Adresszeile 1 - Fondazione San Salvatore



Application for Research Funding

Deadline for submission: September 15, 2020

1. PROJECT

1. New project

Continuation of project number

Revised version of project number

1.2 Title in English (1-3 lines) and title in German or French (1-3 lines)

3. Keywords (5-8)

1.4 Funding required (total of page 11) CHF

1.5 Start Duration Months

1.6 Is there likely to be a follow-on project? Yes No

1.7 Principal applicant

Surname First name

Nationality Language/s Acad. title

Business address

E-Mail:

Tel. No.

Secretary

Fax

Home address

Tel. No.

1.7.1 Co-applicant 1

Surname First name

Nationality Language/s Acad. title

Business address

E-Mail:

Tel. No.

Secretary

Fax

Home address

Tel. No.

1.7.2 Co-applicant 2

Surname First name

Nationality Language/s Acad. title

Business address

E-Mail:

Tel. No.

Secretary

Fax

Home address

Tel. No.

1.7.3 Co-applicant 3

Surname First name

Nationality Language/s Acad. title

Business address

E-Mail:

Tel. No.

Secretary

Fax

Home address

Tel. No.

1.7.4 Co-applicant 4

Surname First name

Nationality Language/s Acad. title

Business address

E-Mail:

Tel. No.

Secretary

Fax

Home address

Tel. No.

1.7.5 Co-applicant 5

Surname First name

Nationality Language/s Acad. title

Business address

E-Mail:

Tel. No.

Secretary

Fax

Home address

Tel. No.

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|Scientific details |

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|2.1 Summary of the research plan (max. 1 page) |

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|Address of the ethics committee that will be evaluating this application |

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|2.2 Research plan |

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|The research plan should cover the following points: |

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|2.2.1 Brief description of the current status of research in the field in which the work is planned, giving the titles of the most important relevant |

|studies by other authors. |

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|2.2.2 Brief description of the status of the applicant's own research in the field in which the work is planned, giving the titles of the most |

|important relevant studies. |

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|2.2.3 Detailed research plan |

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|2.2.4 Time-frame for the overall project: Which research activities are scheduled to be carried out during the period for which funding has been |

|requested? |

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|2.2.5 What, in your opinion, is the significance of the planned work? |

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|How is the project under consideration connected to work you are carrying out which is being funded by other bodies (e.g. university, Swiss National |

|Foundation for Scientific Research, cantonal cancer leagues)? |

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|If the research project comprises several individual projects, scientific details must be supplied separately for each of them (A, B, C). In this case|

|the applicant should state which scientists will be involved in each individual project and who will be the scientific project manager in each case. |

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|3. Available resources |

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|What level of total funding is currently available to you; how much of this total can you use for the project under consideration (not including the |

|funding requested in this application)? |

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|The following details must be supplied: |

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|3.1 Personnel |

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|3.2 Existing equipment |

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|3.3 Funding required for new equipment, consumables, travelling and other expenses |

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|3.4 Infrastructure (rooms, workshops, computer centres, libraries, etc.) |

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|4. Funding requested from other sources |

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|4.1 Funding granted from other sources (amounts, sponsors) |

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|5. Level of funding required | |

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|What funding will be required during the period of credit? If several projects are included in the same application, an | |

|individual budget should be given for each project separately where possible. | |

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|Consumables | |

|as well as maintenance and hire of apparatus | |

|Grouped according to apparatus or system | |

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|Miscellaneous expenditures (only exceptionally and if well-documented) | |

|Like: material of lasting value, field expenses, travelling, congresses, etc. (justify individually) | |

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|Total | |

6. Personnel requirements

6.1 Salaries

|Name |Nationality |Academic title or |Function |Salary |Gross salary paid by |Gross salary paid by|

| | |diploma | |group |other sources |SCL/CRS |

| | | | | |1st year |1st year |

|First name |Marital status|since (mm/yy) |% of working time |from |2nd year |2nd year |

|Swiss social security No. |Number of |Doctoral candidate: |Salary from SCL/CRS since| |3rd year |3rd year |

|(where appropriate date of |children |no/yes, since | | | | |

|birth) | | | | | | |

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|3. | | | | | | |

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|5. | | | | | | |

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|6. | | | | | | |

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|7. | | | | | | |

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| | | | | |Total | |

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| |Summary of salaries | | |

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| |Academics |No. of positions: |CHF |

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| |Doctoral candidates |No. of positions: |CHF |

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| |Technical staff |No. of positions: |CHF |

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| |Administrative staff and assistants |No. of positions: |CHF |

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| |Total |No. of positions: |CHF |

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|6.2 |Social security contributions (employer contributions; see information sheet on social security contributions) | |

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| |Total | |

7. Summary

| | |Project A |Project B |Project C |Not assignable to a |Total |

| | | | | |specific project | |

|5.1 |Consumables | | | | | |

|5.2 |Miscellaneous expenses | | | | | |

|6.1 |Salaries | | | | | |

|6.2 |Social security contributions | | | | | |

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| | | | | |Total | |

Please confirm by marking the box below:

The institution (organisation, university, hospital, study group etc.) where the project will be carried out, is not active in the field of direct mailing.

Principal applicant

Place and date Signature

Co-applicant 1

Place and date Signature

Enclosures

Curricula vitae of the applicants

List of publications by the applicants

Publications Number

Offers Number

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|8. Additional Page |

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