h2020 programme - european commission...h2020-prize-2016.pdf - ver 1.00 20160222 page 1 of 7 last...

H2020 Programme

PRIZE APPLICATION TEMPLATE

Administrative Forms (Part A)

Application (Part B)

Version 1.0 11 February 2020

Disclaimer: This document is aimed at informing potential contestants for the EU Prize for Women Innovators. It serves only as an example. The actual web forms and templates are provided in the online submission system under the Funding and Tenders Portal. Applications must be prepared and submitted via the online submission system.

European Commission Research & Innovation - Participant Portal Proposal Submission Forms

Page 1 of 7H2020-Prize-2016.pdf - Ver 1.00 20160222 Last saved 02/06/2016 14:40:34

Table of contents

Section Title Action

1 General information

2 Contestants & Contacts

Wherever in this text the term 'proposal' is used, it shall be understood to refer to an 'application'.

How to fill in the formsThe administrative forms must be filled in for each proposal using the templates available in the submission system. Some data fields in the administrative forms are pre-filled based on the previous steps in the submission wizard.

Deadline Id: H2020-Prize-Innovation-SOFT-2016

Proposal acronym:

Proposal number: SEP-240425351

Type of action: RPr (Recognition Prize)

Topic: Prize-1-2016

Call: H2020-Prize-Innovation-SOFT-2016 (Prize-Innovation SOFT)

Horizon 2020

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Proposal ID SEP-240425351 Acronym

H2020-Prize-2016.pdf - Ver 1.00 20160222 Last saved 02/06/2016 14:40:34

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1 - General information

Topic Prize-1-2016 Type of action RPr

Call identifier H2020-Prize-Innovation-SOFT-2016 Acronym

Proposal title The title should be no longer than 200 characters (with spaces) and should be understandable to the non-specialist in your field.

Note that for technical reasons, the following characters are not accepted in the Proposal Title and will be removed: < > " &

Abstract

The abstract (summary) should, at a glance, provide the reader with a clear understanding of the content of the application and its relation to the objectives of the contest. It must be short and precise and should not contain confidential information. Please use plain typed text, avoiding formulae and other special characters. The abstract must be written in English. There is a limit of 2000 characters (spaces and line breaks included).

Remaining characters 2000

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Declarations

1) In case of several contestants, the lead contestant declares to have the explicit consent of all contestants on their participation and on the content of this application.

2) The information contained in this application is correct and complete.

3) I hereby declare that:

- I have fully read and understood and agree to the official Rules of Contest.

- I am fully eligible and not excluded from participation in accordance with the Rules of Contest.

- All other contestants have confirmed that they are fully eligible and not excluded from participation in accordance with the Rules of Contest.

4) This application complies with ethical principles (including the highest standards of research integrity — as set out, for instance, in the European Code of Conduct for Research Integrity[1] — and including, in particular, avoiding fabrication, falsification, plagiarism or other research misconduct).

According to Article 131 of the Financial Regulation of 25 October 2012 on the financial rules applicable to the general budget of the Union (Official Journal L 298 of 26.10.2012, p. 1) and Article 145 of its Rules of Application (Official Journal L 362, 31.12.2012, p.1) contestants found guilty of misrepresentation may be subject to administrative and financial penalties under certain conditions.

Personal data protection

Your reply to the prize application will involve the recording and processing of personal data (such as your name, address and CV), which will be processed pursuant to Regulation (EC) No 45/2001 on the protection of individuals with regard to the processing of personal data by the Community institutions and bodies and on the free movement of such data. Unless indicated otherwise, your replies to the questions in this form and any personal data requested are required to assess your prize application in accordance with the specifications of the prize contest and will be processed solely for that purpose. Details concerning the processing of your personal data are available on the privacy statement at the page:

http://ec.europa.eu/dataprotectionofficer/privacystatement_publicprocurement_en.pdf

Contestants may lodge a complaint about the processing of their personal data with the European Data Protection Supervisor at any time. Exa

mple, not t

o complete

http://ec.europa.eu/dataprotectionofficer/privacystatement_publicprocurement_en.pdf


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List of participants# Participant Legal Name Country

1 Delphi Poland Spółka Akcyjna Poland

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Short name Delphi Poland Spółka Akcyjna

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2 - Administrative data

Lead ContestantPIC968410462

Legal nameDelphi Poland Spółka Akcyjna

Short name: Delphi Poland Spółka Akcyjna Address of the organisation

Town Kraków

Postcode 30-399

Street Podgórki Tynieckie 2

Country Poland

Webpage www.delphipoland.pl

Legal Status of your organisation

Research and Innovation legal statuses

Public body .................................................... no Legal person .............................. yes

Non-profit ...................................................... no

International organisation .................................. no

International organisation of European interest ...... no

Secondary or Higher education establishment ....... no

Research organisation ..................................... no

Small and Medium-sized Enterprises (SMEs) ........ no

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http://www.delphipoland.pl


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Short name Delphi Poland Spółka Akcyjna

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Person in charge of the proposal

The name and e-mail of contact persons are read-only in the administrative form, only additional details can be edited here. To give access rights and basic contact details of contact persons, please go back to Step 4 of the submission wizard and save the changes.

