ASRF PROPOSAL APPLICATION FORM    Proof of Concept (POC) Scheme               Revision 2.0,                Jan. 2012
TABLE OF CONTENTS1. Introduction and Funding Conditions .....................................................................
1. Introduction and Funding Conditions    Applied Scientific Research Fund (ASRF) is an Arabic non-government, non-profit ...
◦      ASRF receives a royalty (% of sales) in the first five years. (as agreed by both inventor and                     A...
AcknowledgementThe Applied Research Fund (ASRF) team shares special thanks to the advisory panel for their valuablecontrib...
2. SummaryTitle of the project proposalConcise & descriptive title (No more than 20-25 words)Project Acronym(Select a shor...
Classification of the proposal / project fieldClassify your proposal under each of the following areas. (Multiple fields c...
3. Concept and ObjectiveBackgroundProvide a basic background and relevant information about your project.Provide a basic b...
Expected outcomes and the value to the users/customers     Who are the target customers / beneficiaries?     What tangible...
4. State-of-the-art (Optional)Literature research         State recent literature with defining what has been done and wha...
5. Implementation and methodology plan         Explain the methodology and procedure of your project         Describe the ...
6. Financial request and justificationProof of Concept BudgetItem                               Amount        Justificatio...
7. Market PotentialThis section should be completed in cooperation with the Technology Transfer officer if the applicants ...
8. Contact detailsMember 1 Contact     DetailsPersonFirst NameLast NameUniversityAddressMobile PhoneEmailWebMember 2      ...
9. CertificationIn submitting this research proposal, we confirm that:         The information in the proposal submitted i...
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Asrf poc application form

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ASRF Proof of Concept Application Form

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Asrf poc application form

  1. 1. ASRF PROPOSAL APPLICATION FORM Proof of Concept (POC) Scheme Revision 2.0, Jan. 2012
  2. 2. TABLE OF CONTENTS1. Introduction and Funding Conditions ........................................................................................................3Acknowledgement..........................................................................................................................................52. Summary ....................................................................................................................................................6 Title of the project proposal ................................................................................................................................ 6 Project Acronym ................................................................................................................................................. 6 Project summary/Abstract................................................................................................................................... 6 Project team ........................................................................................................................................................ 6 Classification of the proposal / project field ........................................................................................................ 7 Proposal keywords ............................................................................................................................................. 7 Funding/support and duration summary ............................................................................................................. 73. Concept and Objective ...............................................................................................................................8 Background ......................................................................................................................................................... 8 Concept and statement of the problem .............................................................................................................. 8 Objectives ........................................................................................................................................................... 8 Expected outcomes and the value to the users/customers ................................................................................ 94. State-of-the-art (Optional) .......................................................................................................................10 Literature research............................................................................................................................................ 10 Patents research ............................................................................................................................................... 105. Implementation and methodology plan ....................................................................................................116. Financial request and justification ...........................................................................................................127. Market Potential .......................................................................................................................................13 Target Customers and value ............................................................................................................................ 13 Market position (local and global) ..................................................................................................................... 13 Commercialization/sales plan ........................................................................................................................... 138. Contact details ..........................................................................................................................................149. Certification..............................................................................................................................................15POC Form - Rev.2.0 2 / 15
