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Information on the Project (1)

Project Full Name Mobile Health Care

MobiHealth Project No (3) IST-2001-36006

Call Identifier (4) 2001/C 246/03

IST-2001 IST-2001 IST-2001

5.1.6 5.1.12 1.1.3

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Project Acronym (2) MobiHealth Project No (3) IST-2001-36006

A1. Project Administrative Overview (1)

Thematic Priorities (5) IST-2001 - 5.1.6 IST-2001 - 5.1.12 IST-2001 - 1.1.3

Type of Action (6) IST-Take-up

Project Full Name Mobile Health Care

Project Coordinator (7)Title (Dr, Prof., ...) Gender (8) M/F M

Family Name HerzogFirst Name Rainer

Ericsson Consulting GmbH

Ericsson Consulting Germany

PO Box (11)

Maximilianstrasse 36/RG

Post Code (12) D-80539 Cedex (13)Town/City Muenchen

Country Code (14) D Country Name (14) GermanyTelephone No (15) +491785340067 Fax No. (15) +498925543712

E-mail [email protected] Project Abstract (maximum 1000 characters)(16)

Duration in months 18 #REF! #REF!

Keywords (19) trials e-health

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Organisation Legal Name (9)Institute/Department/ Laboratory Name (10)

Street Name and Number

Total Eligible Costs in euro

(17)

EC Contribution requested in

euro (18)

MobiHealth aims at introducing new mobile value added services in the area of health, based on 2.5 and 3 G technologies. This will be done with the integration of sensors and actuators to a Wireless Body Area Network. These sensors and actuators will continuously measure and transmit vital constants along with audio and/or video to health service providers and brokers, improving on one side the life of patients and allowing on the other side the introduction of new value added services in the areas of health promotion and disease prevention, disease diagnostic, remote assistance, para-health services, physical state monitoring (sports) and even clinical research. Furthermore, the MobiHealth BAN system will support the fast and reliable application of remote assistance in cases of accidents, by allowing the paramedics to send reliable vital constants data as well as audio and video from the accident site.


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A2. Project Summary (20)

Objectives (maximum 1000 characters)

Description of work (maximum 2000 characters)

Milestones and expected results (maximum 500 characters)

The idea of MobiHealth is to develop trials providing continuous medical care (in- and out-home) based on wireless vital constants' sensors and actuators integrated in a generic Body Area Network (BAN) communicating with different health brokers via GPRS and UMTS connections. The basic wireless BAN will be generic enough to allow the seamless integration (wear and use) of different sensors and actuators. This way, different types of services of continuous health monitoring will be able to be introduced like home care, physical state during sports applications, patient follow-up, medical testing, etc.The MobiHealth project will integrate a BAN platform using existing and forthcoming experimental 2.5 - 3 G hardware componets and prototypes ( like Compaq iPAQ, programmable Ericsson telephones, NEC 2001 FOMA handsets), and different sets of sensors and actuators available in the market today, by adapting and extending them with a wireless connection. The MobiHealth BAN will next be used in the frame of a series of trials and the business perspectives of the new value added services will be evaluated along with the capabilities of the public GPRS and UMTS to support this type of value added services.The project targets the integration of the required infrastructure implementing the BAN. The results of the project will be a series of large scale trials demonstrating the feasibility of the application, its usefulness and a verifyication of the suitability of the 2.5 - 3 G network infrastructures. The project incorporates major European operators (Telia (SE) and Telefonica (ES)), hospitals (MST (NL), HCPB (ES)), a health call center (GSCOUT (D)), a sensor/actuator manufacturer (TMS (NL)), infrastructure companies (Ericsson (D), Philips (UK), Compaq (NL)), academic institutes (Universities of Twente (NL) and Pompeu Fabra (ES)) and a wireless application designers (CMG (NL) and Yucat (NL)).

The major milestones of the project are the intergration of the generic BAN, expected to be completed by month 12 of the project, the definition of the trial scenarios and evaluation methodology, expected to be completed by month 12 and the completion of the trials at the end of the project.The expected results include the validation of the GPRS and UMTS infrastructures for new m-health related value added services and applications.

A first objective is to prove the advantages and feasibility of the use of 2.5 and 3 G infrastructure in e-health. A second objective is to provide the means contributing to the reduction of costs in hospitals and health care, by providing the patients with complete, personalized monitoring of their health in-home, while pursuing a normal life. A third objective is to provide a basis for the development of new value added services and business applications by SME's on top of 2.5 - 3 G technology in mobile health and vital constants monitoring.The technical objectives of the project are to integrate the MobiHealth BAN for m-health services, by adapting existing technology extended with wireless communication capabilities over public 2.5 - 3 G networks and validate it with a series of large scale trials.


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A3. Cost Summary in Euro (21) (part 1/2)

Part

icip

ant R

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Part

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Shared Cost TU CPF Form – Form A3 (1/2)

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A3. Cost Summary in Euro (21) (part 2/2)

Part

icip

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Part

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Tota

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CO 1 (25) #REF! #REF! #REF! #REF! #REF! #REF! #REF!CO 1 (26) Co-ordination #REF! #REF! #REF! #REF! #REF! #REF!CO 1 (27) Total Co-ordinator costs #REF! #REF! #REF! #REF! #REF! #REF!### 2 ### #REF! #REF! #REF! #REF! #REF! #REF! #REF!### 3 ### #REF! #REF! #REF! #REF! #REF! #REF! #REF!### 4 ### #REF! #REF! #REF! #REF! #REF! #REF! #REF!### 5 ### #REF! #REF! #REF! #REF! #REF! #REF! #REF!### 6 ### #REF! #REF! #REF! #REF! #REF! #REF! #REF!### 7 ### #REF! #REF! #REF! #REF! #REF! #REF! #REF!### 8 ### #REF! #REF! #REF! #REF! #REF! #REF! #REF!### 9 ### #REF! #REF! #REF! #REF! #REF! #REF! #REF!### 10 ### #REF! #REF! #REF! #REF! #REF! #REF! #REF!### 11 ### #REF! #REF! #REF! #REF! #REF! #REF! #REF!### 12 ### #REF! #REF! #REF! #REF! #REF! #REF! #REF!### 13 ### #REF! #REF! #REF! #REF! #REF! #REF! #REF!### 14 ### #REF! #REF! #REF! #REF! #REF! #REF! #REF!

