Disclaimer This document is aimed at informing potential applicants for COSME funding. It serves only as an example. The actual Web forms and templates, provided in the Electronic Submission System under the Participant Portal, might differ from this example. Proposals must be prepared and submitted via the Electronic Submission System under the Participant Portal.

COSME Proposal Template COS-Design 2015 - 3 - 03

Administrative forms (Part A) Description of the Action (Technical Annex 1)

Template for detailed budget (Technical Annex 2)

Version 1.0 8 May 2015

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EUROPEAN COMMISSION Executive Agency for Small and Medium-sized Enterprises

COSME Programme

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COSMECall:

Topic: Type of action:

Proposal number:

Proposal acronym:

Table of contents

Section Title Action

1 General information

2 Participants & contacts

3 Budget

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.

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EUROPEAN COMMISSION Executive Agency for Small and Medium-sized Enterprises

COSME Programme

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Proposal ID Acronym

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1 - General informationTopic Type of action

Call identifier Acronym

Proposal title* Max 200 characters (with spaces). Must be understandable for non-specialists in your field.

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

Duration in months Estimated duration of the project in full months.

Free keywords Enter any words you think give extra detail of the scope of your proposal (max 200 characters with spaces).

Abstract

Short summary (max. 2,000 characters, with spaces) to clearly explain: • the objectives of the proposal • how they will be achieved • their relevance to the work programme. Will be used as the short description of the proposal in the evaluation process and in communications with the programme management committees and other interested parties . • Do not include any confidential information. • Use plain typed text, avoiding formulae and other special characters.

Remaining characters 2000

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EUROPEAN COMMISSION Executive Agency for Small and Medium-sized Enterprises

COSME Programme

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Proposal ID Acronym

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Declarations

1) The coordinator declares that the information contained in this proposal is correct and complete.

2) The coordinator confirms:

- to have carried out the self-check of the financial capacity of each organisation (when applicable)* on https://ec.europa.eu/research/participants/portal/desktop/en/organisations/lfv.html Where the result was “weak” or “insufficient”, the coordinator confirms that the applicants are aware of the measures that may be imposed in accordance with the Call for proposals' documents; and

- to have explicit consent of all partners - including the coordination organisation - on their participation and the content of this proposal. 3) The coordinator confirms that:

- all partners in the proposal are fully eligible in accordance with the exclusion and eligibility criteria set out in the specific call for proposals; and

- that no partners are in one of the situations reffered to Article 106(1) and Art 107, 108, 109 of the Regulation (EU,Euratom) NO 966/2012 of the European Parliament and of the Council of 25 October 2012 on financial rules applicable to the general budget of the Union**.

- all have the financial and operational capacity to carry out the proposed action; and in particular:

- have the professional resources, competences and qualifications required to complete the proposed action.

If the proposal is to be retained for EU funding, the applicant organisation(s) will be required to present a formal declaration in this respect.

* Participants requesting an EU contribution ≤ 60.000€ and participant(s) being public body/ies are exempt from financial capacity check ** 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) applicants found guilty of misrepresentation may be subject to administrative and financial penalties under certain conditions.

Personal data protection

Your reply to the grant 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 grant application in accordance with the specifications of the call for proposals and will be processed solely for that purpose. Details concerning the processing of your personal data are available on the privacy statement. Applicants may lodge a complaint about the processing of their personal data with the European Data Protection Supervisor at any time.

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EUROPEAN COMMISSION Executive Agency for Small and Medium-sized Enterprises

COSME Programme

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Proposal ID Acronym

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Your personal data may be registered in the Early Warning System (EWS) only or both in the EWS and Central Exclusion Database (CED) by the Accounting Officer of the Commission, should you be in one of the situations mentioned in: -the Commission Decision 2008/969 of 16.12.2008 on the Early Warning System (for more information see the Privacy Statement), or -the Commission Regulation 2008/1302 of 17.12.2008 on the Central Exclusion Database (for more information see the Privacy Statement).

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EUROPEAN COMMISSION Executive Agency for Small and Medium-sized Enterprises

COSME Programme

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Proposal ID Acronym

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2 - Administrative data of participating organisationsPIC Legal name

Short name: Address of the organisation

Town

Postcode

Street

Country

Webpage

Legal Status of your organisation

Research and Innovation legal statuses

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

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

Nace code

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EUROPEAN COMMISSION Executive Agency for Small and Medium-sized Enterprises

COSME Programme

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Proposal ID Acronym

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Department(s) carrying out the proposed work

Department name

Street Please enter street name and number.

Town

Same as organisation address

Department 1

Country

Postcode

If the location of the Department carrying out the proposed work is not the same as the location of the Host Institute, please note that although the proposal submission system calculates the budget of the project based on the location of the Host Institute, the budget of the project for the grant agreement will be calculated by using the country coefficient of the location of the Department carrying out the proposed work.

