FINAL REPORT ON IMPLEMENTATION OF INITIATIVE UNDER FUND FOR BILATERAL RELATIONS “MEASURE B” Czech-Norwegian Research Programme (CZ09) Norwegian Financial Mechanism 2009-2014 Programme area Bilateral Research Cooperation ID number 7F16XXX Title in English Title in Czech Promoter (full name, legal address) Partner (full name, legal address) Please copy this line for each Partner if lines below are insufficient. Full name of leader from contract Signature of leader Signature Statement I hereby declare that the information I state in the report is accurate, true and complete. I am aware that if the information has been reversed in the opposite, I will face sanctions from the Programme Operator. Done in city, country Date dd/mm/yyyy On behalf of Promoter Stamp of Promoter Name(s): Statutory authority of Promoter Signature(s): Position: CZ09 Czech-Norwegian Research Programme 1 Reporting on implementation of initiative 1. GENERAL INFORMATION ABOUT INITIATIVE 1.1 Major type of initiative Joint project proposal Study/work trips Events Publicity for Horizon 2020 Note: Tick one or more options to identify the relevant outcome that was/were proposed in the application. Tap twice in the square to mark the option. 1.2 Initiative start date (dd/mm/yyyy) 1.3 Initiative end date (dd/mm/yyyy) 1.4 Total eligible costs per initiative (including e.g. own sources) (in CZK) 000 000 1.4.1 Total grant received from Programme Operator (in CZK) 000 000 1.5 Abstract in English (max. ½ A4) Please write a summary of the completed activities in the bilateral initiative. This abstract should provide a clear understanding of the prime objectives and outcomes of the bilateral initiative in research and development (incl. a particular field) and how they were achieved related to an increase research cooperation between the Czech Republic and Norway. Please note that this section should serve as a stand-alone document that gives a wider audience a clear overview. Please do not use this section to describe all the activities that have taken place. Briefly point out the main outcomes related to enhancing bilateral relations. No jargon please. It is for public. 1.6 Abstract in Czech (max. ½ A4) Prosím, napište souhrn činností dokončených v bilaterální iniciativě. Tento abstrakt by měl poskytnout jasnou představu o hlavních cílech a výsledcích bilaterální iniciativy v oblasti výzkumu a vývoje (vč. oboru) a způsob, jakým byly dosaženy ve vztahu ke zvyšování výzkumné spolupráci mezi Českou republikou a Norskem. Upozorňujeme, že tato část by měla sloužit jako samostatný dokument, který dává širšímu publiku jasný přehled o iniciativě. Prosím, nepoužívejte tuto sekci k popisu všech činností, které se uskutečnily. Stručně vyzdvihněte hlavní výsledky týkající se zlepšování bilaterálních vztahů. Bez žargonu, prosím. Je to pro veřejnost. 2. ACHIEVEMENTS IN INITIATIVE (max. 4 A4 pages for 2.2.1 to 2.2.2) 2.1 Coherence of initiative and activities with programme area Please describe how the activities were consistent with and contributed to the strengthening bilateral relations in research and development between the Czech Republic and Norway, considering sustainability of the Czech-Norwegian partnership. CZ09 Czech-Norwegian Research Programme 2 Reporting on implementation of initiative 2.2 Achieved outcome(s) No. Outcome(s) Number of completed outcomes Date of realization (dd/mm/yyyy) 1. 2. 3. 4. 5. Note: Please fill in all achieved outcomes in the initiative in the table above. The outcome means such as a joint project proposal/study and work trip/event/publicity. The number of achieved outcomes is meant e.g. 2 study and work trips, 1 joint project proposal for Horizon 2020, or 3 bilateral events realized in the initiative. You may add lines if necessary. Note: If you completed more outcomes in the initiative, please copy points 2.2.1 - 2.2.2, and fill in again for each implemented outcome separately. 2.2.1 Outcome Joint project proposal/Study and work trip/Event/Publicity Note: Erase those outcomes that are irrelevant for your description. Please describe each outcome implemented in the initiative separately in the section. 2.2.2 Brief description of outcome Please clearly describe objectives achieved in the particular outcome and specify a realized activities associated with target groups and sustainability of the initiative. Please outline and emphasize contribution of each entity to strengthening bilateral relations in research between the Czech Republic and the Kingdom of Norway. Please write down the time period of the implementation and accomplishment as well. 2.3 Personnel supported from grant and involved in initiative (if relevant) If personnel costs were actually incurred in the initiative (data must be filled in in the financial annex of the final report), please describe what staff with a main focus on the researchers involved was supported and paid from the grant as well as their full names, qualification, position, tasks, activities, time worked in measurable way - personal months per person and a total per group. If no personnel costs, please write down Irrelevant for this initiative. CZ09 Czech-Norwegian Research Programme 3 Reporting on implementation of initiative 2.3.1 Target groups actually supported (tick group(s) if applicable) Target groups supported in initiative A. Ph.D. students B. Postdocs C. Senior (experienced) researchers D. Researchers returned after parental leave E. Others, if so, specify here: TOTAL SUMS Actual numbers Male Female 0 0 0 0 0 0 0 0 0 0 0 0 2.4 Promotion of initiative (max. 1 page A4) Please summarize how the initiative, Norway Grants, the Czech-Norwegian Research Programme CZ09 and the Programme Operator were made public (e.g. regarding to target groups, communication channels and tools, media, timeframe, actual costs etc.). 3. INCURRED ELIGIBLE COSTS 3.1 Justification of utilization of eligible costs (max. 3 pages A4) Please structure and justify the utilisation of the eligible costs ACTUALLY INCURRED from the grant in the initiative which have to be related to the achieved outcomes/completed activities. Details have to be given about all accounting items (such as salaries and mandatory charges, remunerations, refreshment, travel allowances, supplies etc.) paid from the grant and they should be sorted out according to the category breakdown budgeted in the annex no. 2 of the project contract issued by the Programme Operator. Example: A1. Total personnel costs included salaries and mandatory charges (social and medical), remunerations incurred for 2 researchers (Jan Novak and Geir Johnson) and the project coordinator (Hana Nova) involved in preparing the joint project proposal for Horizon 2020 etc. Note: You must also fill in the Final Financial Report – annex I. 4. MANDATORY REPORTING DOCUMENTATION 4.1 Overview of reporting documents Complete final report (signed by all statutory representatives/attorneys and stamped) No. Mandatory annexes Annex I - The Final Financial Report in Czech Crowns (CZK) – template available. Required of the Promoter that submits it for the whole initiative. Signed by statutory I. (or attorney) and stamped of the Promoter! Annex II – The power of attorney for authorized person of the Promoter, if applicable (no template available). Required of the Promoter. Signed by statutory II. (or attorney) and stamped of the Promoter. Note: Please tie up the documents in this order: the letter, the complete final report and the mandatory annexes (I-II). CZ09 Czech-Norwegian Research Programme 4 Reporting on implementation of initiative
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