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					CONFIDENTIAL                                                  APPLICATION FORM




                  A*STAR – TEKES JOINT RESEARCH PROJECT
                              APPLICATION FORM




      Proposal Number*:

      Submission Date* :

           Proposal Title:
     Principal Applicants:                                             (Singapore)


                                                                          (Finland)



* To be completed by Finnish National Funding Agency for Technology and Innovation
(TEKES) and Singapore’s Agency for Science, Technology and Research (A*STAR)




Last Updated: January 2010                                             Page 1 of 17
CONFIDENTIAL                                                               APPLICATION FORM



                                         INSTRUCTIONS

This document contains ten (10) separate sections. Please complete ALL sections

 SECTION                                      DESCRIPTION

 A.            OVERVIEW OF APPLICATION

 B.            PARTNER INFORMATION

 C.            PROBLEM FORMULATION

 D.            POTENTIAL MARKETS / IMPACT / COMMERCIALIZATION

 E.            CASE FOR SUPPORT

 F.            PROJECT RESPONSIBILITIES AND IMPLEMENTATION SCHEDULE

 G.            RESEARCHER ATTACHMENT

 H.            BUDGET PROPOSAL

 I.            GOALS AND EXPECTATIONS

 J.            DECLARATION AND SIGNATURES

Completed forms must be submitted no later than 26 February 2010 (Date of Submission)
via the following means.

For Singapore Applicants                      For Finnish Applicants

Submission via email and hardcopies (with     Completed form should be annexed to the
signatures) should be sent by post to:        electronic application to Tekes, which can be found
                                              in the following web addresses:
Ms. Shirlene Liew                             1) www.tekes.fi/rahoitus/laitos/hakemuslomakkeet.
Senior Officer                                  html (research institutes and universities)
Science & Engineering Research Council        2) www.tekes.fi/yritys/hakemuslomakkeet.html
Agency for Science, Technology and              (companies)
    Research
                                              Alternatively, a hardcopy of the joint application
Address:                                      form in English (with signatures), with reference to
1 Fusionopolis Way, #18-10 Connexis,          the e-application, could be sent by post to:
S138632, Singapore
Email: Shirlene_Liew@a-star.edu.sg            Ms Marita Paasi
                                              Manager, Global Operations
                                              Tekes

                                              Address:
                                              Kirjaamo, Tekes, PL69, 00101,
                                              Helsinki

                                              Email: kirjaamo@tekes.fi

  Important! : Relevant privileged or confidential information should be disclosed
  to help convey a better understanding of the project.
  However, such information must be clearly marked in the proposal.



Last Updated: January 2010                                                           Page 2 of 17
   CONFIDENTIAL                                                                                      APPLICATION FORM




                                               A. Overview of Application


A1. Proposal Title:
(The title should fully describe the proposal –
max. of 250 characters with spaces)


A2. Proposal Plan Overview
(Provide a succinct and accurate scientific
description of the proposal)

                                                    Status
                                                                                                            Required Man
                                                    M(Main Participant)                          1
A3. Partners         Organization Name                                                    Role                 Power
                                                    P(Participant)
                                                                                                            (Man/Month)
                                                    S(Subcontractor)

   Finland


  Singapore


A4. Technological Field

A5. Budget and Duration
                  Start Date
Duration           End Date
                     st                                 nd                          rd
                   1 Year                             2 Year                       3 Year                         Total
                                                  (if applicable)              (if applicable)
Budget             Finland      Singapore      Finland Singapore            Finland Singapore           Finland     Singapore
                   (Euros)        (SGD)        (Euros)      (SGD)           (Euros)       (SGD)         (Euros)       (SGD)
(a) Funding
             2
Requested
               3
(b) Applicant
Contribution
(In-cash / In-
     4
kind )
           5
(c) Others
(if any)
(In-cash / In-
kind)
             6
   Subtotal
           7
       Total



