CONFIDENTIAL OVPAA-EIDR Form 3.6 EMERGING

CONFIDENTIAL
OVPAA-EIDR Form 3.6
EMERGING INTERDISCIPLINARY RESEARCH CYCLE 6
Full Proposal Cover*
Type of submission:
 First/New proposal
 Revised proposal
 Renewal
Date (capsule concept proposal) selected
for development into a full proposal:
Participated in OVPAA-guided grant proposal workshop:
 Yes. Date: ________________________________________________________________________
 No. If not, why: ___________________________________________________________________
 Request for guidance:_______________________________________________________________
Date submitted:
Date received by OVPAA:
OVPAA identifier number (to be provided by OVPAA): EIDR-C06-00_
Main Proponent information
Last Name:
First name:
MI:
Highest Degree Earned and Specialization:
Date Earned:
Position/Rank/Title:
Affiliation and Address:
Phone/Fax:
Email:
Type of application:
 Interdisciplinary research program (IDR)
Number of projects within the program: ____________
 Research to produce products, services & to solve problems of society
 Basic and applied research program (BAR)
Priority research area(s) listed in the call for proposals dated that this proposal address
______________________________________________________________________________
______________________________________________________________________________
Co-proponents:
Name
1. __________________________
2. __________________________
3. __________________________
Degree and Date
Earned
________________
________________
________________
Specialization
Affiliation
_____________ ___________________
_____________ ___________________
_____________ ___________________
 New PhD research project (single or dual)
Priority research area(s) (continuation of PhD dissertation): _______________________________
Co-proponent (if any, also a new PhD):
Name
Degree and Date
Specialization
Affiliation
Earned
___________________________ _________________ _____________ ___________________
OVPAA-EIDR Forms 3.6-3.9_ver2_02.27.2015
CONFIDENTIAL
Descriptive title of program and component projects or descriptive title of single project:
Proposed length of IDR:
 4 years (in two phases)
 2 years
Proposed program budget: Year 1 ______________________________________
Year 2 ______________________________________
Budget per year per project:
Year 1
Year 2
Project 1 _________________________ _________________________
Project 2 _________________________ _________________________
Project 3 _________________________ _________________________
Project site location:
Project 1:
Main implementing unit in UP: ____________________________________________________________
Other implementing unit(s) in UP: _________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Cooperating/collaborating unit(s) outside UP (e.g. SUCs, HEIs, local agencies, foreign universities):
_____________________________________________________________________________________
_____________________________________________________________________________________
Project 2:
Main implementing unit in UP: ___________________________________________________________
Other implementing unit(s) in UP: ________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Cooperating/collaborating unit(s) outside UP (SUCs, HEIs, local agencies, foreign universities):
____________________________________________________________________________________
____________________________________________________________________________________
Suggested External Peer Reviewers:
Name
Affiliation
Contact Information
1.
2.
3.
CERTIFICATION
This is to certify that the above information is true and correct.
___________________________________
Main Proponent
______________________________
Date
___________________________________
DEPARTMENT/UNIT HEAD
______________________________
DEAN
OVPAA-EIDR Forms 3.6-3.9_ver2_02.27.2015
CONFIDENTIAL
___________________________________
VICE-CHANCELLOR FOR R&D
______________________________
CHANCELLOR
*should accompany every proposal form
* The Director/Department Chair and the Dean certify that the information about the proponents
(i.e. biosketches, other projects/funding sources) is true and correct. The VCR&D and Chancellor
check if there is duplication of the proposed work against ongoing or completed projects, validate
and record the information on this proposal, and indicate if other grants/funding sources are
available for the proposed work. In signing this document, the signatories attest that the proponent
or co-proponent has no pending accountabilities from other or previous projects/grants (e.g.
terminal and/or financial reports or outputs have been completed/submitted). The above
signatories will not subject the proposal to technical review; they will transmit the proposal to the
OVPAA/EIDR Evaluation and Monitoring Committee which will be responsible for the technical
review of the proposal.
OVPAA-EIDR Forms 3.6-3.9_ver2_02.27.2015
CONFIDENTIAL
OVPAA-EIDR Form 3.7
EMERGING INTERDISCIPLINARY RESEARCH CYCLE 6
Full Proposal Form
I. RESEARCH PROJECT TITLE AND EXECUTIVE SUMMARY (concise description of the proposed research,
not more than 1 page).
