GSK-Singapore Sustainability Partnership Application Form

Official No: _____________________________________________________________________________________

The GSK-Singapore Sustainability Partnership

EligibilityAny Singapore University or Research Institution. Joint applications may be written with industrial partners, but industrial partners may not serve as the principal applicant/ investigator.

Project Proposal, Objectives, and MilestonesThe proposal should address a key problem to sustainable manufacturing in the pharmaceutical or fine chemical industry. Specifically, the problem statements that have been issued with this call should be addressed, or similarly themed problems identified by principal applicants.

Due to the multi-disciplinary nature of sustainable manufacturing research, collaborative research across universities and institutions is encouraged; however, no penalty will be incurred in the assessment of those projects proposals which are not collaborative.

The proposal should address the partnership objectives as stated in the attached call for proposal information: Build a strong capability and train a talent pool in Singapore to meet the sustainable manufacturing

challenges of the future for local industries; Further enhance the working relationship between universities, institutes, and local companies

through interdisciplinary research in sustainability; Enable Singapore to become a leader in sustainability research for pharmaceuticals and fine

chemicals.

Project duration can to be up to the length of a PhD student (approx. 4 years), but can also be as little as 6 months for applied problems.

Projects must include milestones at which time brief reports/presentations will be submitted to update GSK and EDB project sponsors. These milestones may include decision points at which the focus of the research can be altered given the knowledge obtained and these changes in direction should be agreed with the sponsors prior to initiation. An annual report will also be expected for each year in which the project is progressed.

Proposed BudgetThe budget should primarily address manpower costs and associated overheads with these costs. The submitted and ultimately approved budget will represent the final amount of funds disbursed. Any overhead costs related to manpower must therefore be included in budgetary requests.

While equipment and other operational costs should be included, the endowment funds have a finite limit which will preclude large expenditures in these areas.

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Budgetary plans are to be provided in ½ year increments. Funds will be disbursed on an annual basis. Continued fund disbursement will be dependent on timely report submission at milestone dates and on milestones being achieved.

Review and ApprovalThe proposals will be reviewed by 2-4 subject matter experts from GSK.

The proposals will be reviewed against the following criteria:1) Alignment with the strategic objectives of the endowment fund Build a strong capability and train a talent pool in Singapore to meet the sustainable manufacturing

challenges of the future for local industries Further enhance the working relationship between universities, institutes, and local companies

through interdisciplinary research in sustainability Enable Singapore to become a leader in sustainability research for pharmaceuticals and fine

chemicals2) Impact of the proposal to sustainable manufacturing science3) Potential for eventual industrialization of research outputs4) Originality / Novelty of Proposal

In addition to the criteria above, the feasibility of the project and its likelihood of success in achieving milestones will be considered in the review of the proposal.

Upon funding, each selected project will have a GSK assigned point of contact who will assist with perspective on industrial problems and research direction.

Project Resource / Manpower

With the intent of the GSM fund to build a strong capability in Singapore to meet the sustainable manufacturing challenges of the future for local industries by nurturing the local talent pool of researchers, all manpower expenditure to support this round of selected research projects has to spent on qualified trainees that are Singaporean or Permanent Resident. Deinfition of qualified trainees are as follows:

All qualified trainees funded under the Grant must be trained in Singapore Singaporeans and Permanent Resident (PRs) at the Undergraduate, Masters, Doctorate

and Post-Doctorate levels for the duration of the supported period. Singaporeans and Permanent Resident (PRs) working on the project as Research

Assistance, Associate, Chemist, Engineer, Fellow and etc with the qualification of a Diploma, Degree, Master or PhD for the duration of the supported period.

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Reporting and DeliverablesFormal progress reports should be made available annually and final report upon completion of the project, with an expectation that short informal notes indicating that milestones have been achieved will occur on an ad hoc basis. In addition, principal investigators will be expected to participate in symposia to promote the work of the endowment to their colleagues and other interested industrial, academic, and governmental colleagues in Singapore.