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Part

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Shared Cost TU CPF Form – FormA3 (2/2)

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A3. Cost Summary in Euro (21) (part 2/2)Pa

rtic

ipan

t Rol

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2)

Part

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ant N

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Ove

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Tota

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Adv

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(24)

Part

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Subt

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Shared Cost TU CPF Form – FormA3 (2/2)

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Intentionally left blank


A4. Other Public/Private funds (State Aid) in euro (35)

Part

icip

ant R

ole

(22)

Part

icip

ant N

o (2

3)

Tota

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ts (3

6)

Ow

n co

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7)

CO 1 #REF! #REF! #REF! #REF! 0 #REF! #REF!### 2 ### #REF! #REF! #REF! #REF! 0 #REF! #REF!### 3 ### #REF! #REF! #REF! #REF! 0 #REF! #REF!### 4 ### #REF! #REF! #REF! #REF! 0 #REF! #REF!### 5 ### #REF! #REF! #REF! #REF! 0 #REF! #REF!### 6 ### #REF! #REF! #REF! #REF! 0 #REF! #REF!### 7 ### #REF! #REF! #REF! #REF! 0 #REF! #REF!### 8 ### #REF! #REF! #REF! #REF! 0 #REF! #REF!### 9 ### #REF! #REF! #REF! #REF! 0 #REF! #REF!### 10 ### #REF! #REF! #REF! #REF! 0 #REF! #REF!### 11 ### #REF! #REF! #REF! #REF! 0 #REF! #REF!### 12 ### #REF! #REF! #REF! #REF! 0 #REF! #REF!### 13 ### #REF! #REF! #REF! #REF! 0 #REF! #REF!### 14 ### #REF! #REF! #REF! #REF! 0 #REF! #REF!

TOTAL (31) #REF! #REF! #REF! 0 #REF! #REF!


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Part

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Publ

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41)

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A4. Other Public/Private funds (State Aid) in euro (35)

Part

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(22)

Part

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ant N

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3)

Tota

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6)

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Project Acronym (2) MobiHealth Project No (3) IST-2001-36006 Year No: 1

A.4. Yearly Cost Summary in euro (part 1/2) (34)

Part

icip

ant R

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(22)

Part

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3)

Pers

onne

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9)

Subc

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9)

Con

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Com

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Subt

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Part

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(29)

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(29)

Prot

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EN F 1 FP5TUFOR COMMISSION USE ONLY

EUROPEAN COMMISSIONRESEARCH DIRECTORATESGENERALSHARED COSTTU CPF FORM A4




Part

icip

ant R

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(22)

Part

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3)

Ove

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(29)

Tota

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Advance payment (34)CO 1 (25) #REF! #REF! #REF! #REF! #REF! #REF! #REF!CO 1 (26) Co-ordination #REF! #REF! #REF! #REF! #REF! #REF!CO 1 (27) Total Co-ordinator costs #REF! #REF! #REF! #REF! #REF! #REF!### 2 ### #REF! #REF! #REF! #REF! #REF! #REF! #REF!### 3 ### #REF! #REF! #REF! #REF! #REF! #REF! #REF!### 4 ### #REF! #REF! #REF! #REF! #REF! #REF! #REF!### 5 ### #REF! #REF! #REF! #REF! #REF! #REF! #REF!### 6 ### #REF! #REF! #REF! #REF! #REF! #REF! #REF!### 7 ### #REF! #REF! #REF! #REF! #REF! #REF! #REF!### 8 ### #REF! #REF! #REF! #REF! #REF! #REF! #REF!### 9 ### #REF! #REF! #REF! #REF! #REF! #REF! #REF!### 10 ### #REF! #REF! #REF! #REF! #REF! #REF! #REF!### 11 ### #REF! #REF! #REF! #REF! #REF! #REF! #REF!### 12 ### #REF! #REF! #REF! #REF! #REF! #REF! #REF!### 13 ### #REF! #REF! #REF! #REF! #REF! #REF! #REF!### 14 ### #REF! #REF! #REF! #REF! #REF! #REF! #REF!

TOTAL (31) #REF! #REF! #REF! #REF! #REF! #REF!

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No.

(24)

Part

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EN G 1 FP5TUFOR COMMISSION USE ONLY




A.4. Yearly Cost Summary in euro (part 2/2) (34)Pa

rtic

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2)

Part

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No.

(24)

Part

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document.xls Bank Details 24 / 111 05/06/2023 10:50:34


A5. Coordinator's Banking Information (35)(This information is only used for EU payment procedure)

Financial Co-ordinator (=holder of the bank account)

Participant Role (22): #REF! 1

Financial Co-ordinator's name (=holder of bank account)

#REF!

AddressPO Box #REF!

#REF!

Post Code #REF! Cedex #REF!Town/City #REF!Country Code #REF! Country Name #REF!

