PROFORMA FOR SUBMISSION OF PROJECT PROPOSALS ON RESEARCH AND DEVELOPMENT, PROGRAMME SUPPORT (To be filled by the applicant)

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1 PROFORMA FOR SUBMISSION OF PROJECT PROPOSALS ON RESEARCH AND DEVELOPMENT, PROGRAMME SUPPORT (To be filled by the applicant) PART I: GENERAL INFORMATION l PROFORMA I Investigator Institution Head of Institute/Organization Status of Organization.... Project Title Project Description Area Please select drop down Call For Proposal Yes/No Project Duration (Year), Project Duration (Month), Multi Institute & No. of Institutes cannot be changed once saved. Project Duration (Year) -----Select----- Project Duration -----Select---- (Month) Multi Institute Yes/No If Yes No. of Institutes Project Keyword Requires Regulatory Clearance Yes/No if, yes Upload Regulatory Clearance Document Browse... Regulatory Clearance Details Max (5000 characters) Requires Ethical Clearance Yes/No if, yes Regulatory Ethical Details Industries Collaboration Yes/No If, yes

2 Name of the Collaborating Industry Collaboration Details itional Details if any

3 PART II: PROJECT INVESTIGATOR Principal Investigator No Principal Investigator Name Designation Date of Birth Gender Action PI On selecting PI, The following details to be filled. Name:... Date of Birth:... Sex (M/F): Designation: Department: Institute/University:... ress: PIN:... Telephone:... Fax: Number of research projects being handled at present:... Co-Investigator No Co- Investigator Name Designation Date of Birth Gender Action Co-PI Name:... Date of Birth :...Sex (M/F) :... Designation :... Department :.... Institute/University:... ress : PIN :... Telephone :... Fax: Number of Research projects being handled at present:... Previous Next

4 PART III: TECHNICAL DETAILS OF PROJECT Introduction Target area basis of selection of beneficiaries Nature of intervention, (Field demonstration, Training, Extension activities, Health Interventions, Entrepreneurship Development, Networking with other agencies) A) Parameters to be used for evaluation of the impact B) How will the project benefit the target population C) Comment on impact on the environment D) Comment on the possibilities of the activity becoming self-sustainable E) Expected additional income per family per month Linkages with S&T Institution in case of NGOs If Any Commitment/letter of consent of S & T institution to be enclosed Browse A) Details of raw materials/local resources needed in the project and/or available B) Justification for implementation of the project with full details as to how the target population will be involved Details of raw materials/local resources and their availability for the project Techno-economic viability/cost benefits analysis (to include cash flow, working capital management, and pay back period, etc.) SAVE Project implementing Agency / Agencies Name of Agency ress of Agency Proposed Amount Cost Sharing %

5 For Multi-Institution Proposals Institute wise Objective/work Plan/Time Line to be added Select Institute Select Sr. No. Objectives Objective Max (10000) char SAVE Work Plan Select ObjectiveSr. No. --Select- Objective Work Plan Select Max (10000) char SAVE Time Line Select Work Plan Select Activity Max (10000) char Proposed start Proposed End Month Month from date from date of Sanction of Sanction SAVE Suggested Referees (Min 3 to be added) Expert Name Designation ress Max (500) char For uploading the figures, flowchart & photographs (if any) in the project document, please make one consolidated PDF file of all flowcharts, figures and photographs and upload the same in the link given below charts, figures and photographs and upload the same in the link given below Browse SAVE Previous Next

6 PART IV: BUDGET PARTICULARS RBI Currency Converter Select Institute Select Non-Recurring Year Equipment/Accessories Unit Cost Qty. Total Cost -Select- Other Cost Year Other Cost Description Amount - Select- Upload Quotations for Equipments Browse Recurring Human Resource Details The Details of the emoluments including HRA qualification etc can be given under details Resource Details Resource ---Select--- Resource Details No. Monthly Emoluments Select 1 Year 2Year 3 Year Consumables Year Details Justification Qty. Amount Total -Select- Travel Year Details Justification Amount -Select- Contingency Year Details Justification Amount -Select- Overhead Year Details Justification Amount -Select-

7 Other Item Year Details Justification Amount Select Account Holder Details Account Holder Name Postal address Telephone No. Id Bank Details Account Number Bank Name Account Type Branch Name Select Postal ress Max (5000characters) Telephone No. IFSC Code Id MICR Code Institute Wise Project Summary Non- Recurring Year 1 Year 2 Year 3 Total Equipment Others Recurring Human Resource Details Travel Contingency Other Item Sub Total Over Head Grand Total Budget Summary Total Non-Recurring Cost Year 1 Year 2 Year 3 Total Total Recurring Cost Grand Total Institutewise Project Cost Total Project cost Pervious Next

8 PART V: EXISTING FACILITIES Resources and itional Information Laboratory Manpower Max(200 Characters) Equipment Max(200 Characters) Other resource such as clinical materials, animal houses facility, glass course, experimental Garden, Pilot plant facility etc. Max(200 Characters) Pervious Next

9 PART VI: BIO DATA Name Select Designation Department Date of Birth SC/ST Institute/university Gender Education (Post-graduation onwards & Professional Career) Degree Awarded Institution / Place Max(200 Characters) ---Select----- Max(150 Characters) Year Field of Study Employment Details Position and Employment (Starting with the most recent employment) Max(150 Characters) Institution/Place Designation From Date To Date 01/02/ /02/2012 Award/Honors No. Description International Max(200 Characters) National Max(200 Characters) Upload itional Information if any Browse. Professional Experiences and Training relevant to the project Max(500 Characters) Publications A) International No. B) National

10 List of Publication in the peer review Journal of impact factor 1 and above Browse Biodata Pervious Next.

11 PART VII: DECLARATION/CERTIFICATION It is certified that The research work proposed in the scheme/project does not in any way duplicate the work already done or being carried out elsewhere on the subject. The same project proposal has not been submitted to any other agency for financial support. The emoluments for the manpower proposed are those admissible to persons of corresponding status employed in the institute/university or as per the Ministry of Science & Technology guidelines (Annexure-III) Necessary provision for the scheme/project will be made in the Institute/University/State budget in anticipation of the sanction of the scheme/project. If the project involves the utilization of genetically engineered organisms, we agree to submit an application through our Institutional Biosafety Committee. We also declare that while conducting experiments, the Biosafety Guidelines of the Department of Biotechnology would be followed into. If the project involves field trials/experiments/exchange of specimens, etc. we will ensure that ethical clearances would be taken from concerned ethical Committees/Competent authorities and the same would be conveyed to the Department of Biotechnology before implementing the project. It is agreed that any research outcome or intellectual property right(s) on the invention(s) arising out of the project shall be taken in accordance with the instructions issued with the approval of the Ministry of Finance, Department of Expenditure, as contained in Annexure-V. We agree to accept the terms and conditions as enclosed in Annexure-IV. The same is signed and enclosed. The institute/university agrees that the equipment, other basic facilities and such other administrative facilities as per terms and conditions of the grant will be extended to investigator(s) throughout the duration of the project. The Institute assumes to undertake the financial and other management responsibilities of the project. Do you want your own File No.? I agree Upload Declaration Document signed by competent authority. (PI & Co-PI) Browse Important Instruction: The proposal which is sent to DBT as hard copy should be identical with the one which is submitted online. If there is any discrepancy, it will not be processed Download Declaration/Certification Submit Previous