/ EUROPEAN COMMISSION
DG JOINT RESEARCH CENTRE
Directorate G -Nuclear Safety Security
Unit G.2-Standards for Nuclear Safety, Security Safeguards /
APPLICATION FORM / Reserved for EUFRAT use
(do not fill this area)
PAC meeting:
Experiment number:
Title of the proposed experiment
Spokesperson (name, address, phone, e-mail)
Facility to be used
GELINA 
Van de Graaff 
HADES 
Radionuclide laboratory  / Type of experiment
Collaborative  Associated 
Equipment used (please specify in detailed proposal)
standard JRC-Geel-G.2 research equipment 
more complex JRC-Geel-G.2research equipment 
own equipment alone 
own equipment combined with JRC-Geel-G.2equipment 
Contact person at JRC-Geel-G.2
Requested measurement time (hours)
Preferred measurement period
In case of collaborative project, travel cost estimation for typically two supported users (see conditions in reimbursement rules)
Potential safety problems (radioactive targets and sources, gases, high activation…)

Participant list and access period requested. Please put on top the names of the users that you would like to be supported (only in case of collaborative projects).

Researcher / Institution / E-mail address / Total number of days
Objectives and expected deliverables of the experiment

A detailed description of the proposal (max. 3 pages) must be added. This description must contain:

- the context and the goals of the measurements,

- the contribution of the different researchers to the experiment and the schedule of the work,

- quantitative estimates of measurement times, fluxes, other conditions,

- special support services that are needed,

- a description of equipment that is needed and/or equipment that you will bring with you.

The submission of this proposal implies that you certify that the given information is true and complete, and that you are conscious of the following:

- At JRC-Geel-G.2 you must follow the rules of conduct applicable for all Commission personnel.

- Access to a controlled area is only granted when JRC-Geel-G.2 has received a copy of a valid medical certificate. Access to controlled areas will not be granted to individuals from particular countries (e.g. countries which are not members of the Non Proliferation Treaty or countries for which the Commission has security reservations).

- You must accept that the text of your proposal will be put on the non-public PAC section of the EUFRAT website. This password-protected section of the website will be accessible by the PAC members and all group leaders that have submitted a proposal.

- You must accept to include the following sentence in your publications of the results obtained at the JRC-Geel-G.2 infrastructures: «This work was supported by the EUFRAT open access work package of the European Commission's Joint Research Centre EURATOM programme under Horizon2020». You should also acknowledge the persons who contributed to the success of this experiment.

DateSignature of Spokesperson

……………

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This proposal must be submitted by e-mail to the Unit Head of the SN3S unit at with copy to .

Contact: F.-J. Hambsch, EC-JRC-Dir. G.2, Retieseweg 111, B-2440 Geel, Belgium

Tel.: +32 (0)14 571 351, Fax: +32 (0)14 571 862, E-mail: