ARTIQ Call –Centres of AI Exellence
Funding application form
Institution National Centre for Research and Development, National Science Centre
Project Joint National Undertaking: ARTIQ - AI Centres of Excellence
Call I
Call announcement July 30, 2021
Submission September 20, 2021 – December 20, 2021, 4:00 PM
Table of contents
I. PROJECT.............................................................................3
Funding application number Date of submitting application
Call number
This is a reference only document. The funding application form is to be submitted exclusively in an electronic version after logging in into the LSI system on NCBR website https://lsi.ncbr.gov.pl/login.php.
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III. THE APPLICANT..................................................................6V. DESCRIPTION OF REASEARCH AND DEVELOPMENT WORKS ...................................................................................10VI. ACHIEVEMENTS AND EXPERIENCE OF THE LEADER AND RESOURCES AT THE APPLICANT’S DISPOSAL..........................14VII. FINANCIAL PART (PROJECT BUDGET)...............................17VIII. INDICATORS ...................................................................23X. APPENDICES.....................................................................35
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I. PROJECT1. Basic project information
Project title
Project title
Acronym
Project summary
Project summary
2. Project classification
OECD
Area of science and technology –
Level 1
Area of science and technology –
Level 2
Area of science and
technology – Level 3
Dropdown list Dropdown list Dropdown list
OECD” (if applicable)
Area of science and technology -
Level 1
Area of science and technology -
Level 2
Area of science and
technology - Level 3
Dropdown list Dropdown list Dropdown list
NABS
Level 1 Level 2 Level 3
Dropdown list Dropdown list Dropdown list
NACE
Section Department Group Section Department
Dropdown list Dropdown list Dropdown list Dropdown list Dropdown list
MAE
Project pertains the area of energy ¨ yes ¨ no
No of MAE classification Dropdown list
Key words
4
3. Project duration
Project start date (format dd/mm/yyyy)
Project end date Populates automatically
Number of months Populates automatically
5
II. COST ESTIMATE OF THE PROJECT IMPLEMENTATION
Cost categoriesTask no. Research category
W E OPTotal costs (3+4+5) NCBR Funding
NCN FundingApplicant deductible
1. 2. 3. 4. 5. 6. 7. 8. 9.1 0,002 0,003 0,004 0,00
TOTAL eligible costs:
6
III. THE APPLICANT1. Information on the Applicant and the Leader
Applicant’s Identification Data
REGON
Name (full)
Name (abbreviated)
Name of the main organisational unit (if
applicable)
Catalogue of authorised entities Dropdown list
Head office address
Street
Building number
Unit number
Zip code
City/district
Post office
Municipality
County
Voivodship
ePUAP address
Address for correspondence (if different from office address)
Street
Building number
Unit number
Zip code
City/district
Post office
Municipality
County
Voivodship
ePUAP address
Number of the National Court Register/
7
CEIDG[Central Registration and
Information on Business]/other registry
NIP(Tax ID)
NACE code for the main activity of the
ApplicantDropdown list
Legal form Dropdown list
Form of ownership Dropdown list
The entity is an organisation conducting
research and disseminating knowledge¨ yes ¨ no
Contact person
First name
Last name
Position
Phone number
E-mail address
Person authorised to represent the Applicant
First name
Last name
Role/Position
First name
Last name
Role/Position
POA for representing the Applicant - Attachment in pdf (if applicable)
Leader’s Identification Data
Leader’s Identification Data
First name
Surname
ID number/identification card number
ORCID
Affiliation/workplace
Phone number
E-mail address
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ePUAP address (if applicable)
Address for correspondence
Street
Building number
Unit number
Zip code
City
Country
IV. PROJECT PURPOSE AND JUSTIFICATION
1. Project objectives and assumptions
Attachment in pdf (if applicable)
2. Practical application of the project outcomes
Description of the practical application of the project outcomes
