National Science and Technology Development Agency

Project Proposal Form

CONFIDENTIAL

National Science and Technology Development Agency Research Development and Engineering Proposal

National Center for Genetic Engineering and Biotechnology

code (before approval)………………………… code (after approval)…………………………… (For official use only)

1. General Information Project Title….(The title should be informative and describe the principle aims of the project.) ……………………………………………………………… …………………………………..

Principal Investigator Complete principal investigator details as belows: Name (Miss/Mrs./Mr.) ……………………………………………………………………………………. Position ………………………………………………………………………………………………………. Institution ……………………………………………………………………………………………………… Correspondence address …………………………………………………………………………………… Telephone ……………………………………………………………………………………………………. Facsimile ……………………………………………………………………………………………………. E-mail ……………………………………………………………………………………………………. Signature …………………………………………………………………………………………………….

Responsible Administrative Authority Enter details of the university president or the director of department as follows : Name (Miss/Mrs./Mr.) ……………………………………………………………………………………. Position ………………………………………………………………………………………………………. Institution ………………………………………………………………………………………………………

H : Academic : Form : Eng-proposal form (1) 1 Created on 24 May, 01 Correspondence address …………………………………………………………………………………… Telephone ……………………………………………………………………………………………………. Facsimile ……………………………………………………………………………………………………. E-mail ……………………………………………………………………………………………………. Signature …………………………………………………………………………………………………….

Project Duration ……….(Enter the duration of the whole research grant ) ……………………….. Total Budget ……….(Enter the estimated expenditure of the whole research)……………….

Date of proposal submission ……………………………………………………………… If the project proposal has already been submitted to BIOTEC but it is not complete correctly. The investigator has the right to recorrect, after consultation with BIOTEC, and then resubmit

Please tick the box and indicate date of the latest resubmission  1 resubmission …………………………………………………………………………..  2 resubmission …………………………………………………………………………..

This proposal or related proposal has been submitted to other funding institution (s)  No  Yes If “Yes”, please give the name of the institution (s) and name of the project

2. Investigator Team Enter details of principal investigator/ co-investigator as belows: Name (Miss/Mrs./Mr.) ……………………………………………………………………………………. Position ………………………………………………………………………………………………………. Institution ……………………………………………………………………………………………………… Correspondence address ……………………………………………………………………………………

H : Academic : Form : Eng-proposal form (1) 2 Created on 24 May, 01 Telephone ……………………………………………………………………………………………………. Facsimile ……………………………………………………………………………………………………. E-mail ……………………………………………………………………………………………………. The responsibility for the proposed project ……. (please specify details) …………………………….. The research contribution is ……………. % of the whole project Signature …………………………………………………………………………………………………….

3. Abstract (Give a scientific abstract of research proposed (including the main objective of the project and the main methods to be adopted). Do not exceed one page of A4 paper) … ………………………………………………………………… …………………………………… ………………………………………………………………… …………………………………… ………………………………………………………………… …………………………………… ………………………………………………………………… ……………………………………

H : Academic : Form : Eng-proposal form (1) 3 Created on 24 May, 01 4. Objective & Goal 4.1 The Goal of project (Give objective which should meet the key output and be advantage for expected users) …………………………………………………………………………………... ………………………………………………………………… …………………………………… ………………………………………………………………… …………………………………… ………………………………………………………………… ……………………………………

4.2 Research objective (Give objective based on the solution of specifc problem. This should relate to the research activity plan)

…………………………………………………………………………… ………………………….. ………………………………………………………………… …………………………………….. ………………………………………………………………… ……………………………………..

5. Economic Impact (Explain how the expected output contribute to the economic competitiveness of Thailand for instance, the result make higher productivity, lower cost and etc.) ………. ………………………………………………………………… …………………………………….. ………………………………………………………………… ……………………………………..

6. Social Impact (Explain how the proposed project improve the quality of life, sustain environment and etc.) ……………………………………………………………………………………………. ………………………………………………………………… …………………………………….. ………………………………………………………………… ……………………………………..

