Application Form for the PAI 2017

Application form for the PAI 2017

Program of Integrated Actions «Jules Verne»

French – Icelandic scientific cooperation

1 - Associates

Icelandic team / French team
Head of project
Name:
Function, grade :
Laboratory
Name:
Subdivision of
the head of
project:
Address :
Postal code:
City:
Tel:
Fax:
Email:
Director:

2 - Project

Title :
Domain(mark only one box)
1 Mathematics, computer science
2 Science and technology of communication
3 Physics
4 Engineering
5 Space, Aeronautic
6 chemistry / 7 Earth sciences and universe
8 Energy, transport, environment
9 Biology, medical science, health
10 Agronomy, Animal and vegetal production, Food technology
11 Human and social sciences
12 Judicial, political, economics and management sciences

3 – Grant demanded for:

Total number of people
Total number of travels
Total length of visits (in days) / Icelandic to France / French to Iceland

4 – Other financing received or asked

5 – Project’s description

Continue if necessary on a Blanc page (one leaf maximum).

Scientific and/or technologic objective of the collaboration.
(Describe the project for all the period expected, if necessary describe the special interest of the collaboration and justify precisely the necessity of the exchange)
Work program, proposals and possible agenda
The interest of the collaboration and complementarities of the teams
Benefit of the collaboration for the Icelandic laboratory

6 – Teams presentation

Members of the team (Mark «*» the persons taking part in the project)
Iceland:
France:
Equipment available for the realization of the project
Iceland:
France:
Significant publications in connection with the project (maximum of 5)
Iceland:
France:
Support demanded and/or received for the project besides this program
Iceland:
France:

7 – Perspective of the cooperation

Formation through the research
(Does this project serve as support to a formation through research, in that case write the name of the doctorate student and his subject of research).
Expected results of the projects
(Publications, communications, organization of conferences, formation. Economic, social and/or industrial worth, Registration of patent)
European perspectives
(Existing or awaited participation in a community program; name it or them. Name you and your associates.)
Other international perspectives
Industrial Prospects existing or awaited
(Associates, awaited results)

RANNIS, Icelandic Centre for Research, Borgartúni 30 - 105 Reykjavik

8 – Recapulatory table of means demanded for the realization of the project

(For the execution year of the program only)

Researchers name / Functions / Number of travels / Complete duration (1) / Laboratory-city / Reserved for RANNIS
I
C
E
L
A
N
D
I
C
F
R
EN
C
H

(1) Precise «days», «weeks» or «months»

RANNIS, Icelandic Centre for Research, Borgartúni 30 - 105 Reykjavik