4.1 Overview of reporting documents

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