There are no barriers for the practical application of the project outcomes
3. Novelty of the project outcomes
Level of novelty of project results
o International range
Expected project outcomes
Description of the expected project outcomes
Attachment in pdf (if applicable)
Description of novelty of project outcomes
Description of novelty of project outcomes
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Attachment in pdf (if applicable)
4. Implementation of the project outcomes
4.1. Implementation description
Implementation date
Anticipated date of implementation
Method of project outcomes implementation
Based on market rules, granting a license for utilising Applicant’s
rights to results of industrial research and development works or
development works only (if the project relates to the latter only) in
business activity ran by other companies
¨ yes ¨ no
Based on market rules, selling the rights to results of industrial
research and development works or development works only (if the
project relates to the latter only) for the purpose of introducing
them to business activity of another company with preservation for
the fact that introducing the results cannot pass for disposing for the
purpose of further selling
¨ yes ¨ no
Description of implementation
Implementation risks
Intellectual property
Planned protection of intellectual property rights
No barriers in introduction of project outcomes
Description of the advantages (social/economic/environmental) of introducing project outcomes
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V. DESCRIPTION OF REASEARCH AND DEVELOPMENT WORKS
1. Project implementation methodology
Attachment in pdf (if applicable)
2. Description of research and development works
2.1. GENERAL RESEARCH
Task number
Task name
Task duration (number of months)
Task start month
Task end month
Task objective
Attachment in pdf (if applicable)
Task final outcome – milestone
Name of milestone ParameterDescription of effects of non-achievement of
the milestone
Eligible costs of the task
2.2. INDUSTRIAL RESEARCH
Task number
Task name
Task duration (number of months)
Task start month
Task end month
Task objective
Attachment in pdf (if applicable)
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Task final outcome – milestone
Name of milestone ParameterDescription of effects of non-achievement of
the milestone
Eligible costs of the task
2.3. DEVELOPMENT WORKS
Task number
Task name
Task duration (number of months)
Task start month
Task end month
Task objective
Attachment in pdf (if applicable)
Task final outcome – milestone
Name of milestone ParameterDescription of effects of non-achievement of
the milestone
Eligible costs of the task
2.4. PRE-IMPLEMENTATION WORKS
Task number
Task name
Task duration (number of months)
Task start month
Task end month
Task objective
Attachment in pdf (if applicable)
Task final outcome – milestone
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Name of milestone ParameterDescription of effects of non-achievement of
the milestone
Eligible costs of the task
2.5. SUPPORT FOR ESTABLISHING SPECIAL PURPOSE VEHICLES
Task number
Task name
Task duration (number of months)
Task start month
Task end month
Task objective
Attachment in pdf (if applicable)
Task final outcome – milestone
Name of milestone ParameterDescription of effects of non-achievement of
the milestone
Eligible costs of the task
3. Complementary character of the planned works and research funded under other national and European programmes
4. Project risks
5. Project implementation schedule
Gantt Chartyear year
Category of works 1 Task number… 8 9 10 11 12 … 8 9 10 11 12 … 8 9
1 General research (BNP), industrial research (BP) or development works (PR)/pre-introduction works (PPW), support for establishing special purpose vehicles (SC).
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VI. ACHIEVEMENTS AND EXPERIENCE OF THE LEADER AND RESOURCES AT THE APPLICANT’S DISPOSAL
1. Scientific achievements and experience of the Leader
First name Surname Education Academic title/degree
ORCID
Breaks in the academic career
Career path and professional experience
Project
title
Budget
(EUR)
Source of
financing
Project
duration
Project
carried out
by a
consortium?