   1
     Role of Partner: R&D, Integration, Coordination, Test bed, Beta site, Commercialization. A partner can have more than
   one role.
   2
     Funding requested is in cash only. For Finnish participants, indicate amount of funding requested from Tekes. For
   Singapore participants, indicate amount of funding requested from A*STAR.
   3
     Applicants from Singapore refer to A*STAR research institutes. Applicants from Finland refer to Finnish research
   institutes, universities and companies. If there is more than 1 applicant, please specify breakdown of contribution for
   each applicant.
   4
     Applicants from Singapore are required to indicate the in-kind contribution (in addition to the funding requested) by the
   research institute for the project.
   5
     Indicate funding amount from other funding sources (if any). Detailed breakdowns of the sources of cash and in-kind
   contributions are to be explained in an annex to this application.
   6
     Subtotal = (a) + (b) + (c)
   7
     Based on exchange rate of Singapore : Euro = 1 : 2



   Last Updated: January 2010                                                                                 Page 3 of 17
CONFIDENTIAL                                                                      APPLICATION FORM




                                          B. Partner Information

                                             Finnish Participants


 B1A. Name of Main Participant:                                                     Country: Finland
 Organization Name :       Your position :
                           Telephone number :
                           Fax number :
                           E-mail :




 B1B. Name of Participant:                                                          Country: Finland
         (If applicable)
 Organization Name :       Your position :
                           Telephone number :
                           Fax number :
                           E-mail :




 B1C. Name of Subcontractor:                                                        Country: Finland
         (If applicable)
 Organization Name :       Your position :
                           Telephone number :
                           Fax number :
                           E-mail :


* If there is more than one participant or subcontractor, insert tables as appropriate.




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                                        Singapore Participants


 B2A. Name of Principal Investigator (PI):                                          Country: Singapore
 Organization Name :       Your position :
                           Telephone number :
                           Fax number :
                           E-mail :




 B1B. Name of Co-PI:                                                                Country: Singapore
         (If applicable)
 Organization Name :       Your position :
                           Telephone number :
                           Fax number :
                           E-mail :




 B1C. Name of Collaborator:                                                         Country: Singapore
         (If applicable)
 Organization Name :       Your position :
                           Telephone number :
                           Fax number :
                           E-mail :


* If there is more than one participant or subcontractor, insert tables as appropriate.




Last Updated: January 2010                                                                 Page 5 of 17
CONFIDENTIAL                                                           APPLICATION FORM




                                   C. Problem Formulation

Instructions:
 To be jointly completed by Singapore and Finnish Participants.
 Please do not exceed four (4) pages for this section.



 C1. Describe the problem you are addressing and proposed solution




 C2. Describe the state-of-the art of your technology




 C3. Describe anticipated technology developments




 C4. Describe the research issues and main objectives proposal is going to address




 C5. Describe project scope and constraints




 C6. Identify expected deliverables upon project completion: products, prototypes, IPR, new
 processes etc.
Note: Articulate in a clear and concise manner, the Finnish component and the Singapore
component of the research for the deliverables.




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                       D. Potential Impact / Markets / Commercialization

Instructions:
 To be jointly completed by Singapore and Finnish Participants.
 Please do not exceed three (3) pages for this section.



 D1. State the likely impact and applications of the work (social, technological, economic,
 environmental)




 D2. State the envisaged market




 D3. Discuss the estimated market size and expected market share




 D4. Highlight the position of each partner in the market




 D5. Indicate the status of the competition in the market




D6. Highlight any potential for exploitation and the necessary follow-up arrangements




Last Updated: January 2010                                                          Page 7 of 17
CONFIDENTIAL                                                                       APPLICATION FORM




                                          E. Case For Support

Instructions:
 To be jointly completed by Singapore and Finnish Participants.
 Funds from A*STAR will only support the Singapore component and cannot be allotted
    to collaborators from Finland. Similarly, funds from Tekes will only support the Finnish
    research component.
 Please do not exceed seven (7) pages for this section.

 E1. Highlight detailed research approach and methodologies
Note: PIs should describe the methods and technical approach chosen, the alternatives that have
been or can be considered, why the chosen methods were preferred, and whether the investigation
is to occur in stages and if the stages would be sequential or parallel.