Banking InformationName of Bank Deutsche Bank AGAddressPO Box (11)

Königsallee 45-47

Post Code D-40212 Cedex (13)Town/City DüsseldorfCountry Name Germany

SWIFT CODE (36)Sort Code 30070010Account Number (37) 501604300

Date

Stamp (39)


Participant No (23):

Organisation Legal Name



Financial Co-ordinator's signature (38)


EN H 1 FP5TUFOR COMMISSION USE ONLY


document.xls Participant Form 1-set (14) 25 / 111 05/06/2023 10:50:34

Participant Form 1-set (14)

Project Acronym (2) MobiHealth Project No(3) IST-2001-36006

A7.1 Participant Profile/Information (1 form per participant) (42)

Legal information on the participating organisation

Participant Role (22): CR 14

Registration No with the European's Research Programmes (43) No reg no.

CMG Wireless Data Solutions (Netherlands) B.V.

Short Name (45) CMGLegal Regist'tion No.(46) Kvk 30169559 VAT No. (47)

Activity Type (48) IND Legal Status (49) PRC If PRC Specify (50) B.V.

72 S Cost Basis (61) - (FC/FF/AC) FC

Legal Address of the organisation (53)PO Box (11) 268

Colosseum 2

Post Code (12) 7500 AG Cedex (13)Town/City Enschede

Country Code (14) NL Netherlands

Organisation details (54)Year (55) 2001

Annual turnover (56) T2 B2 Total R&D Expenditure (58) R2

Number of employees (59) S6 Number of R&D personnel (60) D6Number of researchers and engineers (61) E6 Number of female R&D personnel (62) F4Is your Organisation Independent (63) Y/N Y

Is Your Organisation affiliated to any other participant(s) in the project (65)? Y/N N

Participant No Short Name Character of affiliation

Address of the main department carrying out the work (67)

PO Box (11)

Colosseum 2

Post Code (12) 7500 AG Cedex (13)Town/City Enschede



Assistant to Contractor No (24):

Organisation Legal Name (44)

Business Area (51) - NACE

User Supplier (52) (U/S)


Country Name (14)

Ann. Balance Sheet Total (57)

Institute/Department/ Laboratory Name (10)


Country Name (14)

If No, please indicate legal name(s) of owner(s) who own 25% or more (64)

If Yes, please indicate Participant No, and character of affiliations(s) (D / I) (66)

Shared Cost TU CPF Form – Form A7.1










Authorised administrative official for the purpose of contract signature(68)Title (Dr, Prof., ...) Mr Gender (8) M/F MFunction (69) Manager DirectorFamily Name RoordaFirst Name MarcelTelephone No (15) +31-53-4824200 Fax No. (15) +31-53-4824500E-mail [email protected] Second Authorised administrative official for the purpose of second signature(70) Indicate if Both must SignTitle (Dr, Prof., ...) Gender (8) M/F Function (69)Family NameFirst NameTelephone No (15) Fax No. (15) E-mail Scientific Person in charge of the project (71)Title (Dr, Prof., ...) Mr Gender (8) M/F MFunction (69) Project LeaderFamily Name GeuverinkFirst Name HugoTelephone No (15) +31-53-4824200 Fax No. (15) +31-53-4824500E-mail [email protected] Authorised contact person (72)Title (Dr, Prof., ...) Mr Gender (8) M/F MFunction (69) Project LeaderFamily Name GeuverinkFirst Name HugoTelephone No (15) +31-53-4824200 Fax No. (15) +31-53-4824500E-mail [email protected]

Date (DD/MM/YYYY) 04/02/2002

Signature of authorised person

If the Commission Number is not availabler (43) please enter information in cells marked:Please enter information in cells marked:Automatically calculated that can be overwrittenAutomatically calculated cells are marked:

I certify that the information set out in forms A7.1 to A7.4 (Annex 2) is accurate and correct and that the estimated costs conform with the European Commission's allowable costs for accompanying measures support and our normal cost accounting principles and reflect the costs expected to be incurred in carrying out the approved Annex 1 to the contract description of work. I also confirm that our organisation is committed to participate to the above mentioned accompanying measure project.* Please attach business card if available


Project Acronym (2) #REF! Project No (3) #REF!

A7.2 Participant Profile/Information (1 form per participant) Personnel costs/overheads (42)

Participant Role (22): #REF! #REF! #REF!

Personnel costs and overheads (73)Categories of staff to work on the project (74):1: Project Manager2: Design engineer3: Development egineer4: Verification engineer

For All partners enter your budgeted annual increase in rates here

Personnel Costs (75) Year 1 Overhead Costs (76) Year 1 Personnel Costs (75) Year 4 Overhead Costs (76) Year 4Staff Cat.: Hourly Rate (EURO) Staff Cat.: Hourly Rate (EURO)

1: 1760 33.01 58,098 19.8 #REF! #REF! 1: 33.01 0 19.8 #REF!2: 220 20.12 4,426 12.07 #REF! #REF! 2: 20.12 0 12.07 #REF!3: 440 17.38 7,647 10.43 #REF! #REF! 3: 17.38 0 10.43 #REF!4: 220 19.14 4,211 11.45 #REF! #REF! 4: 19.14 0 11.45 #REF!

Total Personnel costs year 1: 74,382 Total overhead y 1: #REF! Total Personnel costs year 4: 0 Total overhead y 4: #REF!Personnel Costs Year 2 Overhead Costs Year 2 Personnel Costs Year 5 Overhead Costs Year 5Staff Cat.: Hourly Rate (EURO) Staff Cat.: Hourly Rate (EURO)


Total Personnel costs year 2: 37,191 Total overhead y 2: #REF! Total Personnel costs year 5: 0 Total overhead y 5: #REF!Personnel Costs Year 3 Overhead Costs Year 3Staff Cat.: Hourly Rate (EURO)

1: 33.01 0 19.8 #REF! #REF!2: 20.12 0 12.07 #REF! #REF!3: 17.38 0 10.43 #REF! #REF!4: 19.14 0 11.45 #REF! #REF!