Role in
the
project
Main project outcomes
from
(year)
to
(year)
yes/no
Scientific achievements, including the most important publications in the AI area
Attachment in pdf (if applicable)
Achievements in the field of commercialising research outcomes, including in the area of industrial
property rights
Attachment in pdf (if applicable)
2. Experience of the Applicant in R&D projects and commercialisation of project outcomes
Experience of the Applicant
3. Human recourses
Key R&D personnel
First name Surname Education • Academic title/degree (if applicable)
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ORCID
Career path and professional experience
Scientific achievements, including the most important publications in the AI area
Achievements in the commercialisation of research outcomes, including in the area of industrial property
rights
Role in the project
Involvement in the project
Is the person an employee of the Applicant? YES NO
R&D personnel to be employed (if applicable)
4. Administrative resources
5. Project management
6. Technical resources and intangible fixed assets (IFA) necessary for the
project implementation
Access to instruments/infrastructure necessary for the project implementation
Technical resources at the Applicant’s disposal
Resource Purpose Task number
Dropdown list
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Technical resources to be purchased
Resource Purpose Task number
Dropdown list
Intangible assets necessary for project implementation
Intangible assets at the Applicant’s disposal
Resource Purpose Task number
Dropdown list
Intangible assets to be acquired
Resource Purpose Task number
Dropdown list
7. Subcontractors (if applicable)
Is the Applicant planning on engaging subcontractor/subcontractors? ¨ yes ¨ no
8. Data management plan
Attachment in pdf (regarding general research)
9. Ethical issues
Does the planned research require actions related to ethical issues (see
Appendix No. 14 to the Rules and Regulations of the Call)? ¨ yes ¨ no
Description of planned or undertaken actions in the scope of ethics, related to the planned project and
regarding issues mentioned in Appendix No. 14 to the Rules and Regulations of the Call.
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VII. FINANCIAL PART (PROJECT BUDGET)
COSTS OF IMPLEMENTING THE PROJECT
1. GENERAL RESEARCH - NCN
1.1. REMUNERATION (W)
GENERAL RESEARCH
Name of the eligible
cost
Amount of eligible
costJustification Estimation method
Task
number
1.2. SUBCONTRACTING (E)
GENERAL RESEARCH
Name of the eligible
cost
Amount of eligible
cost
Justification Estimation method Task
number
1.3. OTHER DIRECT COSTS (Op)
GENERAL RESEARCH
Name of the eligible
cost
Amount of eligible
cost
Justification Estimation method Task
number
2. INDUSTRIAL RESEARCH, DEVELOPMENT WORKS, PRE-IMPLEMENTATION WORKS, SUPPORT
FOR ESTABLISHING SPECIAL PURPOSE VEHICLES – NCBR
2.1. SALARIES (W)
INDUSTRIAL RESEARCH
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Name of the eligible
cost
Amount of eligible
cost
Justification Estimation method Task
number
DEVELOPMENT WORKS
Name of the eligible
cost
Amount of eligible
cost
Justification Estimation method Task
number
PRE-IMPLEMENTATION WORKS
Name of the eligible
cost
Amount of eligible
cost
Justification Estimation method Task
number
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2.2. SUBCONTRACTING (E)
INDUSTRIAL RESEARCH
Name of the eligible
cost
Amount of eligible
cost
Justification Estimation method Task
number
DEVELOPMENT WORKS
Name of the eligible
cost
Amount of eligible
cost
Justification Estimation method Task
number
PRE-IMPLEMENTATION WORKS
Name of the eligible
cost
Amount of eligible
cost
Justification Estimation method Task
number
SUPPORT FOR ESTABLISHING SPECIAL PURPOSE VEHICLES
Name of the eligible
cost
Amount of eligible
cost
Justification Estimation method Task
number
2.3. OTHER DIRECT COSTS (Op)
INDUSTRIAL RESEARCH
Name of the eligible
cost
Amount of eligible
cost
Justification Estimation method Task
number
DEVELOPMENT WORKS
Name of the eligible
cost
Amount of eligible
cost
Justification Estimation method Task
number
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PRE-IMPLEMENTATION WORKS
Name of the eligible
cost
Amount of eligible
cost
Justification Estimation method Task
number
Expenses incurred by the Applicant as deductibles
Name of the cost Value of the cost
Total
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3. PROJECT BUDGET - SUMMARY
GENERAL RESEARCH
Cost category Name of the cost
(position/role in the
project)
Amount of eligible cost Subsidy
Remuneration
Total Total
Subcontracting
Total Total
Other direct costs
Total Total
Total Total Total
INDUSTRIAL RESEARCH
Cost category Name of the cost
(position/role in the
project)
Amount of eligible cost Subsidy
Remuneration
Total Total
Subcontracting
Total Total
Other direct costs
Total Total
Total Total Total
DEVELOPMENT WORKS
Cost category Name of the cost
(position/role in the
project)
Amount of eligible cost Subsidy
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Remuneration
Total Total
Subcontracting
Total Total
Other direct costs
Total Total
Total Total Total
PRE-IMPLEMENTATION WORKS
Cost category Name of the cost
(position/role in the
project)
Amount of eligible cost Subsidy
Remuneration
Total Total
Subcontracting
Total Total
Other direct costs
Total Total
Total Total Total
SUPPORT FOR ESTABLISHING SPECIAL PURPOSE VEHICLES
Cost category
Name of the cost
(position/role in the
project)
Amount of eligible cost Subsidy
Subcontracting
Total Total
Total Total Total
PROJECT TOTAL
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Total
Grand total for general
research, industrial
research, development
works, pre-
implementation works
and support establishing
special purpose vehicles
Total
Expenses incurred by the Applicant as deductibles
Name of the cost Value of the cost
Total
VIII. INDICATORS
1. PRODUCT INDICATORS
Applicant
Indicator name Unit Target value
pcs.Number of scientific papers prepared within the CE AI project
and published in highly ranked/leading specialised magazines
of AI area:
Including post-conference materialspcs.
Number of presentations at highly ranked international
conferences (A* or A category) in AI field with presentations
prepared within the CE AI project
pcs.
2. DIRECT OUTCOME INDICATORS
The Applicant
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Indicator name Unit Target value
Number of defended within the CE AI project
dissertations in AI area.pcs.
Number of promoted within the CE AI project
postdoctoral dissertations in AI area.pcs.
Total for the project
Indicator name Unit Target value
Number of created CE AI. pcs.
Number of entities created within the CE AI project for
the purpose of commercialising project outcomes for
instance in the form of special purpose vehicle.
pcs.
Number of project contracts or agreements executed
within the CE AI, including international, in scope of
common science and research projects, development
works, promotions or business enterprises.
pcs.
3. IMPACT INDICATORS
Total for the project
Indicator name Unit Target value
Number of implemented results of projects
implemented within the CE AI project in Poland
pcs.
IX. REPRESENTATION
1. Representations of the Applicant
I hereby represent, that:
I acknowledged the Rules and Regulations of the Call and accept thereby terms.YES/NO
I hereby represent, that:
The application being submitted doesn’t violate the rights of third parties.
YES/NO
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I hereby represent, that:
English language version of the application is identical as Polish language version.
YES/NO
Within this call there are two personal data co-administrators - NCBR and NCN. Below
each of entities transfers informative duties due to co-administrating.
Regarding people whose data has been received by NCBR from them directly.
Pursuant to Art. 13 section 1 and 2 of the Regulation of European Parliament and
Council (UE) 2016/679 of April 27, 2016 on protecting physical persons in relation to
personal data processing and on free transfer of such data as well as lifting the
directive 95/46/WE (hereinafter referred to as „RODO”):
1) The administrator of personal data is National Centre for Research and
Development with registered office in Warsaw (00-695), ul. Nowogrodzka 47a,
2) The inspector of personal data can be contacted via e-mail: [email protected],
3) Personal data is processed within the Common National Enterprise ARTIQ – AI
Centres of Excellence for the purpose of conducting the procedure of
assessment and selection of project, executing the contract for financing the
project, supervising the performance of project, its evaluation, control, audit,
and assessment of informative and promotion actions, its receipt, appraisal
and financial calculation as well as potential determining, vindicating and
defending claims,
4) Personal data is processed based on Art. 6 section 1 letter e of RODO and Art.
