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EPSRC Engineering and Physical Sciences Research Council Je-SRP1(EPSRC) v1.0 LATEX
Polaris House, North Star Avenue, Swindon, Wiltshire,
United kingdom, SN2 1ET
Telephone +44 (0) 1793 444000
Web http://www.epsrc.ac.uk/



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 EPSRC and may be
held on computerised database and/or manual files. further details may be found in the guidance notes.



EPSRC Reference:



RESEARCH PROPOSAL

1 DETAILS OF PROPOSAL

You should read the separate notes for guidance and the 'EPSRC Funding Guide before completing any research proposal. Form Je-SRP1 (EPSRC) must be accompanied by a case for support. EPSRC will reject incomplete research proposals.



A. Organisation where grant would be held

Organisation RO Reference
Division or Department


B. Investigators Please give details of each investigator below. Please provide the details of any additional investigators on a separate sheet using the same format as below.

Details Principal Investigator Co-investigator 1
Title

Forename(s)

Surname

Organisation

Division of Department

Post will outlast project (Y/N)

% time committed to project

Other commitments
(description and average hours per week)







Total number of co-investigators (ie. excluding the PI) \framebox[12pt][c]{\raisebox{0pt}[10pt][0pt]{ }}


C. Recognised Researchers Please give details of each Recognised Researcher below. Please provide the details of any additional Recognised Researchers on a separate sheet using the same format as below.


Details Recognised Researcher 1 Recognised Researcher 2
Title

Forename(s)

Surname

Organisation

Division of Department

% time committed to project



Total number of Recognised Researchers \framebox[12pt][c]{\raisebox{0pt}[10pt][0pt]{ }}



D. Title of Research project (Not exceeding 150 characters including spaces)





E. Type of proposal

Scheme: Call:

F. Related Proposals

a. If this proposal is related to a previous proposal to EPSRC, please give the previous EPSRC research grant proposal reference number(s) and indicate the type of relationship.
EPSRC Reference Number How related? (one of Continuation, Follow up to outline proposal, Invited resubmission, Uninvited resubmission)
b. If there is more than one organisation submitting a Je-SRP1 (EPSRC) proposal form for this project, please give the number of proposals involved, the lead Research Organisation and the project common reference.

Total number of Proposals being submitted Name of Lead RO Common Reference

G. Summary of EPRSC Resources Required for Project

a. Financial resources required b. Summary of Staff effort requested c. Services
Total £
Staff
Travel and subsistence
Consumables
Exceptional items
Equipment
Large Capital
PCTF
Sub-total
Indirect costs
Total
Months
Research
Technician
Other
Project Students
Visiting Researchers
Total
\framebox[2cm][l]{\pounds}


H. Start data and Duration

a. Proposed start date b. Duration of grant (months)
\framebox[2cm]{DATE} \framebox[2cm]{DURATION}


I. Research Councils / MoD Joint Research Grants Scheme (JGS) If you have received a commitment of support from the Defence Science Technology Laboratory (DSTL), please give the following details:

Percentage funding indicated by DSTLs
DSTL contact (name and address)
Title/Forename(s)
Surname
Address Line 1
Address Line 2
Address Line 3
Town/City
Administrative Area/County
Postal Code
Telephone
Fax
E-mail
DSTL Reference (please ensure that the letter providing this reference is attached with the Case for Support)

J. Objectives

List main objectives of the proposed research in order of priority.

OBJECTIVES HERE



K. Summary

Describe the proposed research using (about 200) words geared to the non-specialist reader.

DESCRIPTION HERE




L. Beneficiaries

Describe who will benefit from the research.

BENEFICIARIES HERE

M. Staff

Joint Negotiating Committee For Higher Education Staff (JNCHES formerly UCEA) Posts

Name / Post Identifier Grade Starting Spine point Effective date of Salary Scale Incremental Date Start date Period on Project (months) % of Full Time London allowance Y/N Not Used Total cost on grant £
i) Research Staff
%
%
%
%
%
%
%
%
%
%
ii) Technical Staff
%
%
%
%
%
%
%
%
%
iii) Visiting Researchers
%
%
%
%
%
%
Total £

Non-JNCHES Posts

Name / Post Identifier Basic Starting Salary Scale Effective date of Salary Scale Incremental Date Start date Period on Project (months) % of Full Time London allowance Y/N Superannuation and NI (£) Not Used Total cost on grant £
i) Research Staff
%
%
%
%
%
%
%
ii) Technical Staff
%
%
%
%
%
%
%
iii) Other Staff
%
%
%
%
%
%
iv) Visiting Researchers
%
%
%
%
%
Total £
Ma. Project Studentships

Name / Post Identifier Start Date London (Y/N) Stipend (£)
Total


Mb. Visiting Researchers Please provide the details of any additional visiting researchers on a separate sheet in the same format as below.