II. GENERAL AND SPECIFIC AIMS (Not more than 1 page.)
III. RESEARCH STRATEGY (There is no limit to the length of this section.)
IV. OTHER FUNDING
V. BIBLIOGRAPHY
VI. PROPONENT PROFILES (Biosketch) & ROLES
VII. ATTACHMENTS
A. Thorough Review of Literature (1 Review of literature for a multi-project proposal)
B. Net Present Value/Market study (For business projects only)
C. Preliminary studies (for new applications, see guidelines)
D. Progress report (for renewal applications)
E. Other project information
F. Proponent contact information
VIII. BUDGET
Year 1
Year 2
IX. OUTPUT
 Publications
 Output with societal impact
 Patent application/
 Other academic output:
 public good/public service
Intellectual Property
___________________
 private good/private enterprise
Assets
Describe in detail the output plan and time line.
X. CERTIFICATION
This is to certify that the above information is true and correct.
_______________________________
DIRECTOR/DEPARTMENT CHAIR
_________________________
DEAN
___________________________
CHANCELLOR
OVPAA-EIDR Forms 3.6-3.9_ver2_02.27.2015
CONFIDENTIAL
VIII. Line-Item-Budget
Expand as needed.
Sample
Proposal Title:
OVPAA identifier number: EIDR-C06-001
(projects under the programs will be coded as
below)
EIDR-C06-001.1
EIDR-C06-001.2
EIDR-C06-001.3
UP Funding
Item
DIRECT COST
PERSONAL SERVICES 1 (PS)
Honoraria
Program Leader
Program Manager
Two Project Leaders
Sub-total
Monthly
rate
Months
in
project
15,000.00
13,500.00
12,000.00
24
24
24
Year 1
180,000.00
162,000.00
144,000.00
486,000.00
EQUIPMENT OUTLAY (EO)
Desktop PC (i7, 2GB
60,000.00
memory, 6 USB ports, 1TB
hard drive, 21.5 LED
monitor, with Windows 8
pro, MS Office)
Laserjet printer
10,000.00
Sub-total
70,000.00
MAINTENANCE AND OTHER OPERATING EXPENSES (MOOE)
Salaries of two Project
17,917.00
24
215,004.00
Research Assistant 1
Traveling Expenses –
50,000.00
Foreign (e.g. RT airfare for
participation and
presentation in
international conferences
or visit to collaborators
abroad, daily subsistence
allowance, terminal fee,
etc)
OVPAA-EIDR Forms 3.6-3.9_ver2_02.27.2015
CU Funding
Year 2
180,000.00
162,000.00
144,000.00
486,000.00
215,004.00
50,000.00
Year 1
Year 2
CONFIDENTIAL
Traveling Expenses –
Local (e.g. airfare/inland
expenses for travel to
project site or visits to
collaborators, per diem,
etc.)
Training and Seminar
Expenses
(e.g. registration fees for
training, conference,
seminar, abstract
submission fee etc.)
Office Supplies (e.g. A4
paper, ink cartridges,
folders, etc.)
Laboratory Supplies (e.g.
chemicals, acids,
biochemicals, glassware,
etc.)
Repair and Maintenance
(e.g. for
repairs/maintenance of
laboratory equipment,
computer hardware,
office equipment, etc.)
Analytical services (e.g.
for use of other
equipment in another
laboratory/facility, fees
for laboratory analyses
etc.)
Printing and Binding
Expenses (e.g. for
reproducing, printing, and
binding materials such as
reports, catalogues,
documents and other
reading materials)
Consultancy Services (e.g.
for the services of
individual/private
companies, or other
government agencies
hired to undertake a
specific work or job
requiring special or
technical skills not
OVPAA-EIDR Forms 3.6-3.9_ver2_02.27.2015
20,000.00
20,000.00
75,000.00
75,000.00
20,000.00
20,000.00
70,000.00
20,000.00
10,000.00
10,000.00
100,000.00
25,000.00
5,000.00
5,000.00
15,000.00
CONFIDENTIAL
available in the concerned
agency)
Contractual Services e.g.
Project support staff,
graduate/student
assistants, laboratory aide
etc.)
Representation Expenses
(e.g. for meetings etc.)
Sub-total
INDIRECT COST
Utilities
Facilities and laboratory
space
Administrative staff
Sub-total
GRAND TOTAL
10,000.00
10,000.00
10,000.00
565,004.00
394,004.00
1,121,004.00
876,004.00
For New PhD research projects, the principal investigator is considered the Project Leader.
OVPAA-EIDR Forms 3.6-3.9_ver2_02.27.2015
50,000.00
50,000.00
50,000.00
50,000.00
30,000.00
130,000.00
130,000.00
30,000.00
130,000.00
130,000.00
CONFIDENTIAL
VII. E. Other project information
Is proprietary information/privileged information included in the application?
