IWT

Ellipsgebouw
Koning Albert II-laan 35, bus 16
B 1030 Brussels
tel: +32 (0)2 432 42 00
fax: +32 (0)2 432 43 99
website: www.iwt.be
e-mail: IWTbedrijfsprojecten@iwt.be

Institute for Innovation through Science and Technology

in Flanders

IWT APPLICATION FORM FOR INDUSTRIAL R&D PROJECTS

Version September 2010

Application
This application for funding of a industrial R&D project consists of 3 different parts:

Part 1 is to be completed by the industrial partner who acts as Project Coordinator and contains all
common project data. If there are several industrial or research partners, they will each have to provide
input. In the latter case, Part 1 can only be completed if the different partners have forwarded certain
information from the other two parts to the Project Coordinator.

Part 2 is to be completed by each of the industrial partners and contains the data that specifically
apply to them individually. Except for the data needed for Part 1, the different industrial partners may
keep the information in Part 2 confidential vis--vis the other partners and forward it separately to IWT. The
application is only considered complete, however, once IWT has received Part 2 from each of the industrial
partners listed in Part 1.

Part 3 is to be completed by each of the research partners and submitted together with Part 1 by the
Project Coordinator.

When completing the application, follow the guidances below:

The application may be completed either in Dutch or in English. However, if English is used, the title of
the project and the innovation goal must be accompanied by a Dutch translation.

The application contains the basic information required for easy completion. Additional information can be
found by consulting the guidance documents and FAQ pages on the IWT Website (www.iwt.be) under
industrial R&D projects.

The information provided in the application has to be sufficiently clear to allow the IWT advisor and
external experts to assess the project. You may add additional information as illustration but in principle the
latter will not be forwarded to the experts.

In the course of processing the application, IWT advisors will hold one or more discussions with the
applicant. This may result in a request for additional information, which may eventually be integrated into
the original application. However, the original application should be sufficiently clear to allow for its
assessment, otherwise it will be declared non eligible.

A blank application can be downloaded from IWT's Website at www.iwt.be. You can complete the forms provided
or use your own layout if preferred, but make sure to respect the sequence and content of the questions as
well as of the diagrams and tables provided on the forms.
IWT Application for Industrial R&D Projects September 2010
This text is a translation from an original in Dutch. In case of dispute, the Dutch-language version shall have sole legal validity.

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The instructions for submitting the application and any subsequent steps can be found at the
end of this document.

IWT Application for Industrial R&D Projects September 2010

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The Coordinator fills out Part 1 of the application in consultation with the other industrial partners.
With the exception of section 1 A, Part 1 WILL BE submitted to the external experts.

Part 1. Common project information

1 A. General information
The general information consists of the basic information about the project that is common to all the parties
participating in it.
1A.1 TITLE OF THE PROJECT
Indicate the title of the project and its acronym, if applicable. Preference should be given to a title that communicates the
essence of the project, but keep in mind that it will be published. If the application is written in English, make sure to include
the Dutch translation of the title.
Title of the project:
If the project has an English title:
Title of the project (Dutch translation):
1A.2 INDUSTRIAL PARTNER(S)
Indicate the Project Coordinator as the first industrial partner followed by the other industrial partner(s).
If you would like to preserve the anonymity of the industrial partners from this point forward, assign a code to each one of
them (A1, A2, etc.).
EACH industrial partner must complete his own Part 2 and submit it to IWT.
1A.3 CONTACT PERSON (FOR THE PROJECT COORDINATOR)
Name:
Function:
E-mail:
Telephone:
1A.4 RESEARCH PARTNER(S)
If you would like to preserve the anonymity of the research partners from this point forward, assign a code to each one of
them (O1, A2, etc.).
EACH research partner must complete their own Part 3.
1A.5 MAJOR SUBCONTRACTOR(S)
If this is a foreign firm or research institution, also indicate the country.
1A.6 LIST OF EXTERNAL EXPERTS TO BE AVOIDED
This list should be limited, in order to allow IWT to constitute an expert committee.
IWT always calls on a few external experts, including industry experts, to help it evaluate the application. These experts are
bound by confidentiality and neutrality. They are not told who the industrial and research partners are, unless the applicants
themselves do not preserve their anonymity in the application. Applicants do not know the names of the experts. IWT avoids
using potential competitors or other interested parties.
1A.7 START DATE
The earliest possible start date is the first day of the month in which this project proposal is submitted to IWT. Activities
undertaken before this date are not eligible for support.

