M. R. Stefanik Prize for the Greatest Contribution to Bilateral Slovak-French Scientific and Technical Cooperation	
APPLICATION FORM
1.	General information
Project tittle:		
Field of research and development:		
Start and end of the Project:		

	Slovak head of the Project	French head of the Project	
Name:			
Surname:			
Title:			
Telephone:			
Fax:			
E-mail:			
Organization with address:

			

List of participants of Slovak and French team:
Name, Surname, Title:	Organization:	Contact:	

			

			

2.	Characteristic of the Project:

	

3.	Overview of outputs:

3.1 Category: Continued cooperation by participating in other projects
Participation in EC framework projects for research, technological development and demonstration activities:	

	
Participation in European initiative research & development projects, mainly Horizon 2020 projects	

	

3.2	Category: Participation in R&D international centres
Participation in research & development in international and European research and development centres:	

	

   3.3 Category: Displacement of the borders of knowledge
Authorship or co-authorship of an article in a CC journal, a book:	

	
Citations in CC journals:	

	

3.4 Category: Contribution to economic growth in Slovakia
Authorship or co-authorship of a patent, design, trade mark. :	

	

3.5 Category: Education experts for research and development
Involvement of PhD students in participation on projects:	

	

3.6 Category: Other outputs

	

Please, listed numbers in each category must be specifying by the attached list (in annex), ie designate what specific projects, quotes, patents, Etc.

4.	Signature and institutional approval: 
Signature of Slovak head of the Project:	

Datum:	

I, the above signed by Principal Investigator solemnly declare that:
•	I am eligible for the prize M.R.Stefanik for the best joint Slovakia-French project on bilateral scientific and technological cooperation under the statute that governs the rules for obtaining it.
•	All information contained in the application and their annexes are true.
•	Application in electronic form is substantively identical to the application in paper form.
•	If it is found that the information given in the application and its annexes are not true, I understand that the application will be rejected from the assessment process.
Penalty for false information provided in the application and its annexes, which would result in a benefit, logged joint project by the end of the evaluation process, the removal of price M.R.Stefanik return and financial rewards.
I undertake to make good any damage caused by the Ministry of Education, Science, Research and Sport of the Slovak Republic and the Embassy of the French Republic in Slovakia due to providing false and misleading information and statements.