27 of the Act of April 30, 2010 on National Centre for Research and
Development, the processing is necessary for performing the task
implemented in public interest,
5) Providing personal data is the requirement for participation in actions
stipulated in point 3,
6) Personal data shall be processed for the whole time of the occurrence of the
call procedure and for the time of implementing the contract for financing the
project, supervising the performance of project, its evaluation, control, audit,
and assessment of informative and promotion actions, its receipt, appraisal
and financial calculation as well as potential determining, vindicating and
defending claims and shall be stored for archival purposes for the period
compliant with office instruction of NCBR and Unified Substantive File
Register,
YES/NO
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7) The recipient of personal data shall be government agencies and entities
performing public tasks or those acting on behalf government agencies, in
scope and for the purposes, deriving from law provisions, as well as entities
performing services necessary for implementing tasks by NCBR. Such data can
be also transferred to IT partners, entities performing technical and
organisational support,
8) I have the right to access the contents of my personal data, correcting my data
and limit processing my personal data as well as to object,
9) I have the right to submit a complaint to Inspector General for Personal Data
Protection and in member state of my ordinary residence, my workplace or
place of presumed violation,
10) My personal data shall not be transferred to third country,
11) My personal data shall not be subject to automated decision-making process
including profiling.
Regarding people whose data has been received by NCBR from them directly.
Pursuant to Art. 14 section 1 and 2 of the Regulation of European Parliament and
Council (UE) 2016/679 of April 27, 2016 on protecting physical persons in relation to
personal data processing and on free transfer of such data as well as lifting the
directive 95/46/WE:
1) The administrator of personal data is National Centre for Research and
Development with registered office in Warsaw (00-695), ul. Nowogrodzka 47a,
2) The inspector of personal data can be contacted via e-mail: [email protected],
3) Personal data is processed for the purpose of conducting the procedure of
assessment and selection of project, executing the contract for financing the
project, supervising the performance of project, its evaluation, control, audit,
and assessment of informative and promotion actions, its receipt, appraisal and
financial calculation as well as potential determining, vindicating and defending
claims,
4) personal data were obtained from the Applicant in the competition,
5) Personal data is processed based on Art. 6 section 1 letter e of RODO and Art.
27 of the Act of April 30, 2010 on National Centre for Research and
Development, the processing is necessary for performing the task implemented
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in public interest. Categories of processed personal data are the below:
a. First and last name,
b. TAX ID, REGON,
c. Address,
d. Role/Position,
e. Phone number, e-mail address,
f. Education,
g. Title/Degree/Profession,
h. ORCID,
i. Professional experience,
j. Position/role in the project,
k. Vote,
6) Personal data shall be processed for the whole time of the occurrence of the
call procedure and for the time of implementing the contract for financing the
project, supervising the performance of project, its evaluation, control, audit,
and assessment of informative and promotion actions, its receipt, appraisal and
financial calculation as well as potential determining, vindicating and defending
claims and shall be stored for archival purposes for the period compliant with
office instruction of NCBR and Unified Substantive File Register,
7) The recipient of personal data shall be government agencies and entities
performing public tasks or those acting on behalf government agencies, in
scope and for the purposes, deriving from law provisions, as well as entities
performing services necessary for implementing tasks by NCBR. Such data can
be also transferred to IT partners, entities performing technical and
organisational support,
8) I have the right to access the contents of my personal data, correcting my data
and limit processing my personal data as well as to object,
9) I have the right to submit a complaint to Inspector General for Personal Data
Protection and in member state of my ordinary residence, my workplace or
place of presumed violation,
10) My personal data shall not be transferred to third country,
11) My personal data shall not be subject to automated decision-making process
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including profiling.
I hereby represent, that I undertake on behalf of NCBR to perform for the third parties
that such data regard, informative duties deriving from Art. 13 and 14 of RODO and to
meet before all people indicated in the application for financing the project,
informative requirements, mentioned above.
I hereby represent, that:
1) In case of receiving the funds for implementing the project, double financing rule
shall not be breached. Double financing in the meaning of illicit reimbursement in
whole or in part of a particular expense twice from public funds (EU or domestic),
2) The tasks comprehended in the application are not financed from the funds coming
from other sources and the Applicant/Leader is not applying for financing from
other sources.
YES/NO
I hereby represent, that the Applicant: YES/NO
Doesn’t have a right to take off or reimbursement of incurred VAT and because of that
applies for refunding VAT in part within the project. At the same time, undertakes to
return the reimbursed within the project VAT, should the prerequisites come up for
reclaiming or deducting the tax2,
YES/NO
Doesn’t have a right to take off or reimbursement of ultimately incurred VAT; however,
shall not apply now or in the future apply for financing any part of VAT within the
project,
YES/NO
Shall have a right to deduct or be reimbursed of the VAT incurred in relation to actions
comprehended in the application.