 E2. Articulate succinctly the novelty of your approach




E3. Articulate the competitive advantage of your research and innovation and benchmark
with current international efforts
Note: Indicate if there is any possibility of the use of research results arising from this project in the
applicants’ countries.




 E4. Articulate how the proposed research would leverage on the capabilities of Finnish and
 Singapore collaborating partners
Note: For both Finnish and Singapore collaborating partners, highlight if there is any previous
preliminary work done.




 E5. Indicate the level of contribution of the Finnish main participant and Singapore PI and
 the scope of co-operation in the joint project
 For Finnish Participants
 Name of participants and a brief description of their activities in the project
 Main Participant 1




Last Updated: January 2010                                                                   Page 8 of 17
CONFIDENTIAL                                                                        APPLICATION FORM



 Participant (1)




 Subcontractor (1)




 For Singapore Participants
 Name of participants and a brief description of their activities in the project
 Principle Investigator (PI)




 Co-PI




 Collaborator




 For BOTH Finnish and Singapore Participants
 Articulate the scope of cooperation in the joint project and explain clearly how the research activities
 undertaken by the participants are synergistic with each other.




E6. Describe IPR Ownership Arrangements
Note: State clearly and succinctly, the IPR ownership arrangements in the collaboration between
Finnish entities and A*STAR research institutes. For Finnish participants, state the IPR ownership
arrangements with companies (if companies are participating in this joint research project). The
same applies for Singapore participants. State NIL if not applicable.




E7. Justification of resources required from A*STAR and Tekes (including manpower and
major equipment justification)
Note: Indicate if there is access to funding from other sources for this project.




Last Updated: January 2010                                                                  Page 9 of 17
   CONFIDENTIAL                                                                           APPLICATION FORM




                              F. Project Responsibilities and Implementation Schedule

   Instructions:
    To be jointly completed by Singapore and Finnish Participants.
    Technical activities associated with the implementation of the task, such as purchase of
       equipment and materials, preparation of reports are not considered as research tasks.

F1. Identification of Project Milestones and Responsibilities
                                                                                                       Deliverables
  Work                                                                             Entity
                                  No. of                                                            (quantitative targets
 Package          Objective                     Name of research task           implementing
                                  tasks                                                             would be preferred,
  (WP)                                                                            the task
                                                                                                       if applicable)
   WP1
   WP2
   WP3


F2. Project Schedule
                                                                            Year 2                      Year 3
                  Research Tasks                  Year 1
  WP                                                                    (if applicable)             (if applicable)
              (Task No. and Task
                    Name)                  Q1   Q2    Q3    Q4    Q1      Q2     Q3       Q4   Q1      Q2     Q3      Q4

 WP 1      1. Task 1

 WP 2      2. Task 2

           etc.




F3. For Singapore Participants only
Please complete and submit Form PSF16 – Capabilities Indicator together with this application.




   Last Updated: January 2010                                                                       Page 10 of 17
  CONFIDENTIAL                                                          APPLICATION FORM




                                            G. Researcher Attachment

  Instructions:
   To be jointly completed by Singapore and Finnish Participants.
   Please complete this section if researcher attachments are proposed.

                                      For Singapore Participants only
     Please note that the budget for researcher attachments will be drawn from the Travel
      vote.
     Please record any proposed researcher attachments in the Travel vote in Form PSF01B
      – Budget Proposal (as indicated in Section H).

G1. Researcher Attachment
                            Attachment                   Relevant
 Sending       Hosting       start date      Duration       WP
                                                                        Deliverables
Institution   Institution   (e.g. Year 1,    (months)   (e.g. WP1,
                                 Q3)                    WP2, etc.)




