Форма заявки для участия во 2-м этапе конкурса РФФИ-NWO 2002 года

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ФОРМА ЗАЯВКИ ДЛЯ УЧАСТИЯ ВО 2-М ЭТАПЕ КОНКУРСА РФФИ-NWO 2002 ГОДА

FULL RESEARCH PROPOSAL RUSSIAN-DUTCH RESEARCH COOPERATION
2002

1. Please select the scientific field:

- Pharmacogenomics
- Catalysis (excl. bio catalysis)
- Economies in transitions

2. Please state the title of your project:

Personalia of Applicants
3. Please complete these fields for the Dutch project leader (applicant):
   - Name and Title:
   - University or University Name:
   - E-mail Address:
   - University or Institution address, telephone and fax number

4. Please complete these fields for the Russian co-leader (co-applicant):
   - Name and Title:
   - University or University Name:
   - E-mail Address:
   - University or Institution address, telephone and fax number

Signature Dutch leader | Signature Russian leader

Project Content
- Please insert the duration and the start date of the project:

  - Months

- Start Date

- Please give a summary of your project in terms of its content and goals in +-1 A4 (max 550 words):

- Please describe briefly (by name) how young scientists will be involved in this project and what will be their role (+- 1/2 A4, max 200 words):
  - Answer:

- Please give a brief description of the previous research cooperation between your institutions. Mention some recent joint publications::
  - Answer:

- Describe the state-of-the-art in the research field in the Russian federation and in the Netherlands:
  - Answer:
- Discuss the content of your project:
  - What is the problem definition or central hypothesis of your project
  - Answer:
  - Discuss your method of approach:
  - Answer:
  - What are the objectives of the project?
  - Answer:
- Describe the division of tasks between the Dutch and the Russian researchers:
  - Dutch Research tasks:
  - Russian Research tasks:
- Specify the Dutch and Russian scientific input for this project:
  - Dutch scientific input:
  - Russian scientific input:
- Describe the social and scientific relevance of the project:
  - Answer:
- Describe the expected results of the project (e.g. anticipated publications)
  - Answer:
Personalia Continued
- Please provide names and contact information of the Russian participating researchers per institute:
  - Institute Name nr.1
  - Group Leader
  - Institute Address, Telephone/Fax Number and e-mail address

  - Key Researchers institute nr.1 (no more than 2)
  - Telephone and e-mail address

  - Young Scientists institute nr. 1
  - Telephone and e-mail address

  - Institute Name nr.2
  - Group Leader
  - Institute Address, Telephone and Fax Number

  - Key Researchers institute nr. 2 (no more than 2)
  - Telephone and e-mail address

  - Young Scientists institute nr. 2
  - Telephone and e-mail address

  - Institute Name nr.3
  - Group Leader
  - Institute Address, Telephone and Fax Number

  - Key Researchers institute nr. 3 (no more than 2)
  - Telephone and e-mail address

  - Young Scientists institute nr. 3
  - Telephone and e-mail address

  - Institute Name nr.4
  - Group Leader
  - Institute Address, Telephone and Fax Number

  - Key Researchers institute nr. 4 (no more than 2)
  - Telephone and e-mail address

  - Young Scientists institute nr. 4
  - Telephone and e-mail address

- Please give the names and contact information of the participating Dutch researchers per institute:
  - Institute Name nr.1
  - Group Leader
  - Institute Address, Telephone and Fax Number

  - Key Researchers institute nr.1
  - Telephone and e-mail address

  - Young Scientists institute nr. 1
  - Telephone and e-mail address

  - Institute Name nr.2
  - Group Leader
  - Institute Address, Telephone and Fax Number

  - Key Researchers institute nr. 2 (no more than 2)
  - Telephone and e-mail address

  - Young Scientists institute nr. 2
  - Telephone and e-mail address

Resumes of Russian Partners
- Please give short resumes of the Russian group leaders:
  - Group leader nr. 1
  - Group leader nr. 2
  - Group leader nr. 3
  - Group leader nr. 4

- Please give short resumes of the Russian key researchers
  - Key researcher nr. 1
  - Key researcher nr. 2
  - Key researcher nr. 3
  - Key researcher nr. 4
  - Key researcher nr. 5
  - Key researcher nr. 6
  - Key researcher nr. 7
  - Key researcher nr. 8

  Financial scheme
- Please list in detail the anticipated equipment costs:

  Equipment or consumable | Number or amount | Price per unit | Russian group | Dutch group | SUBTOTAL
  ??? | ??? | ??? | ??? | ??? | ???
  ??? | ??? | ??? | ??? | ??? | ???
  ??? | ??? | ??? | ??? | ??? | ???
  ??? | ??? | ??? | ??? | ??? | ???
  ??? | ??? | ??? | ??? | ??? | ???
  Total | ??? | ??? | ??? | ??? | ???

- Please Lists in detail the travel and subsistence costs:

  Visit nr. & (amount) | Number of travellers | Travel costs per person | Duration | Subsistence Costs per day / month | Russian group | Dutch group | SUB TOTAL
  ??? | ??? | ??? | ??? | ??? | ??? | ??? | ???
  ??? | ??? | ??? | ??? | ??? | ??? | ??? | ???
  ??? | ??? | ??? | ??? | ??? | ??? | ??? | ???
  ??? | ??? | ??? | ??? | ??? | ??? | ??? | ???
  ??? | ??? | ??? | ??? | ??? | ??? | ??? | ???
  Total | ??? | ??? | ??? | ??? | ??? | ??? | ???

- Please give a short comment on the anticipated visits mentioned in question 20:
  - Answer:
- Please list in detail the anticipated personnel costs with respect to Russian scientists:

  Personnel | Number | Monthly Fee | Months | SubTotal
  Groupleaders | ??? | ??? | ??? | ???
  Keyresearchers | ??? | ??? | ??? | ???
  Total | ??? | ??? | ??? | ???

- Please list all the costs allocated to young scientists:

  Type of Cost | Russian group | Dutch group | Subtotal
  ??? | ??? | ??? | ???
  ??? | ??? | ??? | ???
  ??? | ??? | ??? | ???
  ??? | ??? | ??? | ???
  ??? | ??? | ??? | ???
  Total | ??? | ??? | ???

- Give an overview of the total project costs:

  | Russian group | Dutch group | SubTotal
  Travel & Subsistence | ??? | ??? | ???
  Personnel Costs | ??? | Cannot Be Declared | ???
  Equipment & Consumables | ??? | ??? | ???
  Young Scientists | ??? | ??? | ???
  Total | ??? | ??? | ???

Other relevant information
- If you have any other relevant information on your project, you can enter it here:
  - Answer:
FINALLY, WE ASK YOU IF YOU COULD GIVE US THE NAMES AND ADRESSES OF A FEW DUTCH SCIENTISTS THAT ARE ABLE TO EVALUATE YOUR PROPOSAL AND ARE IN NO WAY INVOLVED IN THE PROJECT.
SCIENTIST NR. 1:
SCIENTIST NR. 2:
Thank you for completing this form

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