YES/NO
I hereby represent, that:
All and any required approvals/positive opinions/permits/consents of the appropriate
bio-ethical, ethical commission or other adequate body, in every case the project
pertains research:
YES/NO
Being medical experiments within the meaning of Art. 21 of the Act of
December 5, 1996 on medical and dentist professions,
YES/NO
Clinical in scope of medical products, equipping medical products or active
medical products for implantation, stipulated in the Act of May 20, 2010 on
medical products,
YES/NO
2 This option should also be marked in case of taking off VAT with pre-index.
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Clinical of pharmaceutical products, stipulated in the Act of September 6,
2001 Pharmaceutical Law,
YES/NO
Requiring experiments on animals, YES/NO
On the species of flora, fauna and fungus being subject to protection of
species or within protected areas,
YES/NO
On genetically modified organisms or with the use of such organisms, YES/NO
In scope of energy, nuclear safety or radiological protection. YES/NO
I hereby represent, that:
Preliminary contract/commitment letter of employment by and between the Leader
and Applicant has been effectively executed
YES/NO
I hereby represent, that:
The Applicant is subject to statistical reporting GUS to the extent of submitting PNT-01
form „Report on research and development (R&D)” for calendar year prior to the year
of submitting the application.
YES/NO
I hereby grant consent for providing information for the purpose of performing
evaluations by NCBR or other authorised entities.
YES/NO
I am aware of the results of not keeping throughout the call, the form of
communication with NCBR stipulated in Rules and Regulations of the Call.
YES/NO
On the basis of Art. 105 section 4a and 4a' of the Act of August 29, 1997 Bank Law read
with Art. 13 of the Act of April 9, 2010 on sharing economic information and
exchanging economic data, I hereby grant to NCBR in Warsaw an authorisation to
submit on behalf of entity/entities, represented by me, through the Bureau of
Economic Information InfoMonitor S.A. with registered office in Warsaw, the Bureau
of Credit Information S.A. and the Association of Polish Banks indefinite term
authorisation to share economic data processed by these institutions, to the extent
necessary for evaluating payment credibility and credit risk assessment, for the
purpose of sharing them by the Bureau of Economic Information InfoMonitor S.A. with
registered office in Warsaw with NCBR in Warsaw.
YES/NO
I hereby represent, that:
1. Financing shall not constitute public support,
2. I am aware that submitting the application to NCBR means at the same time
submitting an application to NCN,
YES/NO
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3. Acting on behalf of the entity that I represent, in case of obtaining the
financing of the project, I hereby undertake to:
a. Include the project in the task and financial plan of the entity,
b. Provide deductible of the equivalent of at least PLN 100 000 annually
throughout the whole period of financing,
c. Hire a Leader and members of the team designated to implementing
the project in compliance with the application and call terms and
conditions,
d. Hire a Leader for the whole period of implementation of the project,
on the basis of employment contract, full time,
e. Provide conducive conditions for implementing performed tasks,
including sharing office space/laboratory and scientific and research
equipment necessary for implementing such tasks,
f. Provide administrative and financial service for implementing the
project, including supporting the visits and stays of the Leader in
Poland (it can also comprehend babysitting and/or helping Leader’s
partner in finding accommodation – if applicable),
g. Provide full time administrative coordinator dedicated exclusively for
Centre of Excellence AI for the whole period of financing the project,
fluent in English and French,
h. Supervise implementation of the project and adequacy of spent
financial funds,
4. In case of qualifying the application for financing, I hereby grant consent for
posting information of call results on NCN and NCBR websites,
5. I have acknowledged the rules of delivering rulings of the Director of NCN,
6. I grant consent for verifying the application with the use anti-plagiarism
software as well as for posting the application in software’s data base,
7. I have acknowledged the contents of the Code of National Science Centre in
regard to credibility of scientific research and efforts to obtain funds for such
research and I hereby undertake to observe.