  3. 3. 1. Introduction and Funding Conditions Applied Scientific Research Fund (ASRF) is an Arabic non-government, non-profit organization, created by Samih Darwazah, founder of Hikma Pharmaceuticals, to foster and enable innovation through various funding schemes for applied researches and commercialization activities as well as to create the culture of research and innovation in the Arab region.  Funding scheme objectives: ◦ Support the development and/or testing of Prof of Concept (POC) or prototypes, for Jordanian organizations ◦ Accelerate the commercialization process by demonstrating prototypes to potential customers, partners or funders.  Eligibility: ◦ Researchers and inventors in Jordan ◦ Research centers and universities ◦ Jordanian organizations (including firms) interested to develop their R&D prototypes ◦ Jordanian university students in both the bachelors and masters levels ◦ Note: For universities with Technology Transfer offices it is highly recommended that application be endorsed by the office manager  Conditions to be a candidate project: ◦ Technical feasibility of the project ◦ Market potential and feasibility of the product or service developed ◦ Clear, tangible and measurable outcomes ◦ Impact and quality of the project ◦ University supervisor commitment to the project (where the applicants are students)  ASRF’ Support (up to 10,000 JD over 1 year) that can include:: ◦ Technical Development of the Proof of Concept (POC) ◦ Prototype design and development ◦ Full lab-scale demonstration ◦ Material and implementation costs ◦ Technical and prototype testing ◦ Specialist testing, verifying applications and conducting field studies ◦ Demonstration to potential customers ◦ POC marketing testing (with customers) ◦ Transportation to the customers ◦ Development of business case / show case with potential customers ◦ Development of simulations or models are NOT supported unless the technology is related to those fields (e.g. the fund will not support the simulation of motors, it will support the development of the prototype of the motor, yet the simulation results should be available in advance)  Intellectual Property ownership: ◦ The inventor FULLY owns their IP - ASRF has no ownership.POC Form - Rev.2.0 3 / 15
  4. 4. ◦ ASRF receives a royalty (% of sales) in the first five years. (as agreed by both inventor and ASRF up front)  Contribution to ASRF and /or the community: ◦ The team agrees to provide technical reports and progress on their project at regular predefined intervals (quarterly every 3 months) based on the support/funding agreement. ◦ The team agree to deliver public training/workshops on their technical field of expertise as it relates to the developed POC that is equivalent to 1 day public workshop/training ◦ Supporting ASRF activities or ASRF beneficiaries by providing total of 6 working hours by providing technical consulting or access to customers/market to ASRF or its beneficiaries. ◦ Agreeing to press and promotion as part of the ASRF marketing and communication campaign, with teams prior approval of content.POC Form - Rev.2.0 4 / 15
  5. 5. AcknowledgementThe Applied Research Fund (ASRF) team shares special thanks to the advisory panel for their valuablecontribution to this form.Advisory Panel for POC Suleiman Shannak TareK Al-Qasim Scott Gillespie Farhan KalaldehPOC Form - Rev.2.0 5 / 15
  6. 6. 2. SummaryTitle of the project proposalConcise & descriptive title (No more than 20-25 words)Project Acronym(Select a short name for your project to simplify the communication with ASRF)Project summary/Abstract(200 words max)Provide a clear and concise summary of the proposed Proof of Concept Project including what elementsmake the project innovativeProject teamMaximum 3 main members preferably own the IP (Intellectual Property) to be developed.Research teamTeam Member Name Title/Position Institute1CoordinatorMember 1Member 2Note1: The coordinator must be affiliated with the organization that will administer the grantPOC Form - Rev.2.0 6 / 15
  7. 7. Classification of the proposal / project fieldClassify your proposal under each of the following areas. (Multiple fields can be selected but indicate themain field with “M”)Acronym Scientific Area Field Selection AF Agriculture, Food and Fisheries Sciences BT Biotechnology CI Chemical Industries DM Drugs & Medicines EE Electrical & Electronics Technologies EG Energy (including renewable energies) EN Environment, (including Climate Change) HE Healthcare IT Information and Communication Technologies MC Mechanics & Construction NN Nanosciences, nanotechnologies, materials & new production technologies NS Natural / Pure science SE Security and Safety SH Socio-economic Sciences and the Humanities TT Transport & logistics WA Water, Waste & Utilities OT Other: Please specifyProposal keywords To facilitate selection of evaluators / indexing / promotion/ etcFunding/support and duration summary Requested fund amount (in JOD) (up to 10000)1 Project duration (in Months) (up to 12) 1Note1: Justification must be provided for requested funds more than 10000 JOD or more than 12 Months and will be subjectfor approval by the fund management and the evaluation committeeCo-funding/ other funding resourcesIs this research proposal co-funded by other agency? If yes please attach the funding agreement and theproposal (will be considered in the evaluation)POC Form - Rev.2.0 7 / 15
