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 CONFIDENTIAL 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:
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