1	Project title:		     

PERSONALIA OF APPLICANTS

Please complete these fields for the EMBL Principal Investigator:

2	Name and title(s):				     	gender:

3	EMBL Centre:				     
Address:					     
Phone, fax and e-mail				     

Please complete these fields for the Russian Principal Investigator:

4	Name and title(s):				     	gender:		

5	University or Institution:			     
Address:					     
Phone, fax and e-mail				     

PROJECT CONTENT

6	Please insert the estimated duration and the start date of the project:

7	Please give a summary of your project in terms of its content and goals: 
(max. 500 words):
     

8	Please describe the expected results of the project (e.g. anticipated publications):
     

9	Please specify what is to be accomplished in collaborative research to be undertaken during the scientists exchange, if included in the research project, the tentative dates of the exchange and specify the researchers participating in the exchange:

PERSONALIA CONTINUED

10	Please give the names and contact information of the participating EMBL
researchers per institute
Please give short resumes of the EMBL participating researchers (including publications):

     	
Principal Investigator:		     		gender:      
Institute Address, Telephone/Fax Number and e-mail address:
     
Resume (max. 0.5 pages):
     
Recent publications (max. 0.5 pages):
     

Key Researchers:
     	gender:
     	gender:     
Telephone and e-mail addresses:
     
Resumes (max. 0.5 pages):
     
Recent publications (max. 0.5 pages):
     

Young scientists:
     	gender:     
     	gender:     
     	
Telephone and e-mail addresses:
     
Resumes (max. 0.5 pages):
     
Recent publications (max. 0.5 pages):
     

11	Please provide names and contact information of the Russian participating researchers per institute.
Please give short resumes of the Russian participating researchers (including publications):

Principal Investigator:	     		gender:
Phd-title (“kandidat nauk”) obtained (mm/yy):      
Institute Address, telephone/fax number and e-mail address:
     
Resume (max. 0.5 pages):
     
Recent publications (max. 0.5 pages):
     

Key Researchers (no more than 2):
Telephone and e-mail addresses:
     
Resumes (max. 0.5 pages each):
     
Recent publications (max. 0.5 pages each):
     

Young scientists:      

     	gender:     
     	gender:     
     	
Telephone and e-mail addresses:
     
Resumes (max. 0.5 pages):
     
Publications (max. 0.5 pages):
     

12	Please list in detail the travel and subsistence costs:

Visit	Name of traveller 	Duration 	Subsistence costs	Travel costs 	Russian group	EMBL group	Subtotal	
EMBL funds	assigned to	assigned to		
1					     		     	
2	     					     	     	
3			     	     	     	     	     	
4	     	     	     	     	     	     	     	
5	     	     	     	     	     	     	     	
Total	     	     	     	     	     	     	     	
RFBR funds	assigned to	assigned to		
6						     	     	
7	     	     	     	     	     	     	     	
8	     	     	     	     	     	     	     	
9	     	     	     	     	     	     	     	
10	     	     	     	     	     	     	     	
Total					     	     	     	

OTHER RELEVANT INFORMATION

13	If you have any other relevant information on your project, you can enter it here (such as previous cooperation with EMBL/Russian collaborators):
     

14. Please attach a document containing a confidentiality clause that obliges each principal investigator and anybody involved in the project to treat as confidential all information that will be received during the collaboration and that is labeled confidential. Transmission of confidential information and objects to third parties shall require the approval of the other partner in writing. 
The confidentiality obligation does not necessarily have to apply to those kinds of information and objects:
·	that have been developed by the receiving partner independently of the information;
·	that are part of the generally available state of the art at the time of their publication or become part of the state of the art without the receiving partner’s fault;
·	that were already in the receiving partner’s possession at the time of publication; or 
·	that have been communicated or transmitted to a partner from a third party without any obligation of  confidentiality.