Total Personnel costs year 3: 0 Total overhead y 3: #REF!Total Personnel costs: 111,573 Total Overhead #REF!

Hourly Rates are based on: Actual Salaries (AC) or Average Salaries (AV) (77): ACBase year for the rates is: (yyyy) 2001Number of productive hours per year (78) 1760 Overhead Percentage #REF!

For all Participants with Subcontractors (Person months)

Year 1 Year 2 Year 3 Year 4 Year 5 Total

0

Year 1 Year 2 Year 3 Year 4 Year 5 Total18.0 9.0 0.0 0.0 0.0 27.0

Have you used 7.2 Bis 1? Y NNB See 7.3 for entering % support of Personnel and OverheadsPlease enter information in cells marked:Automatically calculated cells are marked:Automatically calculated that can be overwritten


Assistant to Contractor No

(24):

Hours on Project

Personnel costs (EURO)

Hourly overhead rate (EURO)

Overhead costs (EURO)

Hours on Project




Hours on Project




Hours on Project




Hours on Project




Total number of person months worked on the project by all subcontractors for this participant.

Number of person months







A7.3 Participant Profile/Information (1 form per participant) Other costs (42)

#REF! #REF! #REF!

Durable Equipment costs (Euro) (79) % EC ContributionDescription (80)

00000

Carry Forward from expansionsheet? Y/N N Total 0

Consumable costs (Euro) (87) % EC Contribution 50Description: Year 1 Year 2 Year 3 Year 4 Year 5 TotalInitial Connectivity 10,000 10,000Recurring connectivity costs 24,000 12,000 36,000

0Carry Forward from expansionsheet? Y/N N Total 34,000 12,000 0 0 0 46,000

50 50 50 50 50Travel/Subsistance costs (Euro) (88) % EC Contribution 50

Description: Year 1 Year 2 Year 3 Year 4 Year 5 TotalTravel costs 12,169 6,085 18,254


50 50 50 50 50Computing costs (Euro) (89) % EC Contribution 50

Description: Year 1 Year 2 Year 3 Year 4 Year 5 TotalHosting/Computing Costs for Wireless Service Broker 60,000 30,000 90,000

00

Carry Forward from expansionsheet? Y/N N Total 60,000 30,000 0 0 0 90,000

50 50 50 50 50Subcontracting/External Services costs (Euro) (90) % EC ContributionWork Service Cost Year 1 Cost Year 2 Cost Year 3 Cost Year 4 Cost Year 5 Total

000

Carry Forward from expansionsheet? Y/N N Total 0 0 0 0 0 0

0 0 0 0 0Other significant project costs (Euro) (91) % EC Contribution

Description: Year 1 Year 2 Year 3 Year 4 Year 5 Total000


0 0 0 0 0Protection of knowledge (Euro) (92) % EC Contribution



0 0 0 0 0Year 1 Year 2 Year 3 Year 4 Year 5 Total

Total Allowable Costs (93) #REF! #REF! #REF! #REF! #REF! #REF!%EU Contribution Annual %age 0 0 0 0 0 #REF!Total EC Contribution (94) #REF! #REF! #REF! #REF! #REF! #REF!

#REF! Conversion rate used

Currency (95): Conversion Rate to EURO (96):% EC Contribution to personnel 100 % EC Contribution to Overheads 0

Please enter information in cells marked:Automatically calculated cells are marked:Automatically calculated that can be overwritten

Participant Role (22):



(24):

Month of purchase (project

Month No (81)

Cost of purchase (Euro)

(82)

Period of use (months) (83)

Depreciation period

(months) (84)

% usage on the project (85)

Amount charged to

project (Euro) (86)

Subcontractors' names:

Country Code

Shared Cost TU CPF Form – Form A7.3 1/2







#REF! #REF! #REF!

Human resources information (97)Total person hours agreed for the proposed participation to the contract: #REF!Of which researchers and engineers (RSE) person hours (total number of RSE hours on contract): 1,320Of which number of female hours (total number of female hours on the contract): 660

Link of subcontractor(s) (63,65)Are any of the subcontractors linked to a contractor or associated contractor? (Y/N):Nature of link:

Financial and accounting rules used by the Participant (98)Yes/No: NIf YES, Specify the most recent Commission Contract No.

If NoAnnex on Financial and Accounting Rules attached: (Y/N) NAnnex on Overhead calculation attached: (Y/N) N

Documents attached? Y/Nê

Y Legal documents establishing organisation (99) Annex attachedY Annual reports and balance sheets (100) Annex attached

Organisation structure (101) No annex attachedIf applicable and not attached, please specify most recent Research Programme contract number where supplied

Please enter information in cells marked:Automatically calculated cells are marked:Automatically calculated that can be overwritten see




Has information on your organisation's cost accounting principles and systems (in particular for calculating the personnel costs and allocating overheads) already been supplied to the Research Programmes of the Commission?










Registration No with the European's Research Programmes (43) 100080195 Reg. No. OK

Philips Electronics UK Limited

Short Name (45) PRLLegal Regist'tion No.(46) 446897 VAT No. (47) GB 407850060

Activity Type (48) IND Legal Status (49) PRC If PRC Specify (50) Ltd


Legal Address of the organisation (53)PO Box (11)

420-430 London Road

Post Code (12) CR9 3QR Cedex (13)Town/City Croydon

Country Code (14) UK United Kingdom



Number of employees (59) S7 Number of R&D personnel (60) D6Number of researchers and engineers (61) E6 Number of female R&D personnel (62) F3Is your Organisation Independent (63) Y/N N

Koninklijke Philips Electronics N.V.




