EPSRC

RESEARCH PROPOSAL

EPS(RP)

Engineering and Physical Sciences Research Council Polaris House, North Star Avenue Swindon SN2 1ET	You should read the separate notes for guidance and the `Guide to Research Grants' before completing any research proposal. The form EPS(RP) must be accompanied by a case for support. The EPSRC will reject research proposals which are not complete
1 DETAILS OF PROPOSAL

Organization where grant would be held

Organization
Division or Department
Address

Investigators

Total number of investigators 1 Please give details of each investigator below. Continue on a separate sheet if necessary.

Details	Principal Investigator	Co-investigator 1	Co-investigator 2
Title/Initials
Surname
Post held
Organization
Division or Department
Telephone
Fax
E-mail
Hours per week on project
First EPSRC proposal?	Yes No	Yes No	Yes No
Change in organization?	Yes No	Yes No	Yes No

Co-authors

Give the name and organization of the individuals on this project who are co-authors of the proposed research.

Scheme

Indicate if the proposal is

Fast Stream Link Overseas Travel

Related proposals
a. If this proposal is a resubmission, please give the previous grant proposal Ref no.	GR/
b. If there is more than one organization submitting and EPS(RP) for this project, please give details of the investigator(s) and project title(s).
c. If this proposal has been submitted in response to a specific call for proposals please give title of call.

Title of Research project (Please do not exceed 108 characters including spaces)

Summary of EPRSC Resources Required for Project

a. Financial resources required

b. Summary of Staff effort requested

c. Facilities total

	Total £
Staff
Travel and subsistence
Consumables
Exceptional items
Equipment
Large Capital
PCTF
Sub-total
Indirect costs
Total

	Months
Post Graduate
Post Doctoral
project Students
Technician
Other
Visiting Fellows
Total

Start data and Duration

a. Proposed start date	b. Duration of grant (months)

Joint Research Councils / Ministry of Defence Grants

If MoD/DERA have indicated that they are prepared to provide support for this proposal if successful, please indicate the percentage level of this support and MoD/DERA contact name.

Percentage of support	b. Name of MoD/DERA contact

Public Communication Training Funds (PCTF)

Do you wish to apply for Public Communication Training Funds? Yes No

Objectives

List main objectives of the proposed research in order of priority. These objectives should be those which you would wish the EPSRC to use in the evaluation of your work.

Summary

Describe the proposed research in about 200 words.

Beneficiaries

Describe who will benefit from the research.

BENEFICIARIES HERE

Staff

Name and grade	Starting point on spine	Increment date	Appoint- ment date	Duration of appointment	% of Full time	Basic starting salary £	London allowance Y/N	Gross annual salary £	Total cost on grant £
RESEARCH STAFF
i) Post Graduate RAs
					%
					%
					%
					%
ii) Post Doctoral RAs
					%
					%
					%
					%
					%
					%
					%
					%
					%
					%
iii)Project Students
TECHNICAL STAFF
					%
					%
					%
					%
					%
OTHER STAFF
					%
					%
					%
VISITING FELLOWS
					%
					%
					%
								Total £

Visiting Fellows

details	Nominated Fellow
Title / Initials
Surname
Post Held
Home Organization
Division or Department
Country
Telephone
Fax
E-mail

Financial Details of Nominated Fellow
a. Will the Fellow be supporting dependants?	Yes No
b. What annual salary would host organization pay staff of the Fellow's status?
c. if salary contribution required from EPSRC, state
(i) percentage of normal salary being received from any other source
(ii) normal salary if less than above

details	Nominated Fellow
Title / Initials
Surname
Post Held
Home Organization
Division or Department
Country
Telephone
Fax
E-mail

Financial Details of Nominated Fellow
a. Will the Fellow be supporting dependants?	Yes No
b. What annual salary would host organization pay staff of the Fellow's status?
c. if salary contribution required from EPSRC, state
(i) percentage of normal salary being received from any other source
(ii) normal salary if less than above

details	Nominated Fellow
Title / Initials
Surname
Post Held
Home Organization
Division or Department
Country
Telephone
Fax
E-mail

Financial Details of Nominated Fellow
a. Will the Fellow be supporting dependants?	Yes No
b. What annual salary would host organization pay staff of the Fellow's status?
c. if salary contribution required from EPSRC, state
(i) percentage of normal salary being received from any other source
(ii) normal salary if less than above

Travel and Subsistence

Destination and purpose	Total £
Total £

Consumables

Specify	Total £
Total £

Exceptional Items

Specify	Total £
Total £

Equipment (single items under £100,000)

Description of items and country of manufacture	Basic price £	Import duty £	VAT £	Total £
			Total £

Large Capital (single items £100,000 and over)

Description of items and country of manufacture	Basic price £	Import duty £	VAT £	Total £
			Total £

Facilities and Services

Give details of any proposed usage of EPSRC-supported facilities and of any services required together with the cost that will be incurred. Please complete a separate facilities form if necessary.

a. Facilities

Facility	Instrument(s)	2000/01	2001/01	2002/03	2003/04	2004/05	Total units	Cost £
							Total £

a. Services

Service	Instrument(s)	Total units	Cost £
		Total £

Other Support Give details of any support received from any source for this or related research in the past three years (minimum £10,000).

Source	Brief title of research proposal(s)	Amount sought	Amount awarded £

Collaboration

Please give details of collaborators and their contributions to the research. These contributions should be in addition to resources identified in pages 3 to 5. If there are more than two collaborating bodies please continue on a separate sheet.

Details	Collaborator 1	Collaborator 2
Name of contact
Name of collaborating body
Address of collaborating body
Telephone
Fax
Type of organization
Number of employees
Main Business and SIC code if applicable

Direct contribution to project	Description	Value £	Description	Value £
a. cash
b. equipment / materials
c. secondment of staff
d. other
Sub-Total

Indirect contribution to project
a. use of facilities/equipment
b. staff time
c other
Sub-Total
Total Contribution
			Total Contribution (all collaborators)

Declaration

In completing this research proposal, we confirm that

a.

we have read the `Guide to EPSRC Research Grants',

b.

if a grant is offered we will accept the EPSRC Terms and Conditions,

c.

we have not entered into any obligations which could conflict with these.

	Signatures	Name in BLOCK CAPITALS	Date
Principal Investigator
Co-investigator(s)
Administrative Authority(s)
(Position held)

COMPLIANCE WITH THE DATA PROTECTION ACT 1998

In accordance with the Data Protection Act 1998, the personal data provided on this form will be processed by the EPSRC, and may be held on computerised databases and/or manual files. Further details may be found in the guidance notes.

2 OTHER INFORMATION

This information will NOT be circulated to referees or panels.

Referees

Please give details of three expert referees whom the EPSRC may approach for assessment of this research proposal.

Referee 1
Name
Position held
Organization
Address
E-Mail
Referee 2
Name
Position held
Organization
Address
E-Mail
Referee 3
Name
Position held
Organization
Address
E-Mail

Personal Information

The EPSRC aims to encourage equal opportunities. If you are willing to do so, please provide the information on your own and you colleagues' age, sex and ethnic origin. We will NOT use this information in the assessment of this research proposal, but only for internal and statistical purposes.

Please give details for each investigator below. Continue on a separate sheet if necessary.

	Principal Investigator	Co-Investigator 1	Co-Investigator 2
Date of birth
Sex
Ethnic origin (see below)

Ethnic origins

White	Black-African	Black-Caribbean	Black-Other	Indian
Pakistani	Bangladeshi	Chinese	Other