DER

CPER CTRL 2014-2020

Centre Transdisciplinaire de Recherche sur la Longévité

Call for Projects 2016

Application form

The admissibility of the application will be evaluated based on information given on the application form and provided by the applicant. Incomplete applications will not be considered nor returned. Please fill precisely the set of elements presented below.

  1. General Information

If more than two teams are involved in the project, please duplicate the tables

CPER CTRL Project

Acronym
Title of the project(English)
Titre du projet(Français)

Team 1 -CPER CTRL Project Coordinator

First name and name
Title/Position
UMR / Laboratory
Partner institutions (UMR/laboratory)
Postal Address
Phone number
e-mail address

Team 2 -CPER CTRL Project Partner

First name and name
Title/Position
UMR / Laboratory
Partner institutions (UMR/laboratory)
Postal Address
Phone number
e-mail address

Team members implicated in the CPER CTRL Project

Team 1 - CPER CTRL Project Coordinator

Name and first Name / Institution(s) / Title/Position / Number of person-months dedicated to CPER CTRL Project

Duplicate lines if necessary

Team 2 -CPER CTRL Project Partner

Name and first Name / Institution(s) / Title/Position / Number of person-months dedicated to the CPER CTRL project

Duplicate lines if necessary

For each Principal Investigator (CPER CTRL Project Coordinator and CPER CTRL Project Partner):

Curriculum vitae

List of peer-reviewed articles of the 5 last years, including patents and grants obtained as main investigator for this period (with grant titles and funding instrument)

  1. Research project - 10 pages maximum

Acronym :

Title of the project (English):

Titredu projet (French):

Scientific Abstract – English (max 250 words)

Public Abstract - English(max 250 words) justifying the project on longevity research

Résumé public - Français(max 250 mots)expliquant la relation du projet avec la recherche sur la longévité

Detailed CPER CTRL Research project

Precise description of the CPER CTRL research project (objectives, workpackages description, impact) including a short bibliography

(word times 12, single spaced)

Future research and perspectives (max 250 words)

  1. CPER CTRL Project Gantt chart

Summarizing the project (workpackages/main steps of the project for each team involved)

  1. CPER CTRL Project Budget

Maximum budget allocated:

PROJECTS “CTRL COLLABORATIFS”: 200000 € maximum - 24 months

(equipment, consumables, personnel costsincluding post-doc)

PROJECTS “CTRL EXPLORATOIRES”: 50000€ maximum -12 months (consumables only)

“POST-DOCTORANTS CTRL”:114000 €Post-Doc position - 24 months

(personnelcostsonly)

Budget / Total / Year 1 / Year 2 / Comments
Equipment
(>500 € per item) / Not applicable to Projects“CTRL Exploratoires” and “CTRL Post Doc”
Personnel costs / Not applicable to Projects“CTRL Exploratoires”
Other costs including:
-Consumables
-Internal invoicing (IPL)
-Sub-contracting
(Travel costs not eligible) / Year 2 budget not applicable to Projects“CTRL Exploratoires / Not applicable to Projects“CTRL Post Doc”

Budget justification:

Describe budget needs for the execution of the CPER CTRL Project by each team in terms of:

-Equipment:

-Personnel :

-Other costs including:

  • Consumables
  • Internal invoicing (IPL)
  • Sub-contracting

(Travel costs not eligible)

5Signed agreements

CPER CTRL Project Principal Investigators (Project Coordinator and Project Partner,Research Unit Directors,Team Leaders)

Acronym :

Title of the project (English):

Team 1 –CPER CTRL Project Coordinator

CPER CTRL Project Coordinator

Name Signature

Team Leader(if applicable)

Name Signature

Director of Research Unit

Name Signature

Team 2 - CPER CTRL Project Partner

CPER CTRL Project Partner

Name Signature

Team Leader(if applicable)

Name Signature

Director of Research Unit

Name Signature

The complete application must be assembled as a single document.

Contact person: Fabienne Jean

Deadline: October 3, 2016

*Three hard copiesof the application, received October 3, 2016 at the latest,to the attention of :

Pr. Patrick BERCHE

Directeur Général

Institut Pasteur de Lille

1 rue du Pr. Calmette BP 245

59019 LILLE cedex

*An electronic copy(WORD + PDF version)before October 3, 23h59 sentto :

Please use the following name for electronic documents:

Projects CPER CTRL Collaboratifs:“CPER CTRL_Coll16_acronym_coordinator name”

Projects CPER CTRL Exploratoires: “CPER CTRL_Expl16_acronym_coordinator name”

Projects CPER CTRL Post Doc: “CPER CTRL_PostD16_acronym_coordinator name”

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