Format for Category IIIB

Format for submission of proposal

under Category IIIB (Field Trials)

Biotechnology Industry Partnership Programme

(BIPP)

An Advanced Technology Scheme

Submitted to

Department of Biotechnology, Government of India

INSTRUCTIONS FOR APPLICANT
GENERAL INSTRUCTIONS
1.  Applicants should go through the scheme details available on the web site (http://dbtindia.nic.in/AboutBIPP.pdf) for ascertaining the appropriate category and other necessary information about the scheme before filling up the application.
2.  Eligibility criteria for the applicant are as follows:
2.1  A single or consortia of Indian “for profit” company (ies) - Small, Medium or Large, involved in R&D. An Indian Company is defined as one in which more than 51% of the ownership is by Indian citizens. (including NRIs)
2.2  The proposals can be made:
a.  solely by in-house R&D unit(s) of industrial firms (DSIR recognized); or
b.  jointly by Industry and National R&D organizations and Institutions; or
c.  collaborative projects of common interest to the concerned sector/are proposed by a group of industries/users, national research organizations etc.
INSTRUCTIONS FOR FILLING IN THE APPLICATION
1.  Application should be submitted in the prescribed format as MS word file and not PDF to the address mentioned in the advertisement before the last date of submission.
2.  All figures for budget should be depicted as ‘Rs. in lakhs’ with two decimal digits only. This should be followed strictly to avoid typographical errors.
3.  The application should be complete in all respects. If any column is not relevant, it should be clearly marked as ‘NOT APPLICABLE’ and should not be left blank. All annexure are mandatory.
4.  The numbering of annexure and appendix should not be changed. If any appendix is not relevant, it should be clearly indicated as “Not Applicable”. Applications incomplete in any respect including unavailability of annexure(s) or relevant appendix shall not be entertained and summarily rejected.
5.  The application along with the annexure and relevant appendixes should be spirally bound as one document only (with separators after each part and in-between different annexures and appendix) and should not be sent as loose sheets for proper handling. The document holder should be clearly superscribed with “CONFIDENTIAL, BIPP PROJECT”.
HOW AND WHOM TO APPLY?
6 hard copies of the proposal including one duly signed original copy and one copy through email only (No CD required) should be sent to the address and email id given below. The original copy should be labeled appropriately.
Address: The Managing Director
Biotech Consortium India Limited
Anuvrat Bhawan, 5th Floor
210, Deen Dayal Upadhyaya Marg
New Delhi - 110002
India
Email:
Note: No interim enquiries shall be entertained. The decision taken by the department shall be final and would be intimated to the applicant through written communication as per the address given in the Part-IA of the application.
CONTENTS
Page no.
FACE SHEET
PART-I / PARTICULARS OF THE APPLICANT(S)
IA / PARTICULARS OF THE APPLICANT COMPANY
IB / PARTICULARS OF THE COLLABORATOR COMPANY
IC / PARTICULARS OF THE COLLABORATOR ORGANIZATION (SOCIETY/TRUST/NGOs)
ID / PARTICULARS OF THE PUBLIC COLLABORATOR (INSTITUTION/UNIVERSITY)
PART-II / PROPOSAL DETAILS
IIA / PROPOSAL SUMMARY
IIB / TECHNICAL DETAILS
IIC / TIMELINES AND MILESTONES FOR QUANTIFIABLE OUTPUTS
IID / BUDGET SUMMARY
IIE / BUDGET DETAILS
PART-III / BUDGET JUSTIFICATIONS
IIIA / EQUIPMENTS DETAILS
IIIB / MANPOWER DETAILS
IIIC / CONSUMABLES DETAILS
IIID / JUSTIFICATION FOR OTHER RECURRING HEADS
IIIE / DETAILS ON WORK TO BE OUTSOURCED
