OPEN R&D APPLICATION FORM
One (1) hardcopy and softcopy (email : [email protected]) of this form must be submitted to the Collaborative Research in Engineering, Science & Technology (CREST) Center, Research & Development Division, Block C, Ground Floor, sains@usm, No. 10 Persiaran Bukit Jambul, 11900 Bayan Lepas, Penang, Malaysia. (http://www.crest.my)
[Incomplete Applications will not be reviewed]
DETAILS OF RESEARCHER
Name of Project Leader:
Designation:
Office Telephone No:
Mobile No.:
E-mail Address:
Mailing Address:
Name of organisation:
Location of research:
COMPANY INFORMATION
Company Name:
Address:
Company No:
Brief description of Company:
Company’s role in the project:
Note:
(1) If more than one company is involved, please provide information about the primary company
ACADEMIA INFORMATION
University Name:
Address:
Brief description of University:
University’s role in the project:
Note:
(1) If more than one university is involved, please provide information about the primary university and include information on the other universities in attachments.
(2) Please attach a support letter signed by University’s head of department / dean.
PROPOSED RESEARCH TEAM MEMBERS:
Name Organisation Designation
Highest Academic Qualification/
Designation
Email Signature
1.
2.
3.
4.
5.
6.
7.
8.
Note:
Please provide a compact Curriculum Vitae for all team members using the format below:
A RESEARCH INFORMATION
A(i) Title of proposed research :
A(ii) Industrial Cluster & Area (Please mark ☒ ):
☐ Optoelectronics / LED and Solid State Lighting
☐ Compound Semiconductor Engineering (III-IV)
☐ Thermal Materials
☐ Advanced Polymers
☐ High Power Electronics Interconnect
☐ Optical Inspection of Emi-translucent Surface
☐ Smart/Autonomous Lighting System
☐ Others; Please specify: ____
☐ Embedded System & Internet of Things
☐ Data Analytics, Big Data Science
☐ Advanced Wireless Communication
☐ Sensors & Sensing
☐ Energy Systems – Harvesting, Storage, Management
☐ Organic, Printable Electronic
☐ Wearables
☐ Markets – Healthcare, Transpiration, Manufacturing, Retail, Smart City, Agriculture
☐ Others; Please specify: ____
☐ IC Design, Test & Validation
☐ Advanced Testing (IC/Board/SW) – Probe cards, JTAG
☐ IC Design Automation
☐ Advanced Logic Emulation
☐ UI/UX-specific SoC/IC/FPGA Design
☐ Others; Please specify: ____
☐ Advance Materials & Packaging
☐ Semiconductor Device Packaging – Multi-chip Packaging (TUV, TSV)
☐ Cheaper Epoxy/Materials for Mass-Market Optoelectronics
☐ Compound Semiconductor Engineering (III-IV)
☐ Nano-materials and Structures for Interconnects, Circuitry, Thermal Management
☐ Materials for 3D Printing, Inkjet Printing
☐ Others; Please specify: ____
☐ World-Class Electronic Manufacturing
☐ Industrial Automation & Robotic
☐ Low Volume, High Mix (Adaptable Manufacturing)
☐ Smart Factory, IoT in Manufacturing
☐ Additive Manufacturing & 3D Printing Technology
☐ Integrated Design to Manufacturing, Supplier in Design
☐ Connected Supply Chain
☐ Computer Integrated Manufacturing, Efficient Manufacturing Scheduling System
☐ Others; Please specify: ____
☐ Drones, Driverless vehicle, Autonomous Vehicle Technology
☐ Autonomous Aerial Vehicle Technology
☐ Gyroscopic Stabilisation System
☐ Closed-loop Digital Control System
☐ GPS and Geo-fencing Technology
☐ Navigation and Guidance
☐ Lightweight Materials
☐ Energy Efficient Drives
☐ Others; Please specify: ____
☐ Others
A(iii
) Duration of this research (Maximum 36 months):
Duration: ________________
B Executive Summary of Research Proposal (maximum 300 words)
(Please include the background of research, literature reviews, objectives, research methodology and expected outcomes from the research project)
C DETAILED PROPOSAL OF RESEARCH PROJECT:
(Minimize use of company/university name, person's name, product name or other references suggesting the identity of the parties in the application to facilitate blind review process)
C(i) Research background including problem statement and research methodology.