Philips Research Laboratories

PO Box (11)

Cross Oak Lane

Post Code (12) RH1 5HA Cedex (13)Town/City Redhill

Country Code (14) UK United Kingdom







Country Name (14)




Country Name (14)













Authorised administrative official for the purpose of contract signature(68)Title (Dr, Prof., ...) Mr Gender (8) M/F MFunction (69) Managing DirectorFamily Name SaragaFirst Name PeterTelephone No (15) (44-1293) 815617 Fax No. (15) (44-1293) 815700E-mail [email protected] Second Authorised administrative official for the purpose of second signature(70) Indicate if Both must SignTitle (Dr, Prof., ...) Mr Gender (8) M/F MFunction (69) Financial ControllerFamily Name LuggFirst Name BrianTelephone No (15) (44-1293) 815232 Fax No. (15) (44-1293) 815700E-mail [email protected] Person in charge of the project (71)Title (Dr, Prof., ...) Mr Gender (8) M/F MFunction (69) Project LeaderFamily Name GuthrieFirst Name BrianTelephone No (15) (44-1293) 815943 Fax No. (15) (44-1293) 815500E-mail [email protected] Authorised contact person (72)Title (Dr, Prof., ...) Dr Gender (8) M/F MFunction (69) Group LeaderFamily Name BirdFirst Name NeilTelephone No (15) (44-1293) 815270 Fax No. (15) (44-1293) 815493E-mail [email protected]









Personnel costs and overheads (73)Categories of staff to work on the project (74):1: Research Scientist2: Technician3:4:

For All partners enter your budgeted annual increase in rates here 4


1: 1604 42.62 68,362 53.03 #REF! #REF! 1: 47.94170368 0 59.65153792 #REF!2: 237 38.55 9,136 58.34 #REF! #REF! 2: 43.3635072 0 65.62456576 #REF!3: 0 #REF! #REF! 3: 0 0 #REF!4: 0 #REF! #REF! 4: 0 0 #REF!


1: 322 44.3248 14,273 55.1512 #REF! #REF! 1: 49.8593718272 0 62.0375994368 #REF!2: 40.092 0 60.6736 #REF! #REF! 2: 45.098047488 0 68.2495483904 #REF!3: 0 0 #REF! #REF! 3: 0 0 #REF!4: 0 0 #REF! #REF! 4: 0 0 #REF!


1: 46.097792 0 57.357248 #REF! #REF!2: 41.69568 0 63.100544 #REF! #REF!3: 0 0 #REF! #REF!4: 0 0 #REF! #REF!


Hourly Rates are based on: Actual Salaries (AC) or Average Salaries (AV) (77): AVBase year for the rates is: (yyyy) 2002Number of productive hours per year (78) 1622 Overhead Percentage #REF!



0





(24):

Hours on Project




Hours on Project




Hours on Project




Hours on Project




Hours on Project













#REF! #REF! #REF!


00000


Consumable costs (Euro) (87) % EC Contribution 50Description: Year 1 Year 2 Year 3 Year 4 Year 5 TotalBill of materials for transceiver prototyping 7,700 1,300 9,000

00



Description: Year 1 Year 2 Year 3 Year 4 Year 5 TotalWorkshops, progress meetings, etc. 9,000 4,000 13,000


50 50 50 50 50Computing costs (Euro) (89) % EC Contribution




000


0 0 0 0 0Other significant project costs (Euro) (91) % EC Contribution 100









Currency (95): GBP Conversion Rate to EURO (96): 0.62% EC Contribution to personnel 100 % EC Contribution to Overheads 0





(24):


Month No (81)


(82)


Depreciation period

(months) (84)


Amount charged to

project (Euro) (86)


Country Code








#REF! #REF! #REF!



Financial and accounting rules used by the Participant (98)Yes/No: YIf YES, Specify the most recent Commission Contract No.IST-2001-32125 (FLOWS)If NoAnnex on Financial and Accounting Rules attached: (Y/N)Annex on Overhead calculation attached: (Y/N)


N Legal documents establishing organisation (99) No annex attachedN Annual reports and balance sheets (100) No annex attachedN Organisation structure (101) No annex attachedIf applicable and not attached, please specify most recent Research Programme contract number where supplied














Participant Role (22): MB 12 10


Universitat Pompeu Fabra

Short Name (45) UPFLegal Regist'tion No.(46) Q5850017-D VAT No. (47) Q5850017-D

Activity Type (48) HES Legal Status (49) GOV If PRC Specify (50)



Pl. Mercè, 10-12

Post Code (12) 08002 Cedex (13)Town/City Barcelona

Country Code (14) E Spain


Annual turnover (56) N/A N/A Total R&D Expenditure (58)





Departament de Tecnologia

PO Box (11)

Pg. Circumval.lació, 8









Country Name (14)




Country Name (14)













