Download Declaration and signing by the main applicant

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Declaration and signing by the main applicant
All applicants and co-applicants satisfy the criteria concerning ‘Who can
act as a main applicant or co-applicant?’
☐ yes
All required letters of support have been attached (separate attachments in
PDF format).
☐ yes
The form ‘Financial Planning’ is attached (separate attachment in PDF
format).
☐ yes
If applicable:
Funding for (parts of) this research proposal has been requested from
another funding body (this does not includes potential users).
If applicable:
I agree to comply with the Animal Experiments Openness Code.
☐ yes
☐ n.a.
☐ yes
☐ n.a.
Completed truthfully and signed (application including the answers to the questions
below and also on behalf of the co-applicant(s)
Surname and initials:
Place:
Date:
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Signature main applicant:
With respect to STW's Intellectual Property Policy you are requested to answer the
following questions. Give a brief reason where necessary.
1.
2.
3.
Are there applicants or co-applicants who are involved with one of the
users stated or in parties to whom activities will be outsourced on a
paid or unpaid basis? If yes then state the nature of the involvement
(appointment, advisor, member of board of directors, etc.).
☐ yes
☐ no
Explanation: Click here if you want to enter text.
Are there users who will receive STW funding indirectly (e.g. via
material credit and/or investment credit)?
☐ yes
If yes, then this should be specified under point 8.5 of the form.
☐ no
Explanation: Click here if you want to enter text.
Knowledge generated during the project will become the joint property
of the knowledge institution(s) and STW. Are the intended user
committee members who provide cofunding aware of this?
☐ yes
☐ no
Declaration and signing by the main applicant
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4.
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Are the users aware of the final version of the research proposal, of
each other's involvement and of possible positions regarding
intellectual property?
☐ yes
☐ no
5.
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Have agreements already been made (verbal or contractually in
writing) between (one of) the users and the research institution(s)
submitting the application?
☐ yes
☐ no
6.
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Are there users who want contractual agreements if the project is
awarded funding?
☐ yes
☐ no
7.
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Will materials or methods/technologies/software of third parties be
used for which there are restrictions or company secrets?
☐ yes
☐ no
8.
Explanation: Click here if you want to enter text.
Will materials or methods/technologies/software of third parties be
used that have been obtained by the signing of a "material transfer
agreement"? If yes, which conditions have been imposed on the use?
☐ yes
☐ no
9.
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Are there relevant patents/patent applications of the research groups
involved and/or potential users?
☐ yes
☐ no
10.
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Are there relevant patents from parties not involved in the project
application that might hinder potential utilisation?
☐ yes
☐ no
Explanation: Click here if you want to enter text.
Initialled:
Declaration and signing by the main applicant
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Declaration and signing by the main applicant
STW-number _ 2010/15472/STW