C(ii) Objective(s) of the Research
This study embarks on the following objectives:
1) To investigate ...
2) To assess...
3) To investigate ...
4) To make recommendation based on ...
C(iii) Please state research methodology
C(iv) Research Project Plan
(Please refer CREST R&D Grant Guideline on Developing Project Plan) 1. Research project scope
2. Flow Chart of Research Activities (Please enclose in the Appendix as appropriate)
3. Gantt Chart of Research Activities including Milestones and Dates (Please enclose in the Appendix as appropriate)
4. Human Resources Plan (Team composition, roles and responsibilities, hiring, etc.) Name of
Members Organisation Roles Responsibilities
5. Risk Plan
Rank Risk Statement Risk
Level Risk Response 1
2 3 4
C(v) Expected output:
1. Number of Malaysian post graduate students to be produced (Please specify Master or / and PhD)
Graduate student output Count Full time Master graduate
Full time PhD graduate Industrial Master graduate Industrial PhD graduate
(Note: Full time postgraduate students are non-employee students working on the project on a full time basis. Industrial postgraduate students are employees of a company working on the project on a part time basis.)
2. Number of intellectual property (patent / open source) expected to be filed
Intellectual Property Filing Count
Foreground Intellectual Property Rights
(Describe type of IP, i.e. Patent, Copyright, etc.) Open Source Licence
3. Number of expected publications (refereed conference, journal)
Publications Count
Journal Publication(s) Conference Publication(s)
4. Describe the Technology Readiness level of the output. Please select one of the boxes below.
☐ TRL 9 Actual technology proven through successful deployment in an operational setting
☐ TRL 8 Actual technology completed and qualified through tests and demonstrations
☐ TRL 7 Prototype ready for demonstration in an appropriate operational environment
1. How does this research benefit participating companies?
2. How does this research benefit other companies within the E&E industry?
3. How does this research increase competency of participating universities?
4. What are the shared benefits of this research to the participating companies and universities?
C(vii) Commercialisation plan
1. What is the business plan behind this research?
2. Will the Company involved in this project commercialise the research outcome?
3. Provide a summary of your plan in translating the research outcome to product, services, etc. for commercialisation purpose. Please include name of companies you would engaged during this process.
4. Provide name of companies that would be interested in / benefit from your research outcome and their ability to potentially take the research outcome to the market.
D ACCESS TO EQUIPMENT AND SOFTWARE
Access to existing equipment and software:
Existing Equipment / Software Location
Access to proposed new equipment and software:
New Equipment / Software Proposed Location
E BUDGET
Please indicate your estimated budget for this research and details of expenditure in the excel file attached.
Note:
(1) The industry is encouraged to contribute for the research. Contributions in the form of financial funds, expertise, equipment, services etc. need to be translated in value of financial contribution.
F Declaration by applicant (Please tick ( √ )):
I hereby declare that:
☒ 1. All information stated here are accurate. CREST has the right to reject or to cancel the offer without prior notice if there is any inaccurate information given.
☐ 2. Application of this CREST R&D grant is also presented for the other research grant(s).
Please provide name of grant and total amount in the box below.
☒ 3. Signed PDPA Consent Forms for every researcher are attached in this application.
Date : Project Leader’s Signature :
Note:
Application submitted will be treated in full confidence. The award decision is final.
CHECKLIST FOR CREST R&D GRANT APPLICATION FORM
1) One (1) set of hardcopy CREST Research Application Form ☐ 2) One (1) set of softcopy CREST Research Application Form ☐ 3) Letter of Support signed by Company’s top management ☐ 4) Letter of Support signed by University’s head of department / dean ☐
5) Company’s Profile ☐
a. Form 9 ☐
b. Paid up capital (Form 24) ☐
c. List of Directors (Form 49) ☐
d. Annual Report – past 2 years ☐
e. Memorandum and Article of Association ☐
6) University’s Profile ☐
7) Minimum two (2) quotations for procurement of equipment. ☐ 8) Minimum two (2) quotations for procurement of software. ☐ 9) Minimum two (2) quotations for procurement of research materials. ☐ 10) Minimum one (1) quotation for rental of equipment. ☐ 11) Minimum one (1) quotation for rental of software. ☐ 12) Minimum three (3) quotations for professional services. ☐
13) Curriculum Vitae for every researcher. ☐
14) Salary/fee rate declaration (as used in industrial contribution). ☐