Total Cost for Trips and Stays Requested in 2018/19

Republic of Macedonia Ministry of Education and Science

APPLICATION FORM CALL FOR PROPOSALS SCIENTIFC-TECHNOLOGICAL CO-OPERATION Republic of Macedonia - Austria 2018 - 2020 Deadline for Applications: 31.12. 2017

Information on the project

Tick the appropriate box: New application (a co-operation with the partner institution has not been supported by WTZ by now) Application for prolongation (a co-operation with the partner institution has already been supported by WTZ)

Personal data of the project leader

First and last name, academic degrees

Position:

Date of birth:

Gender: w m

Project description

Project title (in German*, optionally also in English):

Brief project description:

Project description including methods section see attachments (3-5 pages):

Research organisation in Austria:

Address:

Phone / Fax / Email:

Names of all team members on Austrian side (age, sex):

Project partner in Macedonia

Project leader:

Research organisation in Macedonia:

Address:

Phone / Fax / Email:

Team members on Macedonian side:

1/5 Please list all planned trips and stays for 2018/19 in the following year overview:

Stays of Macedonian project participants in Austria 2018/19 according to the rates(=> see announcement)

duration of stay Number of trips Living cost Name approximate dates / activities (days/ months) to Austria in Austria in EUR

Trips of Austrian project participants to Macedonia 2018/19

duration of stay Number of trips Travel expenses Name approximate dates / activities (days/ months) to Macedonia in Macedonia

Total cost for trips and stays requested in 2018/19:

Total visits and stays financed by the Austrian side in 2018/19

Calculated total costs Total stays of Macedonian team for 2017 in EUR Total number of trips of Austrian team members in Austria (days and/or Living costs in Austria+ travel costs to members to Macedonia months) Macedonia (max. EUR 3.000,- per year)

Total visits and stays financed by the Macedonian side in 2018/19

Total stays of Austrian team members in Macedonia Total number of trips of Macedonian team members to Austria (days and/or months)

2/5 Please list all planned trips and stays for 2020 in the following year overview:

Stays of Macedonian project participants in Austria 2020 according to the rates(=> see announcement)

duration of stay Number of trips Living cost Name approximate dates / activities (days/ months) to Austria in Austria in EUR

Trips of Austrian project participants to Macedonia 2020

duration of stay Number of trips Travel expenses Name approximate dates / activities (days/ months) to Macedonia in Macedonia

Total cost for trips and stays requested in 2020:

Total visits and stays financed by the Austrian side in 2020

Calculated total costs Total stays of Macedonian team for 2012 in EUR Total number of trips of Austrian team members in Austria (days and/or Living costs in Austria+ travel costs to members to Macedonia months) Macedonia (max. EUR 3.000,- per year)

Living costs in Macedonia + travel costs to Austria (max. EUR 3-5.000,- per year

Total visits and stays financed by the Macedonian side in 2020

Total stays of Austrian team members in Macedonia Total number of trips of Macedonian team members to Austria (days and/or months)

3/5 Are there any plans for further continuation of this project co-operation (in particular research programs of the EU)?

YES, indicating the program: NO

Is there interest in extending the project co-operation to other countries?

YES, to: NO

Have you ever participated on projects supported by WTZ with Macedonia? When? Which partner institution?

Project Nr.:

Year (duration)

Partner institution:

Please check your branch of science

Natural Sciences Technical Sciences Medicine Agriculture and Forestry including Veterinary Medicine Social Sciences Humanities

4/5 CHECKLIST for attachments: On Macedonian side the entire project proposal submitted in original plus one electronic copy via email have to be submitted: Application form Curricula vitae et studiorum of all project participants list of relevant publications in the past 2 years Project description including the methods section (3 to 5 A4 pages) brief description of the partner institute brief description of the tasks of project participants within the project

Please ensure that you project partner did submit a proposal in Austria as well. One-sided submissions can not be considered!

on signature

Please submit the entire project proposal in two original (Deadline: 31.12.2017– date stamp) to: Ministry of Education and Science Department for Science and Technological Development Ul. Sv.Kiril i Metodij, 5, 1000 Skopje Telephone: ++389 2 3140 185, 076 485 081 Fax: ++389 2 3118 414 , 3118 630 Email: [email protected] Internet: www.mon.gov.mk