  Last Updated: January 2010                                                     Page 11 of 17
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                                                    H. Budget Proposal

                                         For Singapore Participants only

    H1. Summary of Proposed Project Costing
    EOM:                                                        S$
    OOE:                                                        S$
    Equipment:                                                  S$
    Travel (including researcher attachment):                   S$
    Proposed grant amount (A):                                  S$
                                                8
    Applicant Contribution (In-cash/In-kind ) (B)               S$
           9
    Others (if any) (In-cash/In-kind) (C)                       S$
    Co-Funding Source:                                          S$
    (please state if others)
    Proposed total project cost (A+B+C):                        S$




    H2. Breakdown of Fund Request
    Please complete and submit Form PSF01B – Budget Proposal together with this application.
    Please ensure that Sheet 3(b) (Title: Co-sponsorship: In-kind Contributions Only) is appropriately
    filled in and accurately reflects the PI’s in-kind contributions, e.g. EOM of PI based on estimated
    time spent on project, projected cost of equipment time on existing equipment at contributing
    organisation, etc.




8
  If there is more than 1 applicant, please specify breakdown of contribution for each applicant. Applicants from
Singapore are required to indicate the in-kind contribution (in addition to funding requested) by the research institute for
the project. Please specify the in-cash and/or in-kind contribution accordingly.
9
  Indicate funding amount from other funding sources (if any).



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CONFIDENTIAL                                                              APPLICATION FORM




                                   I. Goals and Expectations

                                      Finnish Participants


I1. Goal in participating in the project and expected benefit from the project
Main Participant




Participant (1)




Subcontractor (2)




                                    Singapore Participants


I2. Goal in participating in the project and expected benefit from the project
Principal Investigator




Co-PI




Collaborator




Last Updated: January 2010                                                       Page 13 of 17
CONFIDENTIAL                                                             APPLICATION FORM




                                 J. Declaration and Signatures

Instructions:
 Insert participating organizations’ logos here

The participants signing below intend to co-operate on the project as described in this form. In
addition, the participants have or intend to put in place, a formal collaboration agreement.

They agree to provide their respective program coordinators with updates of this form whenever
significant change occurs.


                                     Finnish Participants


                             J1. Co-signature of main participant
                                      Organisation name
Full Name



                                   Name of PERSON signing
Last Name                                           First Name


Position in Organization


Signature and Date




Last Updated: January 2010                                                        Page 14 of 17
CONFIDENTIAL                                                               APPLICATION FORM




                                     Singapore Participants

J2A. Declaration by Singapore Participants
a) My/Our proposal involves the use of (please indicate within box)
 Human Subject
 Use of Human Tissues or Cells
 Animal Experimentation
 Use of Animal Tissues or Cells
 Requirement for containment Class 2 and above
Has the necessary ethical clearance been obtained for the proposal?

          Yes. A copy of the ethics approval is attached with the application.

          No. A copy of the ethics approval will be submitted before the commencement of the
          project.

 Name of Ethics Committee: ___________________________


 b) My/Our proposal does not involve the use of any of the above
 c) Please tick against the following additional documents which are attached in support of
 the grant application
  Letter(s) stating financial commitment from co-sharing partners
  Quotations




I/We declare that the facts stated in this application and the accompanying
information are true and that this is an original and latest version of the proposal.


      Name of Applicant                          Signature                       Date

 Principal Applicant:



 Co-PI:



 Co-PI:




Last Updated: January 2010                                                       Page 15 of 17
CONFIDENTIAL                                                                 APPLICATION FORM




To be completed by the Head of Department/Division (or his nominee) of the Singapore Applicant.

 J2B. Department/Division Ranking and Comments
                                             Exceptional
 I would rank the proposal as                High
 (in the order of decreasing merit)          Moderate
                                             Low
 Specific Comments (please use a separate sheet if necessary):




                                                      10
The Department/Division supports/does not support          this version of the research proposal.

 Name:

 Designation:
                                                                    Date:
 Signature:




10
     Please delete accordingly.



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CONFIDENTIAL                                                                  APPLICATION FORM




To be completed by the Executive Director (or his nominee) of the Singapore Applicant.

 J2C. Institute Ranking and Comments
 Exceptional
                                             Exceptional
 I would rank the proposal as                High
 (in the order of decreasing merit)          Moderate
                                             Low
 Specific Comments (please use a separate sheet if necessary):




                                          11
The Institute supports/does not support        this version of the research proposal.

 Name:

 Designation:
                                                                    Date:
 Signature:




11
     Please delete accordingly.



Last Updated: January 2010                                                               Page 17 of 17

				
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