IWT Application for Industrial R&D Projects September 2010

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1 B. Lead-up to and context of the project

This section is designed to provide a picture of the larger context of the project. A description of how the project fits
into the current state of the art in your own firm as well as outside it will allow IWT to assess the originality of the
project and the development of knowledge at the different industrial and research partners. These are important
elements in the evaluation of the scientific quality of the project proposal.
1B.1 LEAD-UP TO THE PROJECT
Describe concretely what led to the project (problem, opportunity, etc.) and the way it originated. Define the problem by
describing the questions and difficulties to be resolved by this project. Indicate in particular the difficulties for which
there is presently no solution available.
Describe how the project will fit into the current industrial activities of the partners. If they are already active in the
project field, give an overview of the results achieved so far. Indicate any interface with other IWT-funded projects or
projects supported by other organizations.
1B.2 CONTEXT AND LEAP IN KNOWLEDGE
Describe briefly the accessible state of the art in the project field, indicating sources if available.
Describe the expected knowledge development for each of the industrial and research partners. Indicate clearly what
knowledge is already available at the start of the project.
Demonstrate that you will have sufficient freedom to operate. In your answer you must pay special attention to the
patent literature and mention your own patents or other intellectual property rights in the field, if applicable.

1 C. Innovation goal
The innovation goal must provide a concise description (1 page) of the project, with the emphasis placed on the
objective(s). The innovation goal will be integrally included the IWT agreement and will be used at the end of the
project to determine to what extent the established objectives were achieved. This is one of the reasons why it is
necessary to delineate the objectives as clearly as possible, to ensure that they are concrete and verifiable and to
include as many quantitative benchmarks as possible, if appropriate. Note that the IWT agreement entails an obligation
to provide the required resources and not an obligation to obtain the expected results.
If the application is written in English, please also provide a Dutch version of this section.
1C.1 INNOVATION GOAL
Carefully describe the innovation goal, using the following structure:
General purpose
Describe in 1 or 2 sentences what the firm or consortium of firms wants to achieve with the proposed project. The
general purpose is in essence the innovation to be achieved in terms of a product, process and/or service. The general
goal should be the foundation for understanding the various concrete objectives, criteria, activities and desired results.
Concrete objectives and criteria
Indicate explicitly the (interim) results to be achieved, such as specific knowledge, solutions to specific problems or
breakthroughs related to equipment, test installations or software. Indicate per interim result the main quantitative
(preferred option) and qualitative benchmarks, criteria, requirements and standards, in order to be able to determine at
the end of the project to what extent the expected results have been obtained.
Valorisation procedures
Give a concise description of the procedure (1 to 2 paragraphs) to be followed after the (interim) objectives have been
achieved. Indicate which interim objectives can be almost immediately applied or valorized. Describe the (main) followup procedure for those results that constitute only a step towards a more general objective.