Town Post code

Street

Website

First name Last name

E-Mail

Position in org. Please indicate the position of the Contact Point above in the organisation.

Department Please indicate the department of the Contact Point above in the organisation

Phone 2 +xxx xxxxxxxxx Fax +xxx xxxxxxxxx

Sex Male FemaleTitle

Same as organisation address

Phone +xxx xxxxxxxxx

Country

Dependencies with other proposal participants

Character of dependence Participant

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Validation result

Section Description

Show Error

Show Warning

The red 'Show Error' button indicates an error due to a missing or incorrect value related to the call eligibility criteria. The submission of the proposal will be blocked unless that specific field is corrected!

The yellow 'Show Warning' button indicates a warning due to a missing or incorrect value related to the call eligibility criteria. The submission of the proposal will not be blocked (proposal will be submitted with the missing or incorrect value).

The form has not yet been validated, click "Validate Form" to do so!

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Instruction Page (to be removed before submitting)

Please follow the structure of this template when preparing your application. It has been designed so that the important aspects of your application are presented in a way that allows the experts to make an effective assessment against the evaluation criteria. This application constitutes the written presentation of your achievements.

Your response to the award criteria should be brief with maximum 4000 characters

allowed per criterion with spaces and line breaks included and 2000 characters for the

abstract. An additional text box is provided at the end, should you wish to provide any links to

publications, articles or projects demonstrating your achievements. This section is non-compulsory. Part B should be no longer than 10 pages.

Please respect the character and page limits and do not take it as a target either! It is in your interest to keep your text as concise as possible, since experts rarely view unnecessarily long applications in a positive light.

The minimum font size allowed is 11 points. The page size is A4, and all margins (top, bottom, left, right) should be at least 15 mm (not including any footers or headers).

If you attempt to upload an application longer than the specified limit, you will receive an automatic warning, and will be advised to shorten and re-upload the application. If you submit an application that goes beyond 10 pages, excess pages will be automatically made invisible, and will not be taken into consideration by the experts.

You must support your application with an inspiring video message (max 90 seconds).

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Part B – Application Form:

Participant Name

Participant organisation name

Country of residence

Date of registration of the company (dd/mm/yyyy)

TITLE OF APPLICATION:

ACRONYM:

ABSTRACT The abstract should provide a clear and concise description of how you excelled in relation to the objectives of the prize. It should be short, self-contained and should not contain any confidential information. The abstract must be written in English. Your reply is limited to 2,000 characters, including spaces and line breaks.

VIDEO You are required to support your application with an inspiring video message, up to 90 seconds. Please include a link to the video below:

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Please describe how you meet the award criteria mentioned below. Do not be too

modest, but please stick to the facts. The character limit per window is 4,000

including spaces and line breaks.

1. AWARD CRITERION: BREAKTHROUGH INNOVATION

Please describe in the following paragraph how the company you have founded/co-founded provides a cutting edge product or service. In presenting your innovation, you are expected to clearly demonstrate what makes this product or service innovative, describing its added value and viability, particularly in relation to other existing solutions.

2. AWARD CRITERION: IMPACT

Please describe in the following paragraph how this cutting edge product or service brings major benefits to citizens and society and the economy. Please describe the specific need addressed, and demonstrate the benefit of the product or service for society (mentioning, if relevant, the fight against climate change, gender equality, and other societal challenges). You should demonstrate that the product or service contributes to the creation of jobs and growth in Europe. You should also describe your company's positive contribution to the broader innovation ecosystem.

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To support your answer, please include quantifiable information on the economic impact in particular; including countries where the product or service is commercialised, turnover (in EUR), jobs created, and any other direct or indirect impact. You should also detail the medium- and long-term development strategy for the company.

3. AWARD CRITERION: INSPIRATION

Please explain how you have shown active leadership and your role has influenced the success of the company. Please demonstrate that you have the potential to inspire others, within your company and beyond, and explain why you are a strong role model who can inspire other women to become leaders in innovation.

OTHER INFORMATION (NOT COMPULSORY) You may include links to publications, articles, projects describing your achievements.

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Part B should be no longer than 10 pages. Once you have completed your

application, please delete the instruction page before submitting.

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