Submission

Soft copy (preferred)

Submit your scanned electronic copy of your signed proposal / application form to GSK-EDB-GSM@gsk.com

Hard copy Submit your signed proposal / application form to the following address

Address: Glaxo Wellcome Manufacturing Pte Ltd1, Pioneer Sector 1, Singapore 628413

Attention to: Jonathan Tan, Sustainability Manager

QuestionsAny questions about the proposal form or process can be submitted via GSK-EDB-GSM@gsk.com or referred directly to one of the following project steering team members:

Dr. Joe AdamsJoe.p.adams@gsk.com Tel. +44 1438 551605

Jonathan Tanjonathan.k.tan@gsk.com Tel. +65 6860 4406

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1. Project Title

2a. Amount of Fund Requested (S$) : _______________________

2b. Duration of Project : _________________

2c. Proposed Start Date : ______________________ End Date : __________________________

3a. Principal Applicant/InvestigatorApplicantName : _______________________________ Title : ___________________________

Institution : _____________________________________________________________________

E-mail : __________________________________ Office Phone No : ____________________

3b. Partner Institution (Joint Applicant)ApplicantName : _______________________________ Title : ______________________________________

Institution : _______________________________________________________________________

E-mail : __________________________________ Office Phone No : ____________________

ApplicantName : _______________________________ Title : _____________________________________

Institution : ______________________________________________________________________

E-mail : __________________________________ Office Phone No : ____________________

ApplicantName : _______________________________ Title : _____________________________________

Institution : _______________________________________________________________________

E-mail : __________________________________ Office Phone No : ____________________

ApplicantName : _______________________________ Title : _____________________________________

Institution : _____________________________________________________________________

E-mail : __________________________________ Office Phone No : ____________________Applicant

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Name : _______________________________ Title : _________________________________________

Institution : ____________________________________________________________________________

E-mail : __________________________________ Office Phone No : _________________________

ApplicantName : _______________________________ Title : __________________________________________

Institution : ____________________________________________________________________________

E-mail : __________________________________ Office Phone No : _________________________

4. Other Grants and Funding

List any other sources of funding either existing or applied which are relevant to this project proposal.

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Project Background and Proposal

1a. Project Background (maximum 300 words)

1b. Existing Intellectual Property Position

IP solely owned by Principal Applicant’s Institution

IP solely owned by Joint Applicant’s Institution

IP jointly owned by Principal’s and Joint Applicant’s Institutions

Third parties’ IP required by the Project

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2. Objectives of Proposed Project

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3a. Scope of Work Planned

Describe clearly the technical scope of the planned work and its relevance to green manufacturing and common industry problems., indicating both the originality of the approach taken and the scientific impact of the proposed work. Where applicable, please include justification for the resources required (e.g. manpower, equipment) in the proposal as well as roles of the Joint Applicants if applicable. This can be provided as a separate attachment of no more than 10 double-spaced pages.

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3a. Scope of Work Planned – cont’d

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3b. MilestonesPlease describe the key project milestones and milestone dates

No. Milestones Target Date Institution/ Organisation

3c. Project Outcomes/Deliverables. State clearly how the project delivers the stated objectives in the endowment context document.

4. Potential for industrialization of research outputs State any improvements over existing methods, economic value or cost savings. (maximum 300 words)

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5. Breakdown of Funds Requested (EOM = expense of manpower; OOE = Operational expenses)

Year 1 Year 2 Year 3 Year 4EOMName & Designation

Commit-ment to Project(%)

H1 H2 H1 H2 H1 H2 H1 H2

Existing Staff

New Staff

EOM Sub-TotalEOM TotalOE (Consumables etc)

OE Sub-TotalOE Total Equipment (if applicable)

Equipment Sub-TotalEquipment Total

6. Other Contributions (cash)

Institution / Organisation EOM OOE Equipment Total

7. References

Signatures

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Principal and Joint Applicant

Name:

_________________________________ Date:Signature of Principal Applicant

Name:

_________________________________ Date:Signature of Joint Applicant

Name:

_________________________________ Date:Signature of Joint Applicant

Name:

_________________________________ Date:Signature of Joint Applicant

Name:

_________________________________ Date:Signature of Joint Applicant

Name:

_________________________________ Date:Signature of Joint Applicant

Name:

_________________________________ Date:Signature of Joint Applicant

Name:

_________________________________ Date:Signature of Joint Applicant

Name:

_________________________________ Date:Signature of Joint Applicant

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Approved by Principal Investigator or Head (if applicant is not the PI / Head)

Name:___________________________________ Date:Signature of PI/Head of Principal Applicant

Name:___________________________________ Date:Signature of PI/Head of Joint Applicant

Name:___________________________________ Date:Signature of PI/Head of Joint Applicant

Name:___________________________________ Date:Signature of PI/Head of Joint Applicant

Approved by Chairman or Executive Director (if required for internal purposes)

Name:_______________________________________ Date:Signature of Chairman/ED of Principal Applicant

Name:_______________________________________ Date:Signature of Chairman/ED of Joint Applicant

Name:_______________________________________ Date:Signature of Chairman/ED of Joint Applicant

Name:_______________________________________ Date:Signature of Chairman/ED of Joint Applicant

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