high volume manufacturing)
Materials functionalisation (e.g. nano objects, structured surfaces & interfaces)
Smart Sensor Systems (e.g. sensor networks, sensors for logistics, control of
infrastructure, electronic identification systems, cognitive systems, optical systems)
Medical and health devices (e.g. networked monitoring of health parameters, bio sensors
and actuators, bio interfaces, lab on chip)
Life cycle (optimisation) processes for micro/nano systems, development methods,
reliability assessment, integration technologies (e.g. energy efficient production
technologies, energy harvesting and storage systems, power conversion and management,
recovery of rare materials)
Other (please specify):
Total Project Costs:
Duration of the Project:
(EUR)
Requested Funding:
months
(EUR)
Expected Start (MM/YY):
Expected End (MM/YY):

Sections marked with an asterisk (*) have to be provided online during the upload process in addition to their
documentation in this paper.
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B. Project Summary
(max. length 1 page)
Please summarise briefly the state of the art, market needs, overall objectives, targeted innovation and
expected results.
summary

Sections marked with an asterisk (*) have to be provided online during the upload process in addition to their
documentation in this paper.
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2. Consortium
A. Project Coordinator*
First Name:
Title: (Prof, Dr, Mrs, Mr…)
Family Name:
E-mail:
Position held:
Organisation website:
Organisation Name:
Tel:
Address of the organisation (Building; PO Box;
Street; Town; Postcode):
Fax:
Country:
B. Consortium members*
Organisation
Activity
type1
Contact Person
(Name & email))
Country/
Region
Applying for funding
from:
(insert Funding Agency)
[Coordinator:]*
[Partner 2:]*
[Partner 3:]*
[Partner 4:]*
[Partner 5:]*
Describe the expertise and role of all partners (max. 10 lines per partner) in the proposed project
[Coordinator]:
Expertise / role:
(max. 10 lines):
[Partner 1]
(max. 10 lines):
Expertise / role:
1
HE – Higher Education, RES – Research, IND – Industry, SME, OTH - Others
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[Partner 2]:
(max. 10 lines):
Expertise / role:
[Partner 3]:
(max. 10 lines):
Expertise / role:
[Partner 4]:
(max. 10 lines):
Expertise / role:
Please extend table as appropriate.
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3. Project Description
(max. length 4 pages)
Describe the project briefly and explain how the planned activities contribute to the objectives.
 State of the art
 Targeted innovation
 Objectives
 Work packages, timing, expected results
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4. Management and transnational benefit
(max. length 1 page)
Please explain briefly
o
why this combination of partners is most suitable for carrying out the work and how each
partner benefits from the transnational project (added value from cooperation)
o
management structure
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5. Projected Costs*
Organisation
Person
months
Total costs (EUR)
[Coordinator:]
[Partner 2:]
[Partner 3:]
[Partner 4:]
[Partner 5:]
TOTAL
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Requested
Funding
(EUR)
Requested
Funding rate
in %
6. Exploitation of Results
(max. length 2 pages)
Describe the market and the potential for economic impact.
Please detail the:
• plans for the commercialisation of results
• economic impact for each partner
• state of IPRs (patents)
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7. Checklist for Proposers
The pre-proposal conforms to the call guidelines.
Every project partner has been in direct contact with his/her national or regional funding
agency and has checked that their collaboration and their project contribution is eligible for
funding.
All partners who are not applying for 100% funding are able to provide financial resources
for their own contribution.
The consortium is aware of the necessity to have an agreement on intellectual property
rights (IPR) and publication rules for a funded project (to be signed before the first payment)
Please go http://www.mnt-era.net/call2011 to submit this pre-proposal form online.
Deadline for submission: 05 April 2011, 12:00 noon (Brussels time)
For further information on MNT-ERA.NET: please go to http://www.mnt-era.net
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