7. Technology Development/Innovation (Explain details of technology expected from the project and give reason for selected method/technology use of this research )………

H : Academic : Form : Eng-proposal form (1) 4 Created on 24 May, 01 ………………………………………………………………… …………………………………….. ………………………………………………………………… ……………………………………..

5. Rationale / Background / Revew of literature (Give sufficient details of previous researchs related to this project and the reason for operating this work) ……………….

…………………………………………………………………………… ………………………….. ………………………………………………………………… ……………………………………..

9. Research planning (This section should provide information on the activity plan, responsible person and related details. Key milestones and the time scale for achieving the research must be clearly stated) ……………………………………………………………….. ………………………………………………………………… ……………………………………..

Table 9.1 Research planning

1 year 2 year 3 year Objective Research activity plan Responsible person 1-6 7-12 1-6 7-12 1-6 7-12 1. ……………… 1.1 …………… ……… 1.2 …………… ……… 2. ……………… 2.1 …………… ……… 2.2 ……………………

Table 9.2 Research milestone

Year Month Expected output/result 1-6 1 7-12 1-6 2 7-12 1-6

H : Academic : Form : Eng-proposal form (1) 5 Created on 24 May, 01 3 7-12

Table 9.3 Research project output

Output    Expected output 1 year 2 year 3 year indicator 1 2 3 4 5 6 1. Prototype 2. Technology 3. Process 4. Knowledge 5. Commercial exploitation 6. Public exploitation  Training  Technology transfer 7. Human resource development  Bachelor degree  Master degree  Ph.D. 8. Patent (s) 9. Publication (s)  Thai journal  International journal 10. Research presentation  within Thailand  Overseas

Note: Output indicator is the tool using to validate project exploitation. This could predict trend of the research in meeting its original objectives for example, the number of patent, publication, research student and user.

10. Collaboration with other Institutes …(Give the name of collaborating organisation (s)) …………………………………….. …………………………………………………………… ………………………………… …………………………………………………………… ………………………………… 11. Expertise …(Give details of researcher experience, normally be specifically related to the project)

H : Academic : Form : Eng-proposal form (1) 6 Created on 24 May, 01

…………………………………………………………………………… ………………………….. ………………………………………………………………… …………………………………… 12. Justification for Equipment …(Give items of equipment request which should be project specific.) …………………….. ………………………………………………………………… ……………………………………… 13. Budget …(This sections should provide all information of estimated expenditure throughout the tenure of the research grant) ……………………………………………………………………. …………………………………………………………………… …………………………………… Year ……………………………………… Budget………………………………Baht

Table 1 3 .1 Research budget plan

Description Amount : baht 1. Honorarium of the investigators (please indicate individually) 1.1 Name……………………………………………………………………………………………. ……………………… 1.2 Name……………………………………………………………………………………………. ……………

Note: Calculate on the ground as belows

Honorarium of the investigator = A x B x C

Where: A is salary from employing institution B is percentage of time which take account of the research responsibility Assumption: 1 day is 12 working hour for 100 % Therefor, if investigator operate project 5 hrs/day, B is 40 % C is constant, range between 1.0 to 1.5, which depend on research skill experience

Description (Continued) Amount : baht

As a general rule, research honorarium will not support for following person 1 1. Project consultant

H : Academic : Form : Eng-proposal form (1) 7 Created on 24 May, 01 2 2. Researcher who is employed by National Science and Technology development 3 Agency (NSTDA) 4 3. Official who work outside of government system 5 4. Researcher who is awarded following grants 4.1 Career Development Grant from NSTDA 4.2 Research Career Development grant from the Thailand Research Fund 2. salary of research assistants (please indicate number and details as belows) 2.1 Name…………………………………………………………………….. ……………………… …………… Salary…………………………………………..Baht Degree…………………………………………………………………… Field of expertise……………………………………………………….. Experience………………………………………….……………………

