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. Page 1 of 10 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. Page 2 of 10 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. Page 3 of 10 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 Page 4 of 10 [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. Page 5 of 10 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 Page 6 of 10 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 Page 7 of 10 5. Projected Costs* Organisation Person months Total costs (EUR) [Coordinator:] [Partner 2:] [Partner 3:] [Partner 4:] [Partner 5:] TOTAL Page 8 of 10 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) Page 9 of 10 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 Page 10 of 10
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