Dependencies with other proposal participants

Character of dependence Participant

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EUROPEAN COMMISSION Executive Agency for Small and Medium-sized Enterprises

COSME Programme

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Proposal ID Acronym

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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

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EUROPEAN COMMISSION Executive Agency for Small and Medium-sized Enterprises

COSME Programme

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Proposal ID Acronym

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3 - Budget for the proposal Participant (A)

Direct personnel

costs/€

(B) Other direct

costs/€

(C) Direct costs of

sub-contracting/€

(D) Indirect Costs

/ €

(=0.07 * (A+B+C))

(E) Total estimated

eligible costs (=A+B+C+D)

(F) Maximum

Reimburse- ment rate (%)

(G) Maximum Grant

=(E*F)

(H) Requested

grant / €

0 0 0 0 0 50 0,00 0,00

Total 0 0 0 0 0 50 00,00 0,00

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EUROPEAN COMMISSION Executive Agency for Small and Medium-sized Enterprises

COSME Programme

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Proposal ID Acronym

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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!

DESCRIPTION OF THE ACTION (TECHNICAL ANNEX 1)

COSME

Call for proposals

Design-based consumer goods

COS-DESIGN-2015-3-03

Project acronym:

Project duration (months):

Start date:

Coordinating organisation:

Number of partners:

Structure

• All pages should be numbered. • Each page should be headed with the project acronym and drafting date.

Section A: Project summary

A.1 List of beneficiaries

A.1.1 List of Participants Participant No Participant Organisation Name Country

1 (Coordinator)

2

3

4

5

Add lines if necessary

A.1.2 List of Affiliated Entities Participant Organisation Name

Affiliated Entity Country of the affiliated entity

1

2

3

4

5

Add lines if necessary

A.2 Work Plan tables A.2.1 List of Work Packages1 Number Title Lead

beneficiary Start month

End month

Deliverables No

1

2

3

Add lines if necessary

A.2.2 List of Deliverables2 Number Work

package number

Title Lead beneficiary

Type3 Dissemination level4

Due date (in months)

1

2

Ad lines if necessary

1 ‘Work package’ means a major sub-division of the proposed project. Projects can be composed of one or more Work Packages.

2 ‘Deliverable’ means a distinct output of the project, meaningful in terms of the project’s overall objectives, and constituted by a report, a document, a technical diagram, a software etc.

3 Please input “R” for reports and other documents, “DEC” for websites and videos and “Other” for other deliverables

4 Please input “PU” if public and “CO” if confidential (only for members of the consortium and Commission Services)

A.2.3 List of Milestones5 Number Title Lead

beneficiary Due date (in months)

Description Means of verification

1

2

Add lines if necessary

A.2.4 Critical Risks6 Describe the critical risks and mitigating measures envisaged in the implementation of the action

Number Brief Description Mitigation measures Work Package number

1

2

Add lines if necessary

5 ‘Milestones’ means control points in the project that help to chart progress. Milestones may correspond to the completion of a key deliverable, allowing the next phase of the work to begin. They may also be needed at intermediary points so that, if problems have arisen, corrective measures can be taken. A milestone may be a critical decision point in the project where, for example, the consortium must decide which of several technologies to adopt for further development.

6 Critical risks are externalities which may affect the implementation of the action

Technical Annex 1 – Template for Description of Work – Call for Proposals – COSME Programme 2015

Section B: Action: objectives, management structures and work plan

B.1 Objectives of the Action

B.1.1 Specific objective(s) of the Action Instructions for the detailed technical description of the action

1. Technical description of the proposed solution, including the state of development

Describe your proposed solution (max 3 pages ex photographs and sketches to illustrate the solution), covering at least the listed issues:

• Description of the technology, product, service or solution including its innovative aspects. Please specify the physical location of the project, and, if appropriate, specify the production capacity of current or future plants;

• Any preparatory research, existing prototype or previous tests in real-life. Please indicate if you received funding for any activity concerned from any EU funding programme;

• Similar or comparable solutions on the market and relevant competitors;

• Possible technical and economic risks;

• Possible issues of Intellectual Property Rights (notably existing, requested and planned patents);

2. Overview of the market and relevant framework conditions

Please provide characteristics of the market you target with your solution (max 2p). Describe legal and policy framework, which might affect the implementation of your solution:

• Identified short-term and potential market size for uptake;

• Identified market barriers to the proposed solution;

• Market demand and/or results of market analyses;

• Relevant framework (policy, regulatory) in the EU and COSME participating countries and how it affects the implementation of your solution.

3. Exploitation of the action

Please provide description of the exploitation and market uptake of the proposed action, including the time during and after the project’s duration. Business plan (or a similar strategy) should be described. At least the following issues should be covered:

• Potential and conditions for replication and transferability of the proposed solution, to e.g. other parts of the EU (and other COSME participating countries), other sectors;

• Business plan and/or marketing strategy;

• Replication and transferability;

• Target groups and key actors that will be addressed and involved in the action;

• Exploitation and business opportunities of the project during and after the project duration.