Note: For full time research assistants who are support research project, salary rate will be provided as follows:

Degree Field of study Salary rate (baht) required fields  MSc. 17,700 other fields 12,000 required fields  BSc. 12,000 other fields 9,300 High vocational certificate  7,400 Vocational certificate  5,800 Lower than secondary school  4,500 Normally at the level indicated, however, BIOTEC reserve the right to offer support at an alternative level if considered appropriate to the research responsibilities of the project

3. Materials (Please specify materials used through the project such as chemicals, test-tubes, plates syringe and so on. Funding is available for the first year of research grant only) ……………………… ………….. …………………………………………………………………………… ………………………. ………………………………………………………………………… ………………………….

4. Construction and maintenance of the building such as laboratory (Please specify in sufficient details.) ……………………… ………………………………………………………………………… ………….. …………………………. ………………………………………………………………………… ………………………….

H : Academic : Form : Eng-proposal form (1) 8 Created on 24 May, 01 Description (Continued) Amount : baht 5. Maintenance (This should include a breakdown of equipment. maintenance cost. Please specify sufficient details.) ……………………… ………………………………………………………………………… …………. …………………………. ………………………………………………………………………… ………………………….

6. Travelling expense (Funding is available for journey that is essential part of the research project. All journeys must be identified individually) ……………………… ………………………………………………………………………… …………. …………………………. ………………………………………………………………………… ………………………….

7. Research presentation (Funding is available for international publication (s) or research presentation within Thailand only. Please indicate sufficient details.) ………………………… ………………………………………………………………………… …………… ………………………….

…………………………………………………………………………… ……………………….

8. Literature survey & Report preparation expense (Please indicate sufficient details) ………………………………………………………………………… ……………………… …………………………. …………… ………………………………………………………………………… ………………………….

9. Analysis expense (Please indicate sufficient details) ………………………………………………………………………… …………………………. ……………………… ………………………………………………………………………… ………….. ………………………….

10. Equipment (Please indicate sufficient details) ………………………………………………………………………… ……………………… …………………………. …………… ………………………………………………………………………… ………………………….

11. Overhead (NOT more than 10%) ………………………………………………………………………… ……………………… …………………………. …………… ………………………………………………………………………… ………………………….

TOTAL Table 14.2 Estimated expenditure of the whole project

1year 2year 3year Total

H : Academic : Form : Eng-proposal form (1) 9 Created on 24 May, 01 Description 1 2 1 2 3 4 Amount (Baht) 1. Honorarium of the investigator 2. Salary of assistant researcher 3. Material 4. Site/Laboratory 5. Maintenance 6. Travelling expense 7. Literature survey & Report preparation 8. Research presentation 9. Analysis expense 10. Equipment 11. Overhead………..% Total budget per 6 month Total budget per annum

Details of requested equipment (please enclose related documents)

Equipment name/specification………………………………………………………………………………….. Equipment details of usage………………………………………………………………………………………. Equipment availability at the reseacher Institution…………………………………………………………….  No, this equipment must be purchased (please specify the reason and the necessity for the research project)  Yes, but equipment status is not suitable for the research usage (please indicate reason) 14.References (Enter the reference details for this proposal project) …………………………………………. …………………………………………………………………… …………………………………… ………………………………………………………………… ……………………………………… 16 Curriculum Vitae (Please enclose)…………………………………………………………………………………… ………………………………………………………………… ……………………………………..

17 Confirmed statement concerning the collaboration with other institutes (Please enclose, if available)……………………………………………………………………… …………………………………………………………………… ……………………………………

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H : Academic : Form : Eng-proposal form (1) 10 Created on 24 May, 01 Five paper formats of proposal form (one singer sided copy) and one electronic format based on Microsoft word should be submitted to BIOTEC anytime No closing date for the receipt of project proposal

H : Academic : Form : Eng-proposal form (1) 11 Created on 24 May, 01