IWT Application for Industrial R&D Projects September 2010

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1 D. Implementation
Will applying the innovative ideas in combination with known and new R&D methods systematically resolve the problems
and challenges (indicated in the background section)? This should be demonstrated in the description of the
implementation, which has to allow IWT to assess the appropriateness of the approach and the achievability of
the project objectives with the available human and other resources (incl. large subcontracts) indicated.
1D.1 APPROACH
Describe the way in which the project is approached and explain why this approach has been chosen and why certain
strategic choices were made, if applicable. The approach should clarify how the innovation goal will be achieved, given
the established (interim) objectives and criteria as well as the resources of the partners.
Based on the global approach, describe the structure and relationship between the work units and benchmarks and how
interim decision moments and general project risks have been accounted for.
1D.2 WORK PLAN
Indicate in the work plan WHAT (division into work units), WHY, HOW (approach, method), WHEN (schedule) and by
WHOM (division of labour, synergy and complementarity) the work will be done.
Divide the work programme into work units and use the table below for each of the units.
Unit number:

month
started:

duration:

total number
of person
months:

(month)

Title:
Partner:

A1

A2

O1

O2

Person months:
Subcontractor(s):
Objectives and criteria
Give a brief description of the goal of this work unit and, if applicable, indicate the benchmark or decision
moment associated with it.

Tasks: description of methods, techniques, etc.

A work unit may be divided into several tasks because of its size and/or the variety of aspects it deals with. If
the total person months (pm) of a work unit exceed 24 months, specify the person months for each of the
tasks (and also per partner).
Provide a more detailed description of the activities, methods and techniques.
Include a brief explanation of how the task will be carried out, to what extent existing
methods/tools/technologies/software, etc. will be used and/or whether new ones have to be developed. Place
this in the context of the knowledge and technologies currently available within the firm.
Task 1:
Task 2:

Project implementation risks

Briefly describe the specific risks associated with implementing the project and how they will be managed.
Expected results and deliverables
Indicate what concrete results are to be expected and in what way the obtained results will be documented for
future use and review.

IWT Application for Industrial R&D Projects September 2010

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1D.3 OVERVIEW
Provide an overview of the person months needed in units of 6 months. Use the table below.

UNIT
NUMBER:
1

Overview of the person months assigned to the project

start date
start date
start date
start date
Partner
+ 6 months + 12 months + months
+ 36 months
Partner A1
Partner B1

TOTAL

TOTAL

1 E. Expertise
The information provided here should allow IWT to determine whether the required resources and organization are
present to ensure proper implementation of the project.
1E.1 EXPERTISE AND RESOURCES
Indicate which expertise and resources (personnel, infrastructure, access to knowledge/IPR, etc.) are required for proper
implementation.
Indicate which industrial and/or research partner will contribute what part of this required knowledge, expertise and
resources. Subcontractors making a major contribution should also be mentioned here. Indicate the expected
synergy/synergies between the different partners (and subcontractors) and the reasons why these partners were
selected.
If, while completing this application, you find any gaps in the required knowledge, expertise or resources, indicate the
measures to be taken to bridge these gaps in an appropriate and timely manner.
Indicate how project coordination and monitoring will be organized and how the collaboration between the different
partners/subcontractors will be structured.

IWT Application for Industrial R&D Projects September 2010

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1 F. Budget overview
The information provided in this section must allow the external experts to estimate the value-for-money of the
project. In other words, do the expected results justify the planned expenditure?
1F.1 BUDGET OVERVIEW
Complete the following table based on the budget of each of the industrial partners indicated in section 2D:
Budget of each industrial partner
Industrial partner
PARTNER A1
PARTNER A2

TOTAL

1st year

2nd year

3rd year

TOTAL

1 G. Funding requested
The requested funding consists of the basic funding rate, dependent on the category of the project, and any additional
support for which it may be eligible. The requested support based on your own estimates will be discussed with the IWT
advisors. The method for calculating the funding rate is described in the guidance documents.
1G.1 BASIC FUNDING RATE
(no explicit reason for the selection has to be given)
Indicate how the project could best be categorized:


Research project

Development project

Project that is a combination of both

In the last case, indicate which units (work units, task units, etc.) fall under research and which ones under
development.

1G.2 ADDITIONAL SUPPORT

Indicate which additional support is requested (there are several possibilities):


Additional support for small firms (SE) or midsize firms (ME)

Indicate which firms are SEs and which ones MEs.