4. Describe also the relevant dissemination activities, which should include setting up of a project website.

Technical Annex 1 – Template for Description of Work – Call for Proposals – COSME Programme 2015

B.1.2. Target group/audience • This section should describe to which target group(s) the activities are dedicated i.e. SMEs in

general, SMEs in specific sector, regional authorities, sectoral organisations, etc. by making the link with the COSME work programme.

B.1.3 Description of work methodology and tools • Describe and explain the overall concept underpinning the project. Describe the main ideas,

models or assumptions involved.

• Describe the methodology, tools and quality control criteria needed for the implementation of the proposed action by making the link with the different work packages.

B.1.4 Performance Indicators

Results and impacts of the action

• Provide description of the economic sustainability of the project: what are the expected results and economic impacts of the project, both during and after the project’s duration. Please refer to the indicators listed in call specifications.

• Describe the indicators used to measure the implementation of the action

Title Brief Description Target (quantity)

Add lines if necessary

Technical Annex 1 – Template for Description of Work – Call for Proposals – COSME Programme 2015

B.2. Management structure and procedures

B.2.1 Organisational structure • Explain how the profile of the proposed participant(s) is aligned with the objectives of the

Action (CVs preferably in European CV format add at the end of this document).7

• Describe the organisational structure and the decision-making process within the consortium.

• Explain why the organisational structure and decision-making mechanisms are appropriate to the complexity and scale of the project.

• Provide a list of projects carried out in the previous 3 years (table added at the end of document)

• Provide a list of tools, equipment, patents etc which relate to the proposal (table added at the end of document)

• In case of Business Plan please copy it at the end of this document

• Provide organisations' most recent activity reports (link to the website)

B.3 Work Plan8 More details should be provided in this section for each WP compared to the information already available under Part A.

Work Package 1. Title

WP. 1.1 Objectives of the Work Package Describe the specific objectives of the action that will be achieved through this Work Package

WP.1.2 Description of the Work Package

Describe the specific tasks comprised in this work package

WP.1.3 Participants Involved in the Work Package Participant No Role Main tasks

WP Leader

Add lines if needed

7 Only documents in PDF format can be uploaded

8 Should you have more than 2 Work Packages, please copy/paste a Work Package’s structure as many times as necessary.

Technical Annex 1 – Template for Description of Work – Call for Proposals – COSME Programme 2015

WP.1.4 Subcontracting Describe whether any of the tasks in the Work Package would be subcontracted and explain how the subcontractor will be selected

WP.1.5 Performance Indicators List the indicators used to measure the implementation of this work package by making the link with section 1.4

Title Brief Description Target (quantity)

Add lines if necessary

WP.1.6 Planned effort • Proposals must include an aggregated overview on planned efforts (person-months). 9 To

facilitate the reading of the table, it is important to break-down the project. Please follow the structure below:

Start month: End month :

Participant No Total person-months 1 (Coordinator) 2 … Add lines if necessary Total (Consortium)

9 Person-months factors help to determinate the effort which is necessary to make a certain action done (Work Packages). To calculate it, multiply the total number of hours allocated to the relevant WP by 12 and divide the result by 1720. For instance, if 350 working hours are allocated to member of the staff X and 510 working hours are allocated to member of the Staff Y, the person-months of that work package is 6. ((350+510)*12)/1720

Technical Annex 1 – Template for Description of Work – Call for Proposals – COSME Programme 2015

Work Package 2.10 Title

WP.2.1 Objectives of the Work Package Describe the specific objectives of the action that will be achieved through this Work Package

WP.2.2 Description of the Work Package

Describe the specific tasks comprised in this work package

WP.2.3 Participants Involved in the Work Package Participant No Role Main tasks

WP Leader

Add lines if needed

WP.2.4 Subcontracting Describe whether any of the tasks in the Work Package would be subcontracted and explain how the subcontractor will be selected

WP.2.5 Performance Indicators List the indicators used to measure the implementation of this work package by making the link with section 1.4

Title Brief Description Target (quantity)

Add lines if necessary

WP.2.6 Planned effort Start month: End month :

Participant No Total person-months 1 (Coordinator) 2 Add lines if necessary Total (Consortium) 10 Delete if not applicable.

Technical Annex 1 – Template for Description of Work – Call for Proposals – COSME Programme 2015

Call for proposals - DESIGN BASED CONSUMER GOODS COS-DESIGN-2015-3-03

Description of previous projects and activities related to the field of the call

from the last 3 (three) years

Participant acronym

Programme Name (EU, National or Others), example: Life Long Learning, Creative Europe

Year Role of the partner in the project and short description of the implemented action (max. 200 words)

1

2

Add lines if necessary

Call for proposals - DESIGN BASED CONSUMER GOODS COS-DESIGN-2015-3-03

List of tools, equipment, patents which relate to the field of the call

Participant acronym

Tools, equipment, patents Year Description and relation to the proposal

1

Add lines if necessary

PartB_Technical_Annex_2_detailed_budget_template_2015_final.xls Page 1 of 35

Full title of the proposed action

Acronym of the proposed action

Template for detailed budget(Technical Annex 2)

Instructions on how to fill in this budget form can be found in the sheet "Reference Numbers" (at the end of this file). Please, read also carefully the Call for Proposals for further details on costs eligibility.