Authorised administrative official for the purpose of contract signature(68)Title (Dr, Prof., ...) Dr. Gender (8) M/F MFunction (69) Vice-Rector for ResearchFamily Name AntóFirst Name Josep M.Telephone No (15) 34 93 542 20 23 Fax No. (15) 34 93 542 22 02E-mail [email protected] Second Authorised administrative official for the purpose of second signature(70) Indicate if Both must SignTitle (Dr, Prof., ...) Gender (8) M/F Function (69)Family NameFirst NameTelephone No (15) Fax No. (15) E-mail Scientific Person in charge of the project (71)Title (Dr, Prof., ...) Dr. Gender (8) M/F MFunction (69) ProfessorFamily Name DelgadoFirst Name JaimeTelephone No (15) 34 93 542 22 55 Fax No. (15) 34 93 542 25 17E-mail [email protected] Authorised contact person (72)Title (Dr, Prof., ...) Mrs. Gender (8) M/F FFunction (69) Administrative project managerFamily Name MartinFirst Name EvaTelephone No (15) 34 93 542 20 78 Fax No. (15) 34 93 542 21 31E-mail [email protected]









Personnel costs and overheads (73)Categories of staff to work on the project (74):1: Researcher2:3:4:



1: 5250 33.52 175,980 26.82 #REF! #REF! 1: 35.57169216 0 28.46159856 #REF!2: 0 #REF! #REF! 2: 0 0 #REF!3: 0 #REF! #REF! 3: 0 0 #REF!4: 0 #REF! #REF! 4: 0 0 #REF!


1: 2625 34.1904 89,750 27.3564 #REF! #REF! 1: 36.2831260032 0 29.0308305312 #REF!2: 0 0 #REF! #REF! 2: 0 0 #REF!3: 0 0 #REF! #REF! 3: 0 0 #REF!4: 0 0 #REF! #REF! 4: 0 0 #REF!


1: 34.874208 0 27.903528 #REF! #REF!2: 0 0 #REF! #REF!3: 0 0 #REF! #REF!4: 0 0 #REF! #REF!





0





(24):

Hours on Project




Hours on Project




Hours on Project




Hours on Project




Hours on Project













#REF! #REF! #REF!


00000


Consumable costs (Euro) (87) % EC ContributionDescription: Year 1 Year 2 Year 3 Year 4 Year 5 Total

000



Description: Year 1 Year 2 Year 3 Year 4 Year 5 TotalProject meetings 10,000 5,000 15,000






000











Currency (95): EUR Conversion Rate to EURO (96): 1% EC Contribution to personnel 100 % EC Contribution to Overheads 0





(24):


Month No (81)


(82)


Depreciation period

(months) (84)


Amount charged to

project (Euro) (86)


Country Code








#REF! #REF! #REF!

Human resources information (97)Total person hours agreed for the proposed participation to the contract: #REF!Of which researchers and engineers (RSE) person hours (total number of RSE hours on contract): 7,875Of which number of female hours (total number of female hours on the contract): 2,400


Financial and accounting rules used by the Participant (98)Yes/No:If YES, Specify the most recent Commission Contract No.

If NoAnnex on Financial and Accounting Rules attached: (Y/N)Annex on Overhead calculation attached: (Y/N)


Legal documents establishing organisation (99) No annex attachedAnnual reports and balance sheets (100) No annex attachedOrganisation structure (101) No annex attached

If applicable and not attached, please specify most recent Research Programme contract number where supplied
















Corporació Sanitària Clínic

Short Name (45) CSCLegal Regist'tion No.(46) VAT No. (47) ES A78632965

Activity Type (48) OTH Legal Status (49) PUC If PRC Specify (50)

85 U Cost Basis (61) - (FC/FF/AC) FC


Villarroel, 170





Number of employees (59) S7 Number of R&D personnel (60) D4Number of researchers and engineers (61) E5 Number of female R&D personnel (62)Is your Organisation Independent (63) Y/N Y

Is Your Organisation affiliated to any other participant(s) in the project (65)? Y/NParticipant No Short Name Character of affiliation


Pneumology Department

PO Box (11)

Villarroel 170









Country Name (14)




Country Name (14)













Authorised administrative official for the purpose of contract signature(68)Title (Dr, Prof., ...) Dr. Gender (8) M/F MFunction (69) General ManagerFamily Name GrauFirst Name JoanTelephone No (15) 34 93 227 55 40 Fax No. (15) 34 93 227 54 55E-mail Second Authorised administrative official for the purpose of second signature(70) Indicate if Both must SignTitle (Dr, Prof., ...) Gender (8) M/F Function (69)Family NameFirst NameTelephone No (15) Fax No. (15) E-mail Scientific Person in charge of the project (71)Title (Dr, Prof., ...) Dr, Gender (8) M/F MFunction (69) Head of lung function unitFamily Name RocaFirst Name JosepTelephone No (15) 34 93 227 55 40 Fax No. (15) 34 93 227 54 55E-mail [email protected] Authorised contact person (72)Title (Dr, Prof., ...) Dr, Gender (8) M/F MFunction (69) Head of lung function unitFamily Name RocaFirst Name JosepTelephone No (15) 34 93 227 55 40 Fax No. (15) 34 93 227 54 55E-mail [email protected]









Personnel costs and overheads (73)Categories of staff to work on the project (74):1: Scientists2: Doctors/Engineers3:4:



1: 1434 47.66 68,344 38.128 #REF! #REF! 1: 50.57717328 0 40.461738624 #REF!2: 1401 30.02 42,058 24.016 #REF! #REF! 2: 31.85746416 0 25.485971328 #REF!3: 0 #REF! #REF! 3: 0 0 #REF!4: 0 #REF! #REF! 4: 0 0 #REF!


1: 1130 48.6132 54,933 38.89056 #REF! #REF! 1: 51.5887167456 0 41.27097339648 #REF!2: 1075 30.6204 32,917 24.49632 #REF! #REF! 2: 32.4946134432 0 25.99569075456 #REF!3: 0 0 #REF! #REF! 3: 0 0 #REF!4: 0 0 #REF! #REF! 4: 0 0 #REF!