Additional support based on relevance of specific policies (sustainable technological development,

aerospace, automotive, collaboration with research institutions for more than 20% of the budget)

On what is your request for additional support based? Distinguish, if applicable, between the different industrial
partners.
If extra support is requested under the sustainable technological development category, include the specific reasons
on a separate sheet.


Additional support for collaboration (with an SME or internationally)

Indicate, if applicable, into which international programme this project fits. Consult the specific manual for this.


Subordinated loan (only for SMEs)

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To be completed by EACH of the industrial partners.

Part 2. Information that applies specifically to ONE of the industrial

partners
2 A. General information about the industrial partner
This information will NOT be forwarded to the external experts.

The information requested here will allow IWT to create a business profile and verify whether the firm generally has
sufficient resources at its disposal to implement the project. This profile will be created once and updated with every
subsequent application, if necessary.
If IWT already has the most recent information, e.g. as part of another project proposal, please refer to the earlier
proposal, indicating its IWT project number, and only include major changes and/or more recent data.
It is definitely allowed to refer to existing sources of information, such as annual reports, websites, etc. but if you do,
you must clearly indicate where the IWT advisor can find the requested info.
2 A.1 GENERAL INFORMATION ABOUT FIRM
Official name of firm:
Business number:
Head office:
Address of place of business:
Indicate the address for the place of business where the project results will be valorized, if this is different from the
head office.
Shareholders:
If the firm is not listed on the stock market, provide the following information for each of the shareholders: name or
business number (in the case of a legal entity), % of shares
Specific contact person for financial information:
Name:
Function:
E-mail:
Telephone:
2 A.2 IMPORTANT BUSINESS CHANGES IN THE LAST TWO YEARS
Describe briefly the most important business and financial changes at the firm over the last 2 years, paying special
attention to their impact on Belgian location(s). These include capital increases or decreases, and changes in
shareholder structure, activities, strategic partnerships, business model, etc.
2 A.3 PRODUCTS AND MARKET POSITION
Provide a brief summary of the firms main products/services or product lines, paying particular attention to the Belgian
location(s). Indicate, if possible, general figures for the market position, export quotas, client structure and competitive
position.
For international firms (groups): describe the place and importance of the Belgian location(s) in the international
corporation as well as the importance of the present project for the Belgian location(s).
2 A.4 RESEARCH ACTIVITIES and GENERAL APPROACH TO INTELLECTUAL PROPERTY
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Describe briefly the firms current R&D activities and structure and their impact on Flanders, including number of R&D
personnel, amount of R&D spending and major developments in the last 3 years.
Indicate the firms general approach to the protection of intellectual property.
2 A.5 ANNUAL REPORTS
If you publish Belgian annual reports, there is NO need to enclose them with this application, unless the most recent one
has not yet been filed. In the case of international annual reports, provide a web link or add a copy of the most recent
international annual report available.
If your firm files abridged Belgian financial statements, complete the following table:
Financial Account
Y-2

Y-1

70 turnover
71 inventory changes
72 produced fixed assets
74 other operating revenues
60 goods for resale, raw materials and
supplies
61 services & miscellaneous goods

2 A.6 OVERVIEW OF PREVIOUS GOVERNMENT SUPPORT

Provide an overview of the funding received in the last three years from Flemish (not including IWT), Belgian and
European government sources.

IWT Application for Industrial R&D Projects September 2010

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2 B. Valorisation-related information
This information WILL BE forwarded to the external experts.