Template

Proposal Cover Sheet

DESIGN-BASED CONSUMER GOODSCOS-DESIGN-2015-3-03

Call for proposals - COSME

Proposal identification number (to be inserted by the Executive Agency for Small and Medium-sized Enterprises - EASME)

Eligible Indirect Costs

Total Eligible Costs

Participant No.1

Organisation short name2

(A) Direct personel costs3

(C) Direct costs of

subcontracting7

(D) Indirect costs8

(E) Total estimated

eligible costs (A+B+C+D)

Trav

el c

osts

and

su

bsis

tenc

e al

low

ance

s fo

r pe

rson

nel4

Dep

reci

atio

n co

st o

f eq

uipm

ent5

Cos

ts o

f oth

er g

oods

an

d se

rvic

es6

1 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0

10 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0

TOTAL 0 0 0 0 0 0 0

Eligible Direct costs

(B) Other direct costs

Executive Agency for Small and Medium-sized Enterprises (EASME)D

ESIG

N-B

ASE

D C

ON

SUM

ER G

OO

DS

CO

S-D

ESIG

N-2

015-

3-03

Participant

Table 1: Cost summary in EUR

Template

Participant No.

Organisation short name

(I) Requested Grant9

(J) Applicants contribution

(K) Financial contribution from third parties10

(L) Income generated by the project11

(M) Total revenue

(I+J+K+L)

1 0 0

2 0 0

3 0 0

4 0 0

5 0 0

6 0 0

7 0 0

8 0 0

9 0 0

10 0 0

11 0 0

12 0 0

13 0 0

14 0 0

15 0 0

TOTAL 0 0 0 0 0

Table 2: Revenue summary in EUR

Template

DES

IGN

-BA

SED

CO

NSU

MER

GO

OD

SC

OS-

DES

IGN

-201

5-3-

03

Executive Agency for Small and Medium-sized Enterprises (EASME)

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1 CC

Subtotal:

Cost/value

Period of months used for project

Depreciation months

% Allocation to the project

C A B D

Subtotal:

Subtotal: 0

0

0

(A/B)xCxD

Description Work package no. Total [EUR]

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

Hours on Project14 (A)Name of the staff and category (e.g. senior expert, expert, junior expert, etc.)13

Direct Staff costs (AxB)

0,00

0,00

0,00

Direct staff costs

Hourly Rate15 (B)

0,000

Travel costs and subsistence allowances for personnel

Costs of other goods and services

Depreciation cost of equipment

0

0

Description Work Package no. Total [EUR]

0

Executive Agency for Small and Medium-sized Enterprises (EASME)DESIGN-BASED CONSUMER GOODS

COS-DESIGN-2015-3-03

Data Coordinator Template

International travels

0

0

0

National travels

0

0,00

0

0

Participant Role12Organisation short name Participant No

Total

Number of travels Average travel and subsistence costs Total [EUR]

Page 5 of 35

1 CC

Country

Subtotal: 0

0 Participant No Participant Role

0

0

Total eligible direct costs:

Total eligible costs:

Data Coordinator TemplateOrganisation short name

Total [EUR]

Subcontracting

Name of sub-contractor Description Work package no.

Page 6 of 35

2 CP

Subtotal:

Cost/value

Period of months used for project

Depreciation months

% Allocation to the project

C A B D

Subtotal:

Subtotal:

Executive Agency for Small and Medium-sized Enterprises (EASME)DESIGN-BASED CONSUMER GOODS

COS-DESIGN-2015-3-03

Data Partner 2 Template

Organisation short name Participant No Participant Role12

Direct staff costs

Name of the staff and category (e.g. senior expert, expert, junior expert, etc.)13 Hours on Project14 (A) Hourly Rate15 (B)

Direct Staff costs (AxB)

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

Total 0 0,00

Travel costs and subsistence allowances for personnel

Number of travels Average travel and subsistence costs Total [EUR]

International travels 0

National travels 0

0

Depreciation costs of equipment

Description Work Package no. Total [EUR]

(A/B)xCxD

0

0

0

0

0

0

0

0

Costs of other goods and services

Description Work package no. Total [EUR]

0

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2 CP

Country

Subtotal:

Data Partner 2 TemplateOrganisation short name 0 Participant No Participant Role

Subcontracting

Name of sub-contractor Description Work package no. Total [EUR]

0

Total eligible direct costs: 0

Total eligible costs: 0

Page 8 of 35

3 CP

Subtotal:

Cost/value

Period of months used for project

Depreciation months

% Allocation to the project

C A B D

Subtotal:

Subtotal:

Executive Agency for Small and Medium-sized Enterprises (EASME)DESIGN-BASED CONSUMER GOODS

COS-DESIGN-2015-3-03

Data Partner 3 Template

Organisation short name Participant No Participant Role12

Direct staff costs

Name of the staff and Category (e.g. senior expert, expert, junior expert, etc.)13 Hours on Project14 (A) Hourly Rate15 (B)

Direct Staff costs (AxB)

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

Total 0 0,00

Travel costs and subsistence allowances for personnel

Number of travels Average travel and subsistence costs Total [EUR]

International travels 0

National travels 0

0

Depreciation cost of equipment

Description Work Package no. Total [EUR]

(A/B)xCxD

0

0

0

0

0

0

0

0

Costs of other goods and services

Description Work package no. Total [EUR]

0

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3 CP

Country

Subtotal:

Data Partner 3 TemplateOrganisation short name 0 Participant No Participant Role

Subcontracting

Name of sub-contractor Description Work package no. Total [EUR]

0

Total eligible direct costs: 0

Total eligible costs: 0

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4 CP

Subtotal:

Cost/value

Period of months used for project

Depreciation months

% Allocation to the project

C A B D

Subtotal:

Subtotal:

Executive Agency for Small and Medium-sized Enterprises (EASME)DESIGN-BASED CONSUMER GOODS

COS-DESIGN-2015-3-03

Data Partner 4 Template

Organisation short name Participant No Participant Role12

Direct staff costs

Name of the staff and Category (e.g. senior expert, expert, junior expert, etc.)13 Hours on Project14 (A) Hourly Rate15 (B)

Direct Staff costs (AxB)

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

Total 0 0,00

Travel costs and subsistence allowances for personnel

Number of travels Average travel and subsistence costs Total [EUR]

International travels 0

National travels 0

0

Depreciation cost of equipment

Description Work Package no. Total [EUR]

(A/B)xCxD

0

0

0

0

0

0

0

0

Costs of other goods and services

Description Work package no. Total [EUR]

0

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4 CP

Country

Subtotal:

Data Partner 4 TemplateOrganisation short name 0 Participant No Participant Role

Subcontracting

Name of sub-contractor Description Work package no. Total [EUR]

0

Total eligible direct costs: 0

Total eligible costs: 0

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5 CP

Subtotal:

Cost/value

Period of months used for project

Depreciation months

% Allocation to the project

C A B D

Subtotal:

Subtotal:

Executive Agency for Small and Medium-sized Enterprises (EASME)DESIGN-BASED CONSUMER GOODS

COS-DESIGN-2015-3-03

Data Partner 5 Template

Organisation short name Participant No Participant Role12

Direct staff costs

Name of the staff and Category (e.g. senior expert, expert, junior expert, etc.)13 Hours on Project14 (A) Hourly Rate15 (B)

Direct Staff costs (AxB)

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

Total 0 0,00

Travel costs and subsistence allowances for personnel

Number of travels Average travel and subsistence costs Total [EUR]

International travels 0

National travels 0

0

Depreciation cost of equipment

Description Work Package no. Total [EUR]

(A/B)xCxD

0

0

0

0

0

0

0

0

Costs of other goods and services

Description Work package no. Total [EUR]

0

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5 CP

Country

Subtotal:

Data Partner 5 TemplateOrganisation short name 0 Participant No Participant Role

Subcontracting

Name of sub-contractor Description Work package no. Total [EUR]

0

Total eligible direct costs: 0

Total eligible costs: 0

Page 14 of 35

6 CP

Subtotal:

Cost/value

Period of months used for project

Depreciation months

% Allocation to the project

C A B D

Subtotal:

Subtotal:

Executive Agency for Small and Medium-sized Enterprises (EASME)DESIGN-BASED CONSUMER GOODS

COS-DESIGN-2015-3-03

Data Partner 6 Template

Organisation short name Participant No Participant Role12

Direct staff costs

Name of the staff and Category (e.g. senior expert, expert, junior expert, etc.)13 Hours on Project14 (A) Hourly Rate15 (B)

Direct Staff costs (AxB)

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

Total 0 0,00

Travel costs and subsistence allowances for personnel

Number of travels Average travel and subsistence costs Total [EUR]

International travels 0

National travels 0

0

Depreciation cost of equipment

Description Work Package no. Total [EUR]

(A/B)xCxD

0

0

0

0

0

0

0

0

Costs of other goods and services

Description Work package no. Total [EUR]

0

Page 15 of 35

6 CP

Country

Subtotal:

Data Partner 6 TemplateOrganisation short name 0 Participant No Participant Role

Subcontracting

Name of sub-contractor Description Work package no. Total [EUR]

0

Total eligible direct costs: 0

Total eligible costs: 0

Page 16 of 35

7 CP

Subtotal:

Cost/value

Period of months used for project

Depreciation months

% Allocation to the project

C A B D

Subtotal:

Subtotal:

Executive Agency for Small and Medium-sized Enterprises (EASME)DESIGN-BASED CONSUMER GOODS

COS-DESIGN-2015-3-03

Data Partner 7 Template

Organisation short name Participant No Participant Role12

Direct staff costs

Name of the staff and Category (e.g. senior expert, expert, junior expert, etc.)13 Hours on Project14 (A) Hourly Rate15 (B)

Direct Staff costs (AxB)

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

Total 0 0,00

Travel costs and subsistence allowances for personnel

Number of travels Average travel and subsistence costs Total [EUR]

International travels 0

National travels 0

0

Depreciation cost of equipment

Description Work Package no. Total [EUR]

(A/B)xCxD

0

0

0

0

0

0

0

0

Costs of other goods and services

Description Work package no. Total [EUR]

0

Page 17 of 35

7 CP

Country

Subtotal:

Data Partner 7 TemplateOrganisation short name 0 Participant No Participant Role

Subcontracting

Name of sub-contractor Description Work package no. Total [EUR]

0

Total eligible direct costs: 0

Total eligible costs: 0

Page 18 of 35

8 CP

Subtotal:

Cost/value

Period of months used for project

Depreciation months

% Allocation to the project

C A B D

Subtotal:

Subtotal:

Executive Agency for Small and Medium-sized Enterprises (EASME)DESIGN-BASED CONSUMER GOODS

COS-DESIGN-2015-3-03

Data Partner 8 Template

Organisation short name Participant No Participant Role12

Direct staff costs

Name of the staff and Category (e.g. senior expert, expert, junior expert, etc.)13 Hours on Project14 (A) Hourly Rate15 (B)

Direct Staff costs (AxB)

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

Total 0 0,00

Travel costs and subsistence allowances for personnel

Number of travels Average travel and subsistence costs Total [EUR]

International travels 0

National travels 0

0

Depreciation cost of equipment

Description Work Package no. Total [EUR]

(A/B)xCxD

0

0

0

0

0

0

0

0

Costs of other goods and services

Description Work package no. Total [EUR]

0

Data Partner 8 Template

Page 19 of 35

8 CP

Country

Subtotal:

Organisation short name 0 Participant No Participant Role

Subcontracting

Name of sub-contractor Description Work package no. Total [EUR]

0

Total eligible direct costs: 0

Total eligible costs: 0

Page 20 of 35

9 CP

Subtotal:

Cost/value

Period of months used for project

Depreciation months

% Allocation to the project

C A B D

Subtotal:

Subtotal:

Executive Agency for Small and Medium-sized Enterprises (EASME)DESIGN-BASED CONSUMER GOODS

COS-DESIGN-2015-3-03

Data Partner 9 Template

Organisation short name Participant No Participant Role12

Direct staff costs

Name of the staff and Category (e.g. senior expert, expert, junior expert, etc.)13 Hours on Project14 (A) Hourly Rate15 (B)

Direct Staff costs (AxB)

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

Total 0 0,00

Travel costs and subsistence allowances for personnel

Number of travels Average travel and subsistence costs Total [EUR]

International travels 0

National travels 0

0

Depreciation cost of equipment

Description Work Package no. Total [EUR]

(A/B)xCxD

0

0

0

0

0

0

0

0

Costs of other goods and services

Description Work package no. Total [EUR]

0

Page 21 of 35

9 CP

Country

Subtotal:

Data Partner 9 TemplateOrganisation short name 0 Participant No Participant Role

Subcontracting

Name of sub-contractor Description Work package no. Total [EUR]

0

Total eligible direct costs: 0

Total eligible costs: 0

Page 22 of 35

10 CP

Subtotal:

Cost/value

Period of months used for project

Depreciation months

% Allocation to the project

C A B D

Subtotal:

Subtotal:

Executive Agency for Small and Medium-sized Enterprises (EASME)DESIGN-BASED CONSUMER GOODS

COS-DESIGN-2015-3-03

Data Partner 10 Template

Organisation short name Participant No Participant Role12

Direct staff costs

Name of the staff and Category (e.g. senior expert, expert, junior expert, etc.)13 Hours on Project14 (A) Hourly Rate15 (B)

Direct Staff costs (AxB)

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

Total 0 0,00

Travel costs and subsistence allowances for personnel

Number of travels Average travel and subsistence costs Total [EUR]

International travels 0

National travels 0

0

Depreciation cost of equipment

Description Work Package no. Total [EUR]

(A/B)xCxD

0

0

0

0

0

0

0

0

Costs of other goods and services

Description Work package no. Total [EUR]

0

Page 23 of 35

10 CP

Country

Subtotal:

Data Partner 10 TemplateOrganisation short name 0 Participant No Participant Role

Subcontracting

Name of sub-contractor Description Work package no. Total [EUR]

0

Total eligible direct costs: 0

Total eligible costs: 0

Page 24 of 35

11 CP

Subtotal:

Cost/value

Period of months used for project

Depreciation months

% Allocation to the project

C A B D

Subtotal:

Subtotal:

Executive Agency for Small and Medium-sized Enterprises (EASME)DESIGN-BASED CONSUMER GOODS

COS-DESIGN-2015-3-03

Data Partner 11 Template

Organisation short name Participant No Participant Role12

Direct staff costs

Name of the staff and Category (e.g. senior expert, expert, junior expert, etc.)13 Hours on Project14(A) Hourly Rate15 (B)

Direct Staff costs (AxB)

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

Total 0 0,00

Travel costs and subsistence allowances for personnel

Number of travels Average travel and subsistence costs Total [EUR]

International travels 0

National travels 0

0

Depreciation cost of equipment

Description Work Package no. Total [EUR]

(A/B)xCxD

0

0

0

0

0

0

0

0

Costs of other goods and services

Description Work package no. Total [EUR]

0

Page 25 of 35

11 CP

Country

Subtotal:

Data Partner 11 TemplateOrganisation short name 0 Participant No Participant Role

Subcontracting

Name of sub-contractor Description Work package no. Total [EUR]

0

Total eligible direct costs: 0

Total eligible costs: 0

Page 26 of 35

12 CP

Subtotal:

Cost/value

Period of months used for project

Depreciation months

% Allocation to the project

C A B D

Subtotal:

Subtotal:

Executive Agency for Small and Medium-sized Enterprises (EASME)DESIGN-BASED CONSUMER GOODS

COS-DESIGN-2015-3-03

Data Partner 12 Template

Organisation short name Participant No Participant Role12

Direct staff costs

Name of the staff and Category (e.g. senior expert, expert, junior expert, etc.)13 Hours on Project14 (A) Hourly Rate15 (B)

Direct Staff costs (AxB)

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

Total 0 0,00

Travel costs and subsistence allowances for personnel

Number of travels Average travel and subsistence costs Total [EUR]

International travels 0

National travels 0

0

Depreciation cost of equipment

Description Work Package no. Total [EUR]

(A/B)xCxD

0

0

0

0

0

0

0

0

Costs of other goods and services

Description Work package no. Total [EUR]

0

Page 27 of 35

12 CP

Country

Subtotal:

Data Partner 12 TemplateOrganisation short name 0 Participant No Participant Role

Subcontracting

Name of sub-contractor Description Work package no. Total [EUR]

0

Total eligible direct costs: 0

Total eligible costs: 0

Page 28 of 35

13 CP

Subtotal:

Cost/value

Period of months used for project

Depreciation months

% Allocation to the project

C A B D

Subtotal:

Subtotal:

Executive Agency for Small and Medium-sized Enterprises (EASME)DESIGN-BASED CONSUMER GOODS

COS-DESIGN-2015-3-03

Data Partner 13 Template

Organisation short name Participant No Participant Role12

Direct staff costs

Name of the staff and Category (e.g. senior expert, expert, junior expert, etc.)13 Hours on Project14 (A) Hourly Rate15 (B)

Direct Staff costs (AxB)

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

Total 0 0,00

Travel costs and subsistence allowances for personnel

Number of travels Average travel and subsistence costs Total [EUR]

International travels 0

National travels 0

0

Depreciation cost of equipment

Description Work Package no. Total [EUR]

(A/B)xCxD

0

0

0

0

0

0

0

0

Costs of other goods and services

Description Work package no. Total [EUR]

0

Page 29 of 35

13 CP

Country

Subtotal:

Data Partner 13 TemplateOrganisation short name 0 Participant No Participant Role

Subcontracting

Name of sub-contractor Description Work package no. Total [EUR]

0

Total eligible direct costs: 0

Total eligible costs: 0

Page 30 of 35

14 CP

Subtotal:

Cost/value

Period of months used for project

Depreciation months

% Allocation to the project

C A B D

Subtotal:

Subtotal:

Executive Agency for Small and Medium-sized Enterprises (EASME)DESIGN-BASED CONSUMER GOODS

COS-DESIGN-2015-3-03

Data Partner 14 Template

Organisation short name Participant No Participant Role12

Direct staff costs

Name of the staff and Category (e.g. senior expert, expert, junior expert, etc.)13 Hours on Project14 (A) Hourly Rate15 (B)

Direct Staff costs (AxB)

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

Total 0 0,00

Travel costs and subsistence allowances for personnel

Number of travels Average travel and subsistence costs Total [EUR]

International travels 0

National travels 0

0

Depreciation cost of equipment

Description Work Package no. Total [EUR]

(A/B)xCxD

0

0

0

0

0

0

0

0

Costs of other goods and services

Description Work package no. Total [EUR]

0

Page 31 of 35

14 CP

Country

Subtotal:

Data Partner 14 TemplateOrganisation short name 0 Participant No Participant Role

Subcontracting

Name of sub-contractor Description Work package no. Total [EUR]

0

Total eligible direct costs: 0

Total eligible costs: 0

Page 32 of 35

15 CP

Subtotal:

Cost/value

Period of months used for project

Depreciation months

% Allocation to the project

C A B D

Subtotal:

Subtotal:

Executive Agency for Small and Medium-sized Enterprises (EASME)DESIGN-BASED CONSUMER GOODS

COS-DESIGN-2015-3-03

Data Partner 15 Template

Organisation short name Participant No Participant Role12

Direct staff costs

Name of the staff and Category (e.g. senior expert, expert, junior expert, etc.)13 Hours on Project14 (A) Hourly Rate15 (B)

Direct Staff costs (AxB)

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

0,00

Total 0 0,00

Travel costs and subsistence allowances for personnel

Number of travels Average travel and subsistence costs Total [EUR]

International travels 0

National travels 0

0

Depreciation cost of equipment

Description Work Package no. Total [EUR]

(A/B)xCxD

0

0

0

0

0

0

0

0

Costs of other goods and services

Description Work package no. Total [EUR]

0

Page 33 of 35

15 CP

Country

Subtotal:

Data Partner 15 TemplateOrganisation short name 0 Participant No Participant Role

Subcontracting

Name of sub-contractor Description Work package no. Total [EUR]

0

Total eligible direct costs: 0

Total eligible costs: 0

The number allocated by the co-ordinator to the participants for this proposal.The co-ordinator of a proposal shall always be participant number one.

Applicants shall make sure that the participant number is consistent in allapplication forms.

The official short name of the organisation shall be indicated. This cannot bemore than 20 characters long.

If an organisation has no official short name, applicants shall choose one foridentification of the organisation within this proposal. The same short namemust be used in all parts of the proposal including the Annexes.

3. Direct personnel costs Calculated automatically.

This cost category contains costs for staff of the participant related to travel and subsistence allowances. The number of travels is calculated per person per meeting. E.g. if one person travels to one meeting, you should indicate 1 travel here, independently of the duration of the meeting. If 2 persons travel to the same meeting, or if 1 person travels to 2 different meetings, you would indicate a 2 here. The travel and subsistence rate shall be calculated on the basis of the usual practices of the participant. Travel costs for subcontractors are to be included under subcontracting costs. Subscription fees e.g. to fairs or similar should be charged under "Other specific costs".This cost category covers costs related to equipment which are necessary to realise the proposed action. Applicants shall describe the nature and use of the equipment clearly and convincingly in the related work package description (Technical Annex 1).

This cost category contains direct costs that cannot be included under the previous cost categories for direct costs. Examples:

Costs of financial guarantees Costs of external audits Costs arising from the action requirements (e.g.dissemination of information, specific evaluation of the action, translations, reproduction)

Consumables and supplies shall be clearly identifiable and specifically assigned to the action/project.

The Model Grant Agreement (art 10) published together with the call contains the rules that beneficiaries shall respect when purchasing services to subcontractors.How to complete the table:Applicants shall indicate the name of the subcontractor, if already known, orTBD (to be determined), the country, and a short, but clear description of thework to be undertaken.

The tasks for subcontractors should be described in sufficient detail in the respective Work Package description of Technical Annex 1.

6. Costs of other goods and services

Reference numbers in Annex 2

1. Participant number

2. Organisation Short Name

5. Depreciation cost of equipment

Also the travel costs for subcontractors are to be included in this cost category.

7. Direct costs of subcontracting

4. Travel costs andsubsistence allowances forpersonnel

Indirect costs (overheads) are eligible for a flat-rate funding of 7 % of the total amount of eligible direct costs. The amount is calculated automatically.

Typical costs are: office rent, computers, electricity, heating, gas etc.

The amount of co-funding applicants expects to receive from third parties, asopposed to own funds from applicants’ own capital. This could for instanceinclude other public or private funding.

Own-co-funding is not to be included here.

11. Income generated by theproject

The amount of co-funding applicants expect to generate during theimplementation of the project (if allowed by the Call). It may include feescharged for the provision of certain services, admision fees to events organisedas part of the action or the commercialisation of products generated by theaction.Indication of the role of each participant, as defined by the consortium for thisproposal. The two options are CC and CP.

13. Category of staff to work on the project

Applicants shall identify each category of staff in a clear and unambiguous manner. The Model Grant Agreement (art. 6.2.A) details the types of eligible staff.

14. Hours on project Complete here the foreseen total number of hours per staff member Please donot include decimals.

15. Hourly rate Applicants shall calculate the hourly rate for every member of staff as shown in the Model Grant Agreement (art. 6.2.A)

The maximum EU contribution is defined in the call text. Unless the call states otherwise, the funding rate per participant can be higher or lower, as long as the total requested funding from the EU does not exceed the maximum rate of EU contribution defined in the call.

CC stands for Consortium Co-ordinator, CP stands for Consortium Partner.

8. Indirect eligible costs("overheads")

9. Requested Grant

10. Financial contribution bythird parties

12. Participant Role