1: 49.585464 0 39.6683712 #REF! #REF!2: 31.232808 0 24.9862464 #REF! #REF!3: 0 0 #REF! #REF!4: 0 0 #REF! #REF!





2.6 1.4 4





(24):

Hours on Project




Hours on Project




Hours on Project




Hours on Project




Hours on Project













#REF! #REF! #REF!

Durable Equipment costs (Euro) (79) % EC Contribution 50Description (80)

00000


Consumable costs (Euro) (87) % EC Contribution 50Description: Year 1 Year 2 Year 3 Year 4 Year 5 Total

000



Description: Year 1 Year 2 Year 3 Year 4 Year 5 TotalCoordination, technical and dissemination meetings 6,000 3,000 9,000





50 50 50 50 50Subcontracting/External Services costs (Euro) (90) % EC Contribution 50Work Service Cost Year 1 Cost Year 2 Cost Year 3 Cost Year 4 Cost Year 5 Total

Ecomit E Awareness and 26,664 13,332 39,996dissemination 0
















(24):


Month No (81)


(82)


Depreciation period

(months) (84)


Amount charged to

project (Euro) (86)


Country Code








#REF! #REF! #REF!



Financial and accounting rules used by the Participant (98)Yes/No: YIf YES, Specify the most recent Commission Contract No.IST-2001-33352If NoAnnex on Financial and Accounting Rules attached: (Y/N)Annex on Overhead calculation attached: (Y/N)



















TELEFÓNICA MÓVILES ESPAÑA S.A.

Short Name (45) TMELegal Regist'tion No.(46) A-78923125 VAT No. (47)

Activity Type (48) IND Legal Status (49) PRC If PRC Specify (50) SA



Plaza de la Independencia 6

Post Code (12) 28001 Cedex (13)Town/City Madrid



Annual turnover (56) T3 B3 Total R&D Expenditure (58)

Number of employees (59) S7 Number of R&D personnel (60)Number of researchers and engineers (61) Number of female R&D personnel (62)Is your Organisation Independent (63) Y/N Y



ALIANZAS TECNOLÓGICAS

PO Box (11)

Serrano Galvache 56

Post Code (12) 28033 Cedex (13)Town/City Madrid








Country Name (14)




Country Name (14)













Authorised administrative official for the purpose of contract signature(68)Title (Dr, Prof., ...) MR Gender (8) M/F MFunction (69) General DirectorFamily Name Ezcurra de AlburquerqueFirst Name LuisTelephone No (15) +34680011440 Fax No. (15) +34680017416E-mail [email protected] Second Authorised administrative official for the purpose of second signature(70) Indicate if Both must SignTitle (Dr, Prof., ...) MR Gender (8) M/F MFunction (69) DirectorFamily Name Soler Pérez-MolinerFirst Name Jose MariaTelephone No (15) +34680014997 Fax No. (15) +34680017374E-mail [email protected] Person in charge of the project (71)Title (Dr, Prof., ...) MS Gender (8) M/F FFunction (69) ManagerFamily Name de Urquía MartiFirst Name Maria LuisaTelephone No (15) +34680013848 Fax No. (15) +34680017374E-mail [email protected] Authorised contact person (72)Title (Dr, Prof., ...) MS Gender (8) M/F FFunction (69) EngineerFamily Name Olivar DimasFirst Name MartaTelephone No (15) +34680013194 Fax No. (15) +34680017374E-mail [email protected]









Personnel costs and overheads (73)Categories of staff to work on the project (74):1: Engineer or technical operator2:3:4:



1: 5507 34.00 187,238 27.2 #REF! #REF! 1: 34 0 27.2 #REF!2: 0 #REF! #REF! 2: 0 0 #REF!3: 0 #REF! #REF! 3: 0 0 #REF!4: 0 #REF! #REF! 4: 0 0 #REF!


1: 2612 34 88,808 27.2 #REF! #REF! 1: 34 0 27.2 #REF!2: 0 0 #REF! #REF! 2: 0 0 #REF!3: 0 0 #REF! #REF! 3: 0 0 #REF!4: 0 0 #REF! #REF! 4: 0 0 #REF!


1: 34 0 27.2 #REF! #REF!2: 0 0 #REF! #REF!3: 0 0 #REF! #REF!4: 0 0 #REF! #REF!





0





(24):

Hours on Project




Hours on Project




Hours on Project




Hours on Project




Hours on Project













#REF! #REF! #REF!


Computers 0 177,000 18 36 80 70,800 OKPDAs+UMTS/GPRS Terminals 0 177,000 18 60 100 53,100 OK

000

Carry Forward from expansionsheet? Y/N N Total 123,900

Consumable costs (Euro) (87) % EC Contribution 50Description: Year 1 Year 2 Year 3 Year 4 Year 5 TotalGPRS and voice traffic 69,250 69,250 138,500Software license 5,000 10,000 15,000



Description: Year 1 Year 2 Year 3 Year 4 Year 5 Totalproject meetings and dissemination visits 23,600 11,800 35,400






000



Description: Year 1 Year 2 Year 3 Year 4 Year 5 TotalUMTS experimental Traffic 11,400 11,400 22,800

00













(24):


Month No (81)


(82)


Depreciation period

(months) (84)


Amount charged to

project (Euro) (86)


Country Code








#REF! #REF! #REF!

Human resources information (97)Total person hours agreed for the proposed participation to the contract: #REF!Of which researchers and engineers (RSE) person hours (total number of RSE hours on contract): 8,119Of which number of female hours (total number of female hours on the contract):






















Stichting Medisch Spectrum Twente

Short Name (45) MSTLegal Regist'tion No.(46) 41029722 VAT No. (47) 002928802 B 01

Activity Type (48) OTH Legal Status (49) PUC If PRC Specify (50)



Haaksbergerstraat 55

Post Code (12) 7513 ER Cedex (13)Town/City ENSCHEDE







MST - Concernstaf / Dpt R. and D.