I hereby acknowledge that the administrator of personal data is NCN with registered
office in Kraków (30-312), ul. Twardowskiego 16. Data protection inspector can be
contacted at: [email protected]. Full contents of information clause pertaining data
processing is available on the website: https://www.ncn.gov.pl/dane-osobowe.
31
I agree for delivering correspondence of the call in form of soft copy via electronic
platform ePUAP to ePUAP address indicated in part III.1. The consent refers specifically
to correspondence subject to deliveries of the Act of June 14, 1960 Administrative
Procedure Code.
I am aware that in order to receive correspondence from NCBR through
ePUAP platform, I have to sign an official receipt confirmation i.e., place a qualified
electronic signature or trusted signature.
YES/NO
2. Representations regarding the Leader
I hereby represent, that:
I acknowledged the Rules and Regulations of the Call and accept thereby terms.
YES/NO
Within 2 years prior to closing the submission of applications I hadn’t lived, worked
nor studied in Poland, nor hadn’t led the grant implemented in Poland.
YES/NO
I hereby represent, that:
The application being submitted doesn’t violate the rights of third parties.
YES/NO
Within this call there are two personal data co-administrators - NCBR and NCN.
Below each of entities transfers informative duties due to co-administrating.
Regarding people whose data has been received by NCBR from them directly.
Pursuant to Art. 13 section 1 and 2 of the Regulation of European Parliament and
Council (UE) 2016/679 of April 27, 2016 on protecting physical persons in relation to
personal data processing and on free transfer of such data as well as lifting the
directive 95/46/WE:
1) The administrator of personal data is National Centre for Research and
Development with registered office in Warsaw (00-695), ul. Nowogrodzka
47a,
2) The inspector of personal data can be contacted via e-mail:
3) Personal data is processed within the Common National Enterprise ARTIQ –
AI Centres of Excellence for the purpose of conducting the procedure of
assessment and selection of project, executing the contract for financing the
project, supervising the performance of project, its evaluation, control,
audit, and assessment of informative and promotion actions, its receipt,
YES/NO
32
appraisal and financial calculation as well as potential determining,
vindicating and defending claims,
4) Personal data is processed based on Art. 6 section 1 letter e of RODO and
Art. 27 of the Act of April 30, 2010 on National Centre for Research and
Development, the processing is necessary for performing the task
implemented in public interest,
5) Providing personal data is the requirement for participation in actions
stipulated in point 3,
6) Personal data shall be processed for the whole time of the occurrence of the
call procedure and for the time of implementing the contract for financing
the project, supervising the performance of project, its evaluation, control,
audit, and assessment of informative and promotion actions, its receipt,
appraisal and financial calculation as well as potential determining,
vindicating and defending claims and shall be stored for archival purposes
for the period compliant with office instruction of NCBR and Unified
Substantive File Register,
7) The recipient of personal data shall be government agencies and entities
performing public tasks or those acting on behalf government agencies, in
scope and for the purposes, deriving from law provisions, as well as entities
performing services necessary for implementing tasks by NCBR. Such data
can be also transferred to IT partners, entities performing technical and
organisational support,
8) I have the right to access the contents of my personal data, correcting my
data and limit processing my personal data as well as to object,
9) I have the right to submit a complaint to Inspector General for Personal Data
Protection and in member state of my ordinary residence, my workplace or
place of presumed violation,
10) My personal data shall not be transferred to third country,
11) My personal data shall not be subject to automated decision-making
process including profiling.
Regarding people whose data has been received by NCBR from them directly.
Pursuant to Art. 14 section 1 and 2 of the Regulation of European Parliament and
Council (UE) 2016/679 of April 27, 2016 on protecting physical persons in relation to
personal data processing and on free transfer of such data as well as lifting the
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directive 95/46/WE:
1) The administrator of personal data is National Centre for Research and
Development with registered office in Warsaw (00-695), ul. Nowogrodzka
47a,
2) The inspector of personal data can be contacted via e-mail:
3) Personal data is processed for the purpose of conducting the procedure of
assessment and selection of project, executing the contract for financing the
project, supervising the performance of project, its evaluation, control,
audit, and assessment of informative and promotion actions, its receipt,
appraisal and financial calculation as well as potential determining,
vindicating and defending claims,
4) Personal data has been obtained from the Applicant within the common
national enterprise ARTIQ – AI Centres of Excellence of the described call,
5) Personal data is processed based on Art. 6 section 1 letter e of RODO and
Art. 27 of the Act of April 30, 2010 on National Centre for Research and
Development, the processing is necessary for performing the task
implemented in public interest.