IIIF / OTHER FINANCIAL DETAILS
PART-IV / FORMATS AND GUIDELINES
IVA / FORMAT FOR BIOGRAPHICAL SKETCH OF THE PROJECT COORDINATOR AND OTHER KEY INVESTIGATORS
IVB / DECLARATION
IVC / GUIDELINES ON EMOLUMENTS AND OTHER CONDITIONS OF SERVICE FOR RESEARCH PERSONNEL
Page No.
ANNEXURES
Annexure IA / COMPANY REGISTRATION CERTIFICATE
Annexure IIA / ANNUAL REPORT OF THE COMPANY
Annexure IIIA / PROMOTERS BACKGROUND
Annexure IVA / SHAREHOLDING PATTERN OF THE COMPANY
Annexure VA / DSIR R&D RECOGNITION CERTIFICATE /APPLICATION TO DSIR FOR R&D RECOGNITION, AS APPLICABLE
Annexure VIA / DETAILS OF OUT STANDING LOANS
Annexure VIIA / DETAILS OF FUNDING RECEIVED/APPLIED FOR FROM GOVERNMENT/ ANY OTHER AGENCY FOR THE SAME OR RELATED PROJECT
Note: Please ensure that similar annexures for Part-IB, Part-IC and Part-ID, if applicable are also enclosed.
APPENDICES
Appendix 1 / A COPY OF SIGNED MoU WITH COLLABORATOR(S), IF APPLICABLE
Appendix 2 / REGULATORY APPROVALS OBTAINED SO FAR
Appendix 3 / FULL TRIAL PROTOCOL AS SUBMITTED/TO BE SUBMITTED TO RCGM/GEAC
Appendix 4 / A COPY OF SIGNED LICENSE AGREEMENT, IF APPLICABLE
FACE SHEET
1. / TITLE OF THE PROPOSAL
2. / PLANT SPECIES TO BE TESTED
Local Name / Botanical Name
3. / TYPE OF TRIAL
·  Biosafety Research Level I
·  Biosafety Research Level II
4. / NAME OF THE COMPANY
5. / PROPOSAL SUBMITTED
·  Solely by an industry
·  As a Collaborative Project
If so, Please provide names of the Collaborator(s) (Industry/organization)
Collaborator 1:
Collaborator 2:
Collaborator 3:
In case of collaborative projects, please enclose a copy of Memorandum of Understanding (MoU) with each collaborator, clearly defining the Scope of work for both the parties and the terms for IP sharing and sharing of other benefits as Appendix 1.
6. / NAMES OF THE PROJECT COORDINATOR AND OTHER KEY INVESTIGATOR(S) INVOLVED IN THE PROJECT: (Add as many rows as required)
S. No. / Name / Designation / Organization
Project Coordinator
Key Investigators
* The Biographical sketch of the Project Coordinator and each key Investigator should be provided as per Format given in Part-IVA.
7. / PROJECT DURATION
Years Months
8. / TOTAL PROJECT COST (Rs. in lakhs)
i.  Proposed contribution by the company
ii.  Support requested under BIPP to the company
iii.  Proposed contribution by collaborator(s), if any*
iv.  Support requested under BIPP to other collaborators, if any
v.  Total contribution by company and collaborators
vi.  Total contribution requested under BIPP
(a) Grant-in-aid
(b) Loans
Grand Total
IN WORDS: Rs.
* Please mention the contribution of and the support requested by each Collaborator separately in case of more than one collaborator.
PART-I
PARTICULARS OF APPLICANT(S)
PART-IA
PARTICULARS OF THE APPLICANT COMPANY
1. / NAME OF THE COMPANY
2. / NAME OF THE PROJECT COORDINATOR
3. / COMPLETE POSTAL ADDRESS
Pin Code: / State:
4. / CONTACT DETAILS
Tel: / Mobile:
Fax: / E-mail:
5. / YEAR OF ESTABLISHMENT OF THE COMPANY
6. / COMPANY’S ACTIVITIES
Manufacturing:
Trading / Import & Marketing:
R&D activity:
7. / DECLARATION FROM THE COMPANY
7.1 Type of the Company: (Please mark the relevant)
·  Public Limited
·  Private Limited
·  Other, please specify
Please enclose
a.  A copy of the Company Registration Certificate as Annexure IA.
b.  Annual Report of the Company for the previous financial year as Annexure IIA.
7.2 Are the shares of the company held to the extent of 51% by Indian citizens?
Yes No
Please enclose
a.  Promoters background including association with other companies and contribution in those companies as Annexure IIIA.
b.  Shareholding Pattern of the Company indicating name and address of foreign shareholders, overseas corporate bodies and shares held by NRIs as Annexure IVA