PO Box (11) 5000

Haaksbergerstraat 55

Post Code (12) 7513 ER Cedex (13)Town/City ENSCHEDE








Country Name (14)




Country Name (14)













Authorised administrative official for the purpose of contract signature(68)Title (Dr, Prof., ...) Prof, Dr. Gender (8) M/F MFunction (69) chiarman boardFamily Name BijkerFirst Name HendrikTelephone No (15) (31-53) 4872017 Fax No. (15) (31-53) 4300310E-mail [email protected] Second Authorised administrative official for the purpose of second signature(70) Indicate if Both must SignTitle (Dr, Prof., ...) Gender (8) M/F Function (69)Family NameFirst NameTelephone No (15) Fax No. (15) E-mail Scientific Person in charge of the project (71)Title (Dr, Prof., ...) Dr. Gender (8) M/F MFunction (69) Co-Ordinator R and D. DptFamily Name van der PalenFirst Name JacobusTelephone No (15) (31-53) 4872023 Fax No. (15) (31-53) 34300310E-mail [email protected] Authorised contact person (72)Title (Dr, Prof., ...) Dr. Gender (8) M/F MFunction (69) Manager ConcernstafFamily Name ChristopoulosFirst Name MiltiadisTelephone No (15) (31-53) 4872091 Fax No. (15) (31-53) 4873847E-mail [email protected]









Personnel costs and overheads (73)Categories of staff to work on the project (74):1: research staff2:3:4:









Hourly Rates are based on: Actual Salaries (AC) or Average Salaries (AV) (77):Base year for the rates is: (yyyy) 2001Number of productive hours per year (78) 1680 Overhead Percentage #REF!



0





(24):

Hours on Project




Hours on Project




Hours on Project




Hours on Project




Hours on Project













#REF! #REF! #REF!


00000



000



Description: Year 1 Year 2 Year 3 Year 4 Year 5 Totalproject meetings 17,000 8,000 25,000






000



Description: Year 1 Year 2 Year 3 Year 4 Year 5 Totalpatient realted costs for the trials 60,000 60,000 120,000

00













(24):


Month No (81)


(82)


Depreciation period

(months) (84)


Amount charged to

project (Euro) (86)


Country Code








#REF! #REF! #REF!


Link of subcontractor(s) (63,65)Are any of the subcontractors linked to a contractor or associated contractor? (Y/N): NNature of link:


If No êAnnex on Financial and Accounting Rules attached: (Y/N)Annex on Overhead calculation attached: (Y/N)



















Compaq Computer B.V.

Short Name (45) CompaqLegal Regist'tion No.(46) 29031213 VAT No. (47) NL802225767B01

Activity Type (48) IND Legal Status (49) PRC If PRC Specify (50) Dutch 'B.V.'



Europalaan 44

Post Code (12) 3526 KS Cedex (13)Town/City Utrecht



Annual turnover (56) T3 B3 Total R&D Expenditure (58) N/A


Compaq Computer Group B.V.




PO Box (11)

Europalaan 44

Post Code (12) 3526 KS Cedex (13)Town/City Utrecht








Country Name (14)




Country Name (14)













Authorised administrative official for the purpose of contract signature(68)Title (Dr, Prof., ...) Mr Gender (8) M/F MFunction (69) Director Global ServicesFamily Name DanielsFirst Name HansTelephone No (15) (31 30) 2833335 Fax No. (15) (31 30) 2832244E-mail [email protected] Second Authorised administrative official for the purpose of second signature(70) Indicate if Both must SignTitle (Dr, Prof., ...) Gender (8) M/F Function (69)Family NameFirst NameTelephone No (15) Fax No. (15) E-mail Scientific Person in charge of the project (71)Title (Dr, Prof., ...) Mr Gender (8) M/F MFunction (69) Program ManagerFamily Name SteendamFirst Name SikkoTelephone No (15) (31 30) 2832297 Fax No. (15) (31 30) 2832584E-mail [email protected] Authorised contact person (72)Title (Dr, Prof., ...) Mr Gender (8) M/F MFunction (69) Program ManagerFamily Name SteendamFirst Name SikkoTelephone No (15) (31 30) 2832297 Fax No. (15) (31 30) 2832584E-mail [email protected]









Personnel costs and overheads (73)Categories of staff to work on the project (74):1: Engineer2:3:4:



1: 1000 70.00 70,000 20 #REF! #REF! 1: 70 0 20 #REF!2: 0 #REF! #REF! 2: 0 0 #REF!3: 0 #REF! #REF! 3: 0 0 #REF!4: 0 #REF! #REF! 4: 0 0 #REF!


1: 500 70 35,000 20 #REF! #REF! 1: 70 0 20 #REF!2: 0 0 #REF! #REF! 2: 0 0 #REF!3: 0 0 #REF! #REF! 3: 0 0 #REF!4: 0 0 #REF! #REF! 4: 0 0 #REF!


1: 70 0 20 #REF! #REF!2: 0 0 #REF! #REF!3: 0 0 #REF! #REF!4: 0 0 #REF! #REF!


Hourly Rates are based on: Actual Salaries (AC) or Average Salaries (AV) (77):Base year for the rates is: (yyyy) 2001Number of productive hours per year (78) 1320 Overhead Percentage #REF!



0





(24):

Hours on Project




Hours on Project




Hours on Project




Hours on Project




Hours on Project













#REF! #REF! #REF!


