INDO-ITALIAN EXECUTIVE PROGRAMME OF COOPERATION IN SCIENTIFIC & TECHNOLOGICAL COOPERATION. (Proforma for Application for Joint Research)

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INDO- EXECUTIVE PROGRAMME OF COOPERATION IN SCIENTIFIC & TECHNOLOGICAL COOPERATION (Proforma for Application for Joint Research) Type of Proposal (Pls tick only one appropriate box) 1. PROPOSAL FOR EXCHANGE OF RESEARCHERS 2. SIGNIFICANT BILATERAL PROJECT A. PROJECT IDENTIFICATION 1. Title of the Project: 2. Duration of the Project in months: 3. Field of Science & Technology covered by the proposal: (Please specify the exact area as given in the call) Key words qualifying the scope of the proposal: 4. Project Investigators (PI) & Collaborating Institutions Indian Name of PI Designation Date of Birth Institute Contact Address Italian Telephone No. : Office Residence Fax No. e-mail Name of the Co-Investigator(s) Designation Date of Birth Institute Contact Address Telephone No. : Office Residence Fax No. e-mail 1

B. TECHNICAL INFORMATION 1. Objectives of the Project (upto 200 words) 2. Justification for collaboration & brief information about national and international scenario in the proposed area of research (upto 300 words) 3. Scientific & technical description of the project including methodology (upto 400 words) 4. Plan of work Time Schedule Indian Responsibilities Italian Responsibilities 5. Number of exchange visit required to achieve the Project Objectives (Year wise) Period India to Italy Italy to India Number Duration Number Duration 6. Expected results of this cooperation (e.g. joint publications, patents etc.) 7. Information about completed projects under the Indo-Italian Executive Programme of Cooperation, if any: (Pls inform brief outcome of the earlier collaboration with total number of joint publications) 8. Available resources at collaborating institutions: (Pls state whether necessary infrastructure support available at both Indian and Italian institutions to carry out the research in the proposed area. 9. Bio-data of Indian and Italian PIs to be appended in about 2 pages each. [The description should highlight the expertise of the PI(s) in the proposed field of work supported by citing relevant latest publications only]. 2

C. ADMINISTRATIVE & FINANCIAL INFORMATION (Applicable for proposal under category 1 (PROPOSAL FOR EXCHANGE OF RESEARCHERS) 1. Project Cost Year Exchange Visits Total India to Italy Italy to India Total 2. Signatures of the Project Investigators & Co-investigators 3. Declaration from the Heads of the Collaborating Institutions: It is certified that : i) The Institutions agree to participate in this Joint Research Project; ii) iii) iv) the Institutions shall provide infrastructure & necessary facilities for implementing the joint project; the Institutions assume to undertake financial & other management responsibility for the part of the project work to be carried out at their institution; and the back-up funding for manpower, consumable etc. is available to this project. Signature & Seal of the Head of the Institutions 3

Additional Information in case of Significant Bilateral Project Proposal 1. Proposed Research and its Significance on the priority research area. Why your proposal should be considered as Significant Bilateral Research? 2. Added value to be generated and benefits to both sides out of this collaboration. 3. Please specify whether any of the expected results like to have commercial value? If yes, how do you propose to share it? (upto 100 words). 4. Any financial contribution from other sources. Pls quantify. C. ADMINISTRATIVE & FINANCIAL INFORMATION (Indian side) (Applicable for proposal under category 2 (SIGNIFICANT BILATERAL PROJECT) (All costs should be in Indian Rs. for projects submitted by Indian PIs to DST) (Rs.) 1 st Financial Year 2 nd Financial year 3 rd Financial Year Consumables Manpower Contingency Exchange Visits Indian Scientists to Italy Italian Scientists to India Total! Please list out consumable items! Full justification should be given for Consumables & Manpower.! Please note that failing to provide list of consumables and full justification for consumables and Manpower, the support would not be considered by the evaluation Committee.! As per DST norms contingency should not be more than Rs. 50,000 per year. 2. Signatures of the Project Investigators & Co-investigators 4

3. Declaration from the Heads of the Collaborating Institutions: It is certified that : v) The Institutions agree to participate in this Joint Research Project; vi) vii) viii) the Institutions shall provide infrastructure & necessary facilities for implementing the joint project; the Institutions assume to undertake financial & other management responsibility for the part of the project work to be carried out at their institution; and the back-up funding for manpower, consumable etc. is available to this project. Signature & Seal of the Head of the Institutions 5