7.3 Does the Company have valid DSIR recognized in-house R&D unit?
Yes No
If Yes, Please enclose the valid certificate of R&D recognition by DSIR as Annexure VA.
If No, has the company applied for DSIR recognition before submitting the proposal?
Yes No
If Yes, Please enclose a copy of application to DSIR for R&D recognition as Annexure VA.
7.4 Are there any outstanding loans? Yes No
If yes, Please provide details of loans outstanding against the applicant, clearly stating if the company is a defaulter in repayment of any of the loans/ interests as per the agreed schedule as Annexure VIA.
7.5 Has the Company received/applied for funding from Government/any other agency for the same or related project? Yes No
If Yes, Please enclose relevant details as Annexure VIIA including:
·  Title of the project
·  Present status of project (under consideration/ongoing/completed)
·  Source of funding
·  Total Project Cost
·  If ongoing/Completed:
§  Date of sanction
§  Date/Due date of completion of the Project, as applicable
§  Total approved cost
o  Amount received as grant-in-aid
o  Amount received as loan
PART-IB
PARTICULARS OF THE COLLABORATOR COMPANY
(Use separate sheet for each company)
1. / NAME OF THE COMPANY
2. / NAME OF THE KEY INVESTIGATOR
3. / COMPLETE POSTAL ADDRESS
Pin Code: / State:
4. / CONTACT DETAILS
Tel: / Mobile:
Fax: / E-mail:
5. / YEAR OF ESTABLISHMENT OF THE COMPANY
6. / COMPANY’S ACTIVITIES
Manufacturing:
Trading / Import & Marketing:
R&D activity:
7. / DECLARATION FROM THE COMPANY
7.1 Type of the Company: (Please mark the relevant)
·  Public Limited
·  Private Limited
·  Other, please specify
Please enclose
c.  A copy of the Company Registration Certificate as Annexure IB.
d.  Annual Report of the Company for the previous financial year as Annexure IIB
7.2 Are the shares of the company held to the extent of 51% by Indian citizens?
Yes No
Please enclose
c.  Promoters background including association with other companies and contribution in those companies as Annexure IIIB.
d.  Shareholding Pattern of the Company indicating name and address of foreign shareholders, overseas corporate bodies and shares held by NRIs as Annexure IVB
7.3 Does the Company have valid DSIR recognized in-house R&D unit? Yes No
If Yes, Please enclose the valid certificate of R&D recognition by DSIR as Annexure VB.
If No, has the company applied for DSIR recognition before submitting the proposal?
Yes No
If Yes, Please enclose a copy of application to DSIR for R&D recognition as Annexure VB.
7.4 Are there any outstanding loans? Yes No
If yes, Please provide details of loans outstanding against the applicant, clearly stating if the company is a defaulter in repayment of any of the loans/ interests as per the agreed schedule as Annexure VIB.
7.5 Has the Company received/applied for funding from Government/any other agency for the same or related project? Yes No
If Yes, Please enclose relevant details as Annexure VIIB including:
·  Title of the project
·  Present status of project (under consideration/ongoing/completed)
·  Source of funding
·  Total Project Cost
·  If ongoing/Completed:
§  Date of sanction
§  Date/Due date of completion of the Project, as applicable
§  Total approved cost
o  Amount received as grant-in-aid
o  Amount received as loan
Note: The particulars of any further private collaborator(s) should be filled in separately and labeled as Part-IB-2, IB-3 as so on with similar labeling pattern for Annexures (Annexure IB-2, IB-3 etc.)
PART-IC
PARTICULARS OF THE COLLABORATOR ORGANIZATION (SOCIETY/TRUST/NGOs)
(Use separate sheet for each collaborator organization)
1. / NAME OF THE ORGANIZATION
2. / NAME OF THE KEY INVESTIGATOR
3. / COMPLETE POSTAL ADDRESS
Pin Code: / State:
4. / CONTACT DETAILS
Tel: / Mobile:
Fax: / E-mail:
5. / YEAR OF ESTABLISHMENT OF THE ORGANIZATION
6. / ORGANIZATION’S ACTIVITIES
7. / DECLARATION FROM THE ORGANIZATION
7.1 Type of the Organization: (Please mark the relevant)
Society Non-Government Organization
Trust Other, please specify
Please enclose
a.  A copy of the Organization’s Registration Certificate as Annexure IC.
b.  Annual Report of the Organization for the previous financial year as Annexure IIC
7.2 Are the shares of the organization held to the extent of 51% by Indian citizens?
Yes No
Please enclose
a.  Promoters background including association with other companies and contribution in those companies as Annexure IIIC.
b.  Shareholding Pattern of the Company indicating name and address of foreign shareholders, overseas corporate bodies and shares held by NRIs as Annexure IVC.
7.3 Does the Organization have valid DSIR recognized in-house R&D unit? Yes No
If Yes, Please enclose the valid certificate of R&D recognition by DSIR as Annexure VB.
If No, has the Organization applied for DSIR recognition before submitting the proposal?
Yes No
If Yes, Please enclose a copy of application to DSIR for R&D recognition as Annexure VB.
7.4 Are there any outstanding loans? Yes No
If yes, Please provide details of loans outstanding against the applicant, clearly stating if the Organization is a defaulter in repayment of any of the loans/ interests as per the agreed schedule as Annexure VIC.
7.5 Has the Organization received/applied for funding from Government/any other agency for the same or related project? Yes No
If Yes, Please enclose relevant details as Annexure VIIC including:
·  Title of the project
·  Present status of project (under consideration/ongoing/completed)
·  Source of funding
·  Total Project Cost
·  If ongoing/Completed:
§  Date of sanction
§  Date/Due date of completion of the Project, as applicable
§  Total approved cost
o  Amount received as grant-in-aid
Note: The particulars of any further collaborator(s) should be filled in separately and labeled as Part-IC-2, IC-3 as so on with similar labeling pattern for Annexures (Annexure IC-2, IC-3 etc.)
PART-ID
PARTICULARS OF THE PUBLIC COLLABORATOR (Institution/University)
(Use separate sheet for each institution/university)
1. / NAME OF THE INSTITUTION/UNIVERSITY
2. / NAME OF THE KEY INVESTIGATOR
3. / COMPLETE POSTAL ADDRESS
Pin Code: / State:
4. / CONTACT DETAILS
Tel: / Mobile:
Fax: / E-mail:
5. / YEAR OF ESTABLISHMENT OF THE INSTITUTION
6. / STATUS OF THE PUBLIC INSTITUTION
7. / HAS THE INSTITUTE RECEIVED/APPLIED FOR FUNDING FROM GOVERNMENT/ANY OTHER AGENCY FOR THE SAME OR RELATED PROJECT?
YES NO
If Yes, Please enclose relevant details as Annexure ID including:
·  Title of the project
·  Present status of project (under consideration/ongoing/completed)
·  Source of funding
·  Total Project Cost
·  If ongoing/Completed:
§  Date of sanction
§  Date/Due date of completion of the Project, as applicable
§  Total approved cost
o  Amount received as grant-in-aid
Note: The particulars of any further public collaborator should be filled in separately and labeled as Part-ID-2, ID-3 as so on with similar labeling pattern for Annexures (Annexure ID-2, ID-3 etc.)
PART-II
PROPOSAL DETAILS
PART-IIA
PROPOSAL SUMMARY
Please provide a brief summary of the proposal not exceeding 2 pages. The following section is proposed to be circulated for expert review, so, please do not include any proprietary/confidential information under this section.