Details Visiting Researcher 1 Visiting Researcher 2 Visiting Researcher 3
Title
Forename(s)
Surname
Home
Organisation
Division or Department
Address Line 1
Address Line 2
Address Line 3
Town/City
Administrative Area/County
Postal Code
Country
Telephone
Fax
E-mail
Post held
(a) Will Visiting Researcher be supporting dependants?
(b) What annual salary would host organisation pay staff of the Visiting Researcher 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 given in (b) above (£)

Total number of visiting researchers \framebox[12pt][c]{\raisebox{0pt}[10pt][0pt]{ }}



Mc. Public Communication Training Funds (PCTF)

Do you wish to apply for Public Communication Training Funds? YES \framebox[12pt][c]{\raisebox{0pt}[5pt][0pt]{ }} NO \framebox[12pt][c]{\raisebox{0pt}[5pt][0pt]{ }}

N. Travel and Subsistence

Destination and purpose Total £
(i) Within UK
(ii) Outside UK
Total £


O. Consumables

Specify Total £
Total £

P. Exceptional Items

Specify Total £
Total £

Q. Equipment (single items under £100,000)

Description Country of manufacture Delivery Date Basic price £ Import duty £ VAT £ Total £
Total £

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

Description Country of manufacture Delivery Date Basic price £ Import duty £ VAT £ Total £
Total £


Sa. Services


Service Instrument(s) Units Cost £
Total £


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

Awarding Organisation Awarding Organisation's Reference Title of Project Start Date End Date Amount Sought / Awarded (£) Date Decision Expected / Made

U. Project Partners

Please give details of partners in the project and their contributions to the research. These contributions should be in addition to resources above. If there are more than two partner organisations, please provide details on a separate sheet using the same format as below.


Details Partner Partner 2
Name of partner organisation
Division/Department
Address Line 1
Address Line 2
Address Line 3
Town / City
Administrative Area/County
Postal Code
Country
Organisation Type
Main Standard Industrial Code
Number of Employees
Annual Turnover (£)
Title/Forename(s) of Contact
Surname of Contact
Contact Address (if different from organisation address)
Address Line 1
Address Line 2
Address Line 3
Town/City
Administrative
Postal Code
Country
Telephone
Fax
E-mail

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 (including contributions from additional project partners)


Total number of project partners \framebox[12pt][c]{\raisebox{0pt}[10pt][0pt]{ }}

2. OTHER INFORMATION

Information in this section will be used for administrative purposes and will NOT be circulated to referees or panels.




A. Nominated Referees

Please give details of 3 referees whom the EPSRC may approach for assessment of this research proposal.



Details Referee 1 Referee 2 Referee 3
Title
Forename(s)
Surname
Organisation
Division or Department
Address Line 1
Address Line 2
Address Line 3
Town/City
Administrative Area
Postal Code
Country
Telephone
Fax
E-mail



B. Declaration

In submitting this research proposal, I confirm on behalf of the Administrative Authority of .................................... [Name of Submitting Organisation] that:

a.
we have read and understood the requirements in the EPSRC Funding Guide and have checked that the proposal complies with these
b.
if a grant is offered we will accept the terms and conditions applied by EPSRC
c.
we have not entered into any obligations which may conflict with the EPSRC terms and conditions


Name in BLOCK CAPITALS: Position: Signature: Date:




Signatures Name in BLOCK CAPITALS Date
Principal Investigator
Co-investigators
Recognised Researchers
Head of Department


3. PERSONAL INFORMATION

Information in this section will be used for administrative and statistical purposes and will NOT be circulated to referees or panels.




B. Investigators Please give details of each investigator below. Please provide the details of any additional investigators on a separate sheet using the same format as below.

Details Principal Investigator Co-investigator 1
PID

Suffix (eg FRS)

Preferred form of name

Telephone

Fax

E-mail

Date of Birth

Sex

Ethnic Origin

Disability (Y/N, details of)

Current Post

Current Post Start Date

Sector

Function

Expertise (This information may be used to help identify expertise in a given area and to select potential referees).



C. Recognised Researchers Please give details of each Recognised Researcher below. Please provide the details of any additional Recognised Researchers on a separate sheet using the same format as below.


Details Principal Investigator Co-investigator 1
PID

Suffix (eg FRS)

Preferred form of name

Telephone

Fax

E-mail

Date of Birth

Sex

Ethnic Origin

Disability (Y/N, details of)

Current Post

Current Post Start Date

Sector

Function

Expertise (This information may be used to help identify expertise in a given area and to select potential referees).




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Next: About this document ...
Matt Clark 2003-08-07