The information in section 2B (and section 2C) will be used to determine whether the proposed project offers a
sufficiently significant economic potential. This valorisation potential is the 2nd most important criterion in the
selection of projects to be funded.
Section 2B mainly provides general information about the results and the market for them as well as the general
components of the procedure the firm plans to follow to valorize them. This section will be forwarded to the external
experts so that they can get a better idea of the realistic value of the proposed innovation.
Section 2C deals mainly with the firms business model and the possible economic benefits for Flanders. Upon request,
this information will NOT be forwarded to the external experts, but in that case, question 2.B.8 must be completed.
2 B.1 GENERAL CONTEXT OF THE ACTIVITIES
Show concretely how the project results will be translated into an application for the market or within the firm, in the
form of products, services, processes, etc. and link this to the firms business activities resulting from the present
innovation project, assuming that the project objectives are achieved.
Indicate clearly how the situation would be different without the project. Describe how this innovation could mean a
competitive advantage for the firm and/or why the research results are important for the firms market opportunities in
terms of valorisation.
2 B.2 MARKET STRUCTURE
Provide an outline of the market structure and the relevant competition for this product/process/service(s).
Describe the global growth potential of this market.
2 B.3 MARKET POTENTIAL OF INNOVATION
Position innovations within the market and describe the market potential of valorisation the project results. Take into
account the life cycle of the innovation and the expected market share.
2 B.4 ENVIRONMENT-RELATED FACTORS
Provide an overview of the environment-related factors (regulations, policies, etc.) that affect the market opportunities
or may encumber them. Also indicate how the firm will deal with them.
2 B.5 COMPETENCIES OF FIRM
Indicate whether the firm has the required competencies to valorize the results. Is the firm already active in the target
market and what is its starting position (market share, etc.)? Are certain strategic alliances already in place (suppliers,
production, marketing...)? If a required competency is lacking, indicate what procedures will be followed to compensate
for this.
2 B.6 SUCCESS STORIES
Mention briefly any innovation success stories of the firm/department (or the management). More detailed descriptions
can be given during the meeting with the IWT advisors.
2 B.7 SPILLOVERS FOR SOCIETY
Describe any significant spillovers for society, such as a contribution to sustainable technological development, health,
safety, etc.
2 B.8 SUMMARY OF 2.C.1 TO 2.C.4 (optional)

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This text is a translation from an original in Dutch. In case of dispute, the Dutch-language version shall have sole legal validity.

Provide a summary of the information provided in sections 2.C.1 to 2.C.5 below.

This summary must only be provided if the information entered in C1 to C5 is not to be forwarded tot the external
experts.

2 C. Industrial partner information specifically related to valorisation

This information will NOT be forwarded to the external experts, unless 2.B.8 has not been filled out.

The information in section 2B (and section 2C) will be used to determine whether the proposed project offers a
sufficiently significant economic potential. This valorisation potential is the 2nd most important criterion in the
selection of projects to be funded.
Section 2B mainly provides general information about the results and the market for them as well as the general
components of the procedure the firm plans to follow to valorize them. This section will be forwarded to the external
experts so that they can get a better idea of the realistic value of the proposed innovation.
Section 2C deals mainly with the firms business model and the possible economic benefits for Flanders. Upon request,
this information will NOT be forwarded to the external experts, but in that case, question 2.B.8 must be completed.
2 C.1 BUSINESS CASE SUMMARY
Provide a summary of the business case/business plan. The business case of the project should be based on clearly
formulated assumptions about the relevant components of the business model, such as sale price, market penetration,
turnover, workforce, etc. If these assumptions are not based on the historic data of the firm, they have to be justified. If
the firm is less than 3 years old, the business plan has to be submitted as an appendix.
2 C.2 DETERMINING THE ADDED VALUE FOR FLANDERS
Describe and give a realistic estimate of the wealth creation using the project results, in euros (calculated as the sum of
the labour costs and investments in equipment) in the Flemish firm or at third parties in Flanders (if the relationship can
be clearly demonstrated) over the life cycle of the product/process/service, which in principle is a maximum of 10 years.
Base this on the financial projections for the same period.
2 C.3 INTELLECTUAL PROPERTY
Describe the approach taken to manage and protect intellectual property rights (freedom to operate, patent position,
etc.), in particular with regards to the results of this project.
If you provided information about this in Part 1, please refer to it, and only enter more specific information here, if
applicable.
2 C.4 CROSS-BORDER MIGRATION
Describe the risks/opportunities associated with cross-border migration of the acquired innovation. For international
firms, provide an overview of the locations that are active in the project field, including their activities and present size.
Describe the impact of the innovation project on securing the activities of the firm in Flanders.