  8. 8. 3. Concept and ObjectiveBackgroundProvide a basic background and relevant information about your project.Provide a basic but thorough introduction to your subject. Don‟t expect reviewers to be familiar withyour field so you should include clarifying information for your project. Reviewers are an intelligent, yetdiverse audience. State your overall vision and motivating rationale. What is lacking? Providebackground and need/significance. Do you have preliminary results? Pictures, videos, images help.(1/2 page max)Concept and statement of the problem What are the problems you are trying to solve? and for whom? How are such problems treated with existing technologies/solutions currently?(1/2 Page max)Objectives What are the project‟s goals? What are you trying to prove with the POC? Who will you demonstrate the POC to? When will you be able to demonstrate your POC to prospects, partners, potential investors?(1/2 Page max)POC Form - Rev.2.0 8 / 15
  9. 9. Expected outcomes and the value to the users/customers Who are the target customers / beneficiaries? What tangible outcome are you driving for with the POC? What are the expected outcomes? What are the values, benefits and impact of the project on the target beneficiary? How does your solution improve your products quality, productivity or reduce cost or fill a gap in the market? (1/2 Page max)Current stage of development Describe the current stage of development of the invention/technology. What experiments did you conduct to validate your concepts?(attach the results reports/summary) Did you develop models or simulations for this concept? (attach the results reports/summary)(1/2 Page max)Intellectual Property (IP) position Have you registered IP for the project? Please provide summary information What are the steps you are considering for the IP protection, management and strategy? Will any new IP be developed during this project?(1/2 Page max)POC Form - Rev.2.0 9 / 15
  10. 10. 4. State-of-the-art (Optional)Literature research State recent literature with defining what has been done and what is needed. References related articles, research, market activities related to your project. You can attach more details (1/2 page max)Patents researchState published patents related to this project(You can use the following links for patents search) http://www.google.com/patents http://www.wipo.int/pctdb/en/ http://www.epo.org/searching.html http://patft.uspto.gov/ http://ipco-jo.org (1/2 page max)POC Form - Rev.2.0 10 / 15
  11. 11. 5. Implementation and methodology plan Explain the methodology and procedure of your project Describe the project activities (experiments) or tasks you are going to follow to implement the project (1/2 page max)Tasks and timeline List the tasks/activities you are going to follow and the expected deadline to achieve them. Maximum 5 main tasks/activities Please mark with „X‟ the months you will work on each task or activity Note that you have to provide a progress report to ASRF every 3 or 6 months based on the funding agreement Months (deadlines) Tasks/activities 1 2 3 4 5 6 7 8 9 10 11 12 Task1 Task2 Task3 Task 4 Task 5Technical and management expertise Outline the relevant technical and managerial expertise of the project team Describe the track record of the team in similar project/field Please attach the CVs of the team members (1/2 page max)POC Form - Rev.2.0 11 / 15
  12. 12. 6. Financial request and justificationProof of Concept BudgetItem Amount JustificationMaterial / Consumables1TransportationTestingServicesOthersNote1: specify the material and its quantitiesCo-funding/ other funding resourcesIs this proposal co-funded (or applied for other funding) by other agency? If yes please attach the fundingagreement and the proposal (will be considered in the evaluation)POC Form - Rev.2.0 12 / 15
  13. 13. 7. Market PotentialThis section should be completed in cooperation with the Technology Transfer officer if the applicants arefrom university that has such an office and the officer signs off on Section 9 as well.Target Customers and value Who are the target customers / users /beneficiaries? What are the values delivered for the customer/user? (What is the added value to the customers/users)? What are the benefits for them from adopting your technology? What organization are you targeting to demonstrate your proof of concept to?(1 page max)Market position (local and global) Explain the potential market and demand for the product and estimated market size: (Please provide/attach supporting data) Explain competition/alternative products/technologies to the proposed innovation Who are the major companies in the technological area of this innovation?(1 page max)Commercialization/sales plan Outline how you will commercialize the project outcomes How will this fund assist the commercialization of the invention / technology? How does the fund will/can support future sales and generate revenues? What is the likely size of future sales? and when? Which countries you are targeting the sales? Local or global?(1 page max)POC Form - Rev.2.0 13 / 15
  14. 14. 8. Contact detailsMember 1 Contact DetailsPersonFirst NameLast NameUniversityAddressMobile PhoneEmailWebMember 2 DetailsFirst NameLast NameUniversityAddressMobile PhoneEmailWebMember 3 DetailsFirst NameLast NameUniversityAddressMobile PhoneEmailWebPOC Form - Rev.2.0 14 / 15
  15. 15. 9. CertificationIn submitting this research proposal, we confirm that: The information in the proposal submitted is true and complete. The students team is responsible to report the achievements and results to ASRF The students team will participate in the community work with ASRF Name Signature DateCoordinatorTeam Member 1Team Member 2Tech Transfer Officer (ifavailable)Applied Scientific Research Fund (ASRF) Email: info@asrf.jo Tel: +962-6-515-5095 Fax: +962-6-516-1399POC Form - Rev.2.0 15 / 15

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