E RAEDTA OPERATIVE HEADQUARTERS VIA XXIV MAGGIO 38 43123

E RAEDTA OPERATIVE HEADQUARTERS VIA XXIV MAGGIO 38 43123
PARTICIPATION CONFIRMATION NATIONAL SOCIETIES’ MEETING ERAEDTA AND NATIONAL SOCIETIES





Inizio testo

EE RAEDTA OPERATIVE HEADQUARTERS VIA XXIV MAGGIO 38 43123 RA-EDTA Operative Headquarters

Via XXIV Maggio 38, 43123 Parma, Italy

Tel: +39 0521 989078 - Fax: +39 0521 959242

Email:  [email protected]

www.era-edta.org




DATE OF CALL: _ / / 20 __ (dd/mmm/yyyy)


Awarded Project number: __________________


Project title: ______________________________________


Applicant’s name: __________________________________


Starting date: _ / / 20 _ Ending date: / _ / 20___




ERA-EDTA RESEARCH PROGRAMME

SEMESTRAL REPORT




Applicant’s name:

Name: ____________________________________________________________________

Surname: ____________________________________________________________________

Date of birth: __/ / (dd/mmm/yyyy)

Nationality: ____________________________________________________________________


Project title: ____________________________________________________________________


Current address


Institution:

Address:

Postal code:


City:


Country:


Telephone:


Fax:


E-mail:



Address at time of application

(do not write anything if it is the same)




Institution: _____________________

_____________________

Address: _____________________

_____________________

Postal code: _____________________


City: _____________________


Country: _____________________





DURATION OF THE PROJECT: _________________________________________________



Starting date: / / Ending Date: / / (dd/mmm/yyyy)



Total Duration: (months)

INSTITUTIONS INVOLVED IN THE PROJECT



Town: Country:

Phone: ______________________ Fax:

E-mail: _____________________________________________________



Town: Country:

Phone: ______________________ Fax:

E-mail: _____________________________________________________







Project Field: _____________________________________________________________

_____________________________________________________________

Title of the project: _____________________________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

Keywords :

(please, provide 5 keywords related to the research)

1)____

2)____

3)____

4)____

5)____









DEVELOPMENT OF THE RESEARCH/STUDIES (max 500 words):













SEMINARS:









RESULTS

Extensively describe the results of the study (diagrams and/or charts and/or illustrations are allowed):



FUTURE

Describe how to implement the result of the studies in the future and where –country, institution- (max 300 words):







LIST OF THE PUBLICATIONS DONE RELATED TO THE PROJECT DURING THE SEMESTER:



  1. _______________

  2. _______________

  3. _______________

  4. _______________

  5. _______________









Proper acknowledge of ERA-EDTA support must be given.



In order to allow a proper evaluation of the outcome of the project itself, along with this report, a time-line of the progress of the project, including milestones reached, must be submitted.

This report should therefore include the project time-line based on the Gantt chart (http://www.gantt.com/creating-gantt-charts.htm).

Please add it below:

...                                               



FINANCIAL PLAN:



TABLE OF ALL RESEARCH GRANT PAYMENTS RECEIVED BY THE ERA-EDTA

1st installment

date ___


2nd installment

date ___


3rd installment

date ___


4th installment

date ___


5th installment

date ___












YEAR 1 expenses

YEAR 2 expenses

YEAR 3 expenses

YEAR 4 expenses


1st semester

2nd semester

1st semester

2nd semester

1st semester

2nd semester

1st semester

2nd semester

Personnel/Expertise (one line for each type)

Specify whether personnel are full or part-time, state periods of employment and provide hours worked.


















Equipment

Justify each piece of equipment requested in the project description. Give models, manufacturers, and prices, indicating whether the equipment will be purchased or rented. Attach additional pages if necessary.


















Consumables

Specify.


















Other Expenses

Specify.


















TOTAL PER SEMESTER










GRAND TOTAL OF THE PROJECT €






TO BE ENCLOSED: copies of the publications



SEMESTRAL REPORT and COPIES OF THE PUBLICATIONS, if any, should be sent every six months -it is compulsory to send it no later than 3 months after the six months deadline- by e-mail, (please send the SEMESTRAL REPORT and the PUBLICATIONS as PDF files) to the ERA-EDTA Research Initiatives Department: [email protected]



Failure to properly acknowledge ERA-EDTA’s support in the publications may cause the interruption of further payment installments for ongoing project and/or the P.I. (Principal Investigator) responsible for the project could be asked to refund part of the amounts already received by ERA-EDTA.





Place, date……………






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