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This text is a translation from an original in Dutch. In case of dispute, the Dutch-language version shall have sole legal validity.

2 D. Additionality for industrial partner

This information will NOT be forwarded to the external experts.

The European regulations require that funding for industrial R&D shall only be granted if there is clear additionality. This
information will allow IWT to submit accurate reports to the European Commission. For your information: the information
will be grouped in the report to the European Commission and no details will be provided about the situation of individual
recipients.
2 D.1 ADDITIONALITY
Indicate which of the following benefits the IWT support will provide to the firm and the project compared to the situation
without support (there are several options):


Without IWT funding, the project will be cancelled

The R&D funding will enlarge the scope of the project (expressed in person months or
expenditures).

With IWT funding, the project will be more ambitious/in depth.

With IWT funding, the project will be completed more quickly.

IWT funding will allow the firm to acquire more knowledge (thanks to broader collaboration, for
example) than it would without it.

The total amount spent by the firm on research, development and innovation will increase.

Other
Describe any other impacts of the IWT funding on the project or firm.

If possible, give a brief (quantitative) reason for the answers.

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This text is a translation from an original in Dutch. In case of dispute, the Dutch-language version shall have sole legal validity.

2 E. Budget of industrial partner

This information will NOT be forwarded to the external experts.

The project costs indicated here are estimates but it is extremely important to ensure that they are as accurate as
possible. The method for calculating project costs is explained in detail in the guidance documents about financing of
costs.
2 E.1 OWN PAYROLL COSTS
Enter the total payroll cost for your firms employees in the table below.

Name or
function

1st year
number
of pm

Payroll cost of your employees

2nd year
3rd year
cost
per
pm

number
pm

cost
per
pm

number
of pm

total
cost
per
pm

pm

cost

Total
Comments:

2 E.2 OTHER COSTS

Select the method for calculating the other costs and fill out the corresponding table.
The other costs consist of the direct and indirect costs. The standard calculation for indirect costs is 20% of payroll costs.
The direct costs consist of the operating and equipment costs. The simple method for estimating the total other costs is
by taking a percentage (max. 50%) of the payroll costs. They can also be calculated by dividing them over the different
items (for a maximum of 80% of payroll costs) or by combining 50% of payroll costs with a large expenditure item
whose cost will need to be documented.
Other costs as a percentage of payroll costs
other costs calculated as a
cost
cost
cost
percentage of payroll costs
1st year
2nd year
3rd year
% of payroll costs

total

OR

detailed list of other costs

Other costs listed in detail

cost
cost
1st year
2nd year

cost
3rd year

total

Other costs
cost
cost
1st year
2nd year

cost
3rd year

total

20% of payroll costs

Total
OR

detailed list of other costs

% of payroll costs
large expenditure
Total
Comments:

2 E.3 LARGE SUBCONTRACTS

List the large subcontracts in this table (> 5,000 euros). If the cost of a large subcontract is shared by several industrial
partners, only enter your firms share here.
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This text is a translation from an original in Dutch. In case of dispute, the Dutch-language version shall have sole legal validity.

Describe briefly each large subcontract (indicating its place in the work programme). Please, also indicate how the cost
was calculated. The cost driver may be the number of person months if the subcontract consists mainly of human
resources or a specific service if it is possible to determine its unit price.
Back up the estimates as much as possible with a tender.

description of large
subcontract

Cost of large subcontracts for your firm

cost
cost
cost
1st year
2nd years
3rd year

total

Total
Comments:

2 E.4 RESEARCH PARTNERS

Enter your contribution to the costs of the major research partners in this table. Use the explanation of the costs
provided by the research partners themselves as included in Part 3. If the costs of the research partners are shared by
several industrial partners, only enter your firms share here.