 Yes
 No
(Patentable ideas, trade secrets, privileged or confidential commercial or financial
information, disclosure of which may harm the applicant, should be included in applications
only when such information is necessary to convey an understanding of the proposed
project. If the application includes such information, check yes and clearly mark each line or
paragraph on the pages containing the proprietary/privileged information with a legend
similar to: "The following contains proprietary/privileged information that (name of
applicant) requests not be released to persons outside the Government, except for purposes
of review and evaluation.)
Facilities and other resources
(This information is used to assess the capability of the organizational resources available to
perform the effort proposed. Identify the facilities to be used: Laboratory, Animal, Computer,
Office, Clinical and Other. If appropriate, indicate their capacities, pertinent capabilities,
relative proximity and extent of availability to the project. Describe only those resources that
are directly applicable to the proposed work. Provide any information describing the Other
Resources available to the project (e.g., machine shop, electronic shop) and the extent to
which they would be available to the project.)
Certifications required
 Ethics review for use of human samples, animal testing, etc.
 Permits for bioprospecting activities and sample collection
 Institutional biosafety certificates, PNRI certificates, etc.
 Others:_________________________________________________________________
Does this project involve activities outside the Philippines or foreign collaborators?
 Yes: From where?_______________________________________________
 No
Sustainability plan. Describe how the project will be sustained beyond the duration of the
grant.
Information on the organization, communications, and operations management plans, and
documents pertaining to technology transfer, intellectual property and business
development may be required in the full proposal. The precise requirements will be
determined on a case-to-case basis.
OVPAA-EIDR Forms 3.6-3.9_ver2_02.27.2015
CONFIDENTIAL
VI. PROPONENT PROFILES (Biosketch) & ROLES
Proponent information
Last Name:_____________________
Highest Degree:_________________
Address:
Phone/Fax:
 Main Proponent
First name:____________________ MI:_______
Specialization: __________ Position Title: _________
Email:
 Programs Operations Manager
 Co-Proponent
Project Role:
Education
Degree
Specialization
University
Year
Attach Biosketch
Prepare a paragraph to explain why you are the best person for the project. Young proponents
(new PhDs) must provide evidence of appropriate experience and training. Experienced
proponents must demonstrate a record of ongoing achievement.
Attach list of 5-8 most relevant publications, patents, or other work.
List activities and responsibilities in the program/project. Include % time/effort in the
program/project including time management in relation to current activities/commitments in
UP.
OVPAA-EIDR Forms 3.6-3.9_ver2_02.27.2015
CONFIDENTIAL
Gantt Chart
Project Title:
Planned Start:
Total Duration (in months): __________
Month _______ Year _____
Activities
Year 1
Year 2
Expected
Objectives
or
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4
Output *
Workplan
Planned End:
Month ________ Year _____
Year 3
Year 4
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4
* Quantify if possible, e.g. Improved yield (quantify/volume/ unit/area). Compare with existing technologies
OVPAA-EIDR Forms 3.6-3.9_ver2_02.27.2015
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Schemes and Relational Diagrams
Hub and Spokes organizational structure
OVPAA-EIDR Forms 3.6-3.9_ver2_02.27.2015
CONFIDENTIAL
OVPAA-EIDR Form 3.8
EMERGING INTERDISCIPLINARY RESEARCH CYCLE 6
Equipment Form
EQUIPMENT
(List major items of equipment already available for this project and, if appropriate identify location
and pertinent capabilities.)
Equipment
Capability
Location/Facility
1.
2.
3.
4.
CERTIFICATION
This is to certify that the above equipment are available in our unit for use of the (Proponent)
for the project (Title). It is understood that rental/user fees may be collected from the researchers.
_______________________________
Name & Signature
Supervisor of Facility
OVPAA-EIDR Forms 3.6-3.9_ver2_02.27.2015
___________________
Name of Unit/Facility
___________________
Date
CONFIDENTIAL
OVPAA-EIDR Form 3.9
EMERGING INTERDISCIPLINARY RESEARC CYCLE 6
Full Proposal Checklist
Please check the documents to be submitted for the Full Proposal.
Title of the project:
OVPAA-EIDR Code:
 OVPAA-EIDR Form 3.6 Full Proposal Cover
 OVPAA-EIDR Form 3.7 Full Proposal Form
 Gantt /Organizational Chart
 Budget
 Line-item Budget
 OVPAA-EIDR Form 3.8 Equipment Form
 Attachments
 Thorough Review of Literature
 Net Present Value/Market study for business projects only)
 Preliminary studies (for new applications, see guidelines)
 Progress report
 Other project information
 Proponent contact information
Name of Main Proponent:
OVPAA-EIDR Forms 3.6-3.9_ver2_02.27.2015
Signature/Date: