FAPESP and
University of Nottingham - University of Birmingham
1. PRINCIPAL INVESTIGATOR - FAPESP (do not omit or abbreviate names)
NAME:
FAPESP CODE: / (TO BE USED EXCLUSIVELY BY FAPESP)
2. UNIT/INSTITUTION WHERE THE RESEARCH WILL BE DEVELOPED (SÃO PAULO)
INSTITUTION (University):UNIT (College, Center, Institute):
DEPARTMENT:
3. PRINCIPAL INVESTIGATOR – University of Nottingham – University of Birmingham (do not omit or abbreviate names)
University of Nottingham – NAME:
University of Birmingham – NAME:
4. PROJECT TITLE (do not abbreviate)
5. PROJECT TYPE (according to FAPESP’s list) /
PROJECT DURATION
AREA OF EXPERTISE: / PROPOSED START DATE:CODE: / - 0 0 - / DURATION (MONTHS):
6. OTHER ONGOING FAPESP GRANTS RELATED TO THIS PROPOSAL
(ATTENTION: only in the case of Proposals that includes mobility expenses) /
/ / - / VALID UP TO:
7. KEY WORDS (maximum of six)
8. RESEARCH PROJECT SUMMARY
9. SUMMARY OF FUNDING REQUIRED FOR PROJECT - FAPESP(please enclose detailed budget according to FAPESP standards)
(please enclose detailed budget according to FAPESP standards) link para o formulário FAPESP
EXPENSES IN R$
(use a coma to separate the decimals) / EXPENSES IN US$
(use a coma to separate the decimals)
1) SMALL EQUIPMENTS
2) CONSUMABLES
3) THIRD-PARTY SERVICES
4) OTHERS
TOTAL
10. SUMMARY OF FUNDING REQUIRED FOR PROJECT - UNIVERSITY OF NOTTINGHAM and/or UNIVERSITY OF BIRMINGHAM
(please enclose detailed budget according to FAPESP standards) link para o formulário FAPESP
EXPENSES IN US$
(use a coma to separate the decimals)
1) SMALL EQUIPMENTS
2) CONSUMABLES
3) THIRD-PARTY SERVICES
4) OTHERS
TOTAL
11a. TEAM MEMBERS (SÃO PAULO)
NAME
/ACADEMIC TITLE
/INSTITUTION
/UNIT
/TIME DEDICATED TO THE PROJECT (per week)
11b. TEAM MEMBERS (UNIVERSITY OF BIRMINGHAM)
NAME
/ACADEMIC TITLE
/DEPARTMENT
/TIME DEDICATED TO THE PROJECT (per week)
11c. TEAM MEMBERS (UNIVERSITY OF NOTTINGHAM)
NAME
/ACADEMIC TITLE
/DEPARTMENT
/TIME DEDICATED TO THE PROJECT (per week)
12. GRANTS REQUESTED TO OR AWARDED BY OTHER FUNDING AGENCIES RELATED TO THE PROPOSAL (please indicate the currency)INSTITUTION / TOTAL REQUESTED / TOTAL AWARDED
13. STATEMENT FROM THE DIRECTOR OF THE UNIT WHERE THE PROJECT WILL BE DEVELOPED
1- I declare to be aware of the project’s infrastructural needs and requirements and that the part of the Technical Reserve allocated to Research Infrastructural Expenses is destined towards the support of collective research infrastructure that benefits research projects supported by FAPESP in the Unit, according to the Employment Plan to be approved by the Unit’s collegiate body and submitted to FAPESP. The guidelines for the application of the part of the Technical Reserve allocated to Research Infrastructural Expenses can be found at http://www.fapesp.br/rt.
2- Therefore, I declare that in case this Project is approved and for the duration of its contract, the researcher and group of researchers taking part in the project will have all the institutional support necessary for its development, as previously agreed with the principal investigator. Specially, the researcher and research group taking part in the Project will be granted with physical space for the adequate installation and operation of the requested equipment, the permission to use all facilities (laboratories, computer networks, library, databases etc.) and access to all services (lab technicians, administrative support etc.) available at the institution and that are relevant for its fulfillment. If the development of the project is hindered or made impracticable due to the non-fulfillment of this clause and without previous consent from FAPESP, the Institution commits itself to reimburse FAPESP’s related expenditures.
3- I am aware that the failure to fulfill the terms of this statement may compromise the course of future requests applied to FAPESP by researchers from this Unit.
NAME:
POSITION/TITLE:
PLACE, DATE AND SIGNATURE:
14. APPLICANT STATEMENT
1- I declare to be aware of the procedures adopted by FAPESP for the analysis of requests in this program.
2- I authorize this request to be analised according to these procedures and especifically to submit it to the analysis of researchers chosen by FAPESP, whose identities will not be disclosed.
PLACE, DATE AND SIGNATURE
ATTENTION: CONFER DOCUMENTS TO BE ATTACHED ê15. DOCUMENTS TO BE ATTACHED
MANDATORY DOCUMENTS REQUIRED FOR ANALYSIS (PLEASE DO NOT BIND) / Check-list
Applicant / FAPESP
Research Proposal Form (6.a)
Researcher’s Registration Form (6.a)
Summary of the Principal Investigator’s CV on all sides and of each researcher involved on the Brazilian side (6.b)
Budget Worksheets (6.c) - Please enclose detailed budget according to FAPESP standards
Research Project (6.d)
Official document stating the formal commitment of the University of Nottingham and/or Birmingham (6.e)
CD containing, in a single PDF file, all documents described in item 6
ATTENTION: ALL REQUESTS THAT ARE NOT ACCOMPANIED BY THE MANDATORY DOCUMENTS FOR ANALYSIS WILL BE RETURNED.
FAPESP, APRIL, 2012