research partner

Research partner costs for your firm

cost
cost
cost
1st year
2nd year
3rd year

total

Total
Comments:

2 E.5 TOTAL BUDGET FOR THIS INDUSTRIAL PARTNER

Make sure to transfer the total cost to the table in 1F.1.
TOTAL BUDGET for your firm
cost
cost
1st year
2nd year

cost
3rd year

total

own payroll costs

other costs
large subcontractors
Total
Comments:

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This text is a translation from an original in Dutch. In case of dispute, the Dutch-language version shall have sole legal validity.

To be completed by EACH of the research partners.

This information will NOT be forwarded to the external experts.

Part 3. Information about the research partner

Only enter the basic information and budget for the research partner.
3.1 GENERAL INFORMATION
Name of research institution:

Name of lab or service directly involved:

Name of person in charge of project implementation at the research partner:

Website:
Address (only for non-Flemish research partners):
3.2 MAIN EXPERTISE (ONLY FOR NON-FLEMISH RESEARCH PARTNERS)
Give a short overview of the relevant expertise contributed by the research partner
3.3 TOTAL BUDGET FOR RESEARCH PARTNER
Enter the budget overview of the research partner.
The budget of the research partner should be prepared the same way as the industrial partners budget (see 2E.1 to
2E.3 and 2E.5)
3.4 STATEMENT OF INTENT
Enclose the agreement between the research partner and the industrial partner(s) or the declaration of intent to enter
into such an agreement, if available.

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This text is a translation from an original in Dutch. In case of dispute, the Dutch-language version shall have sole legal validity.

Submission and signing of application

The following statement, typed on your firms letterhead paper and signed by a representative with the authority
to bind the legal entity, must be enclosed with the application:
In the name of <name industrial partner>, I authorize IWT to verify all the information
supplied as part of this IWT funding application for the industrial R&D project entitled: <title of
project>.
I declare that I have not requested or applied for any other government funding for this project.
I declare that on the date of submission of this application, the firm has no overdue unpaid
taxes and/or employer social security contributions and is up to date with respect to all the
required (environmental) permits.
If the second and third clauses are not (entirely) applicable, indicate this and provide a succinct description
of the situation.
If in your oppionion, your company is an SME, also add the following clause:
I wish to apply for an SME supplement and declare that I have completed the requested
information on shareholders & ownership shares and the annual reports in the standard places
(i.e. 2 A: General information about the business partner, 2 A.1 General company details shareholders: block diagrams and 2 A.5 annual reports).
To be eligible the application has to include the following components:

The completed application:

* for a firm implementing a project without partners: Part 1 and Part 2.
* for several firms submitting a joint application: Part 1 and a separate Part 2 for each firm
* for research partners: a separate Part 3 for each one

Specific additional documents where required, for example documents related to a request for additional
support for sustainable technological development, or to the annual financial report (see section 2.A.5),
business plan (see section 2.C.1) or collaboration (see section 3.4).

The above-mentioned declaration for each industrial partner.

You may also enclose supporting documentation, but in principle the latter will not be forwarded to the external
experts.
A single paper copy of the application must be submitted to IWT, together with the signed declarations.
This is the version that will be used to determine the date of submission. To facilitate processing the application,
you may in addition submit an electronic version to IWT-bedrijfsprojecten@iwt.be.
IWT
Ellipsgebouw
Koning Albert II-laan 35, bus 16
B 1030 Brussels
tel: +32 (0)2 432 42 00
fax: +32 (0)2 432 43 99
website: www.iwt.be
e-mail: IWT-bedrijfsprojecten@iwt.be
The application will be checked for eligibility upon receipt. You will be notified of its status or contacted by an IWT
advisor within 14 working days.

IWT Application for Industrial R&D Projects September 2010

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This text is a translation from an original in Dutch. In case of dispute, the Dutch-language version shall have sole legal validity.