6) Categories of processed personal data are the below:
a. First and last name,
b. TAX ID, REGON,
c. Address,
d. Role/Position,
e. Phone number, e-mail address,
f. Education,
g. Title/Degree/Profession,
h. ORCID,
i. Professional experience,
j. Position/role in the project,
k. Vote,
7) Personal data shall be processed for the whole time of the occurrence of the
call procedure and for the time of implementing the contract for financing
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the project, supervising the performance of project, its evaluation, control,
audit, and assessment of informative and promotion actions, its receipt,
appraisal and financial calculation as well as potential determining,
vindicating and defending claims and shall be stored for archival purposes
for the period compliant with office instruction of NCBR and Unified
Substantive File Register,
8) The recipient of personal data shall be government agencies and entities
performing public tasks or those acting on behalf government agencies, in
scope and for the purposes, deriving from law provisions, as well as entities
performing services necessary for implementing tasks by NCBR. Such data
can be also transferred to IT partners, entities performing technical and
organisational support,
9) I have the right to access the contents of my personal data, correcting my
data and limit processing my personal data as well as to object,
10) I have the right to submit a complaint to Inspector General for Personal Data
Protection and in member state of my ordinary residence, my workplace or
place of presumed violation,
11) My personal data shall not be transferred to third country,
12) My personal data shall not be subject to automated decision-making
process including profiling.
I hereby represent, that I undertake on behalf of NCBR to perform for the third parties
that such data regard, informative duties deriving from Art. 13 and 14 of RODO and to
meet before all people indicated in the application for financing the project,
informative requirements, mentioned above.
I hereby represent, that:
1) In case of receiving the funds for implementing the project, double financing
rule shall not be breached. Double financing in the meaning of illicit
reimbursement in whole or in part of a particular expense twice from public
funds (EU or domestic),
2) The tasks comprehended in the application are not financed from the funds coming
from other sources and the Applicant is not applying for financing from other
sources.
YES/NO
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I hereby grant consent for providing information for the purpose of performing evaluations by
NCBR or other authorised entities.
YES/NO
I hereby represent, that:
1. I am the author or co-author of the application,
2. In case of qualifying the application for financing, the results of the project
achieved in the course of implementing the project, shall be evaluated and
published in magazines or publication/publications of international range,
open for access,
3. In case of qualifying the application for financing, I hereby grant consent for
posting information of call results on NCN and NCBR websites,
4. In case of qualifying the application for financing, I undertake to reside on the
territory of Poland for the whole time of the occurrence of the project as well
as to stay at the disposal of the Applicant,
5. I have acknowledged the rules of delivering rulings of the Director of NCN,
6. I grant consent for verifying the application with the use anti-plagiarism
software as well as for posting the application in software’s data base,
7. I have acknowledged the contents of the Code of National Science Centre in
regard to credibility of scientific research and efforts to obtain funds for such
research and I hereby undertake to observe.
I hereby acknowledge that the administrator of personal data is NCN with registered
office in Kraków (30-312), ul. Twardowskiego 16. Data protection inspector can be
contacted at: [email protected]. Full contents of information clause pertaining data
processing is available on the website: https://www.ncn.gov.pl/dane-osobowe.
YES/NO
X. APPENDICES1. Power of attorney for representing the Applicant (if applicable).
2. Representation on the intention to file the application/representations via a computer LSI system
(template for download).
3. Preliminary contract/employment arrangement signed by and between the Leader and the Applicant.
4. The report on research and development activity (R&D) for the year preceding the filing of the
application (if applicable).
5. Information for evaluation purposes (template for download).
6. Data management plan, NCN (template for download).
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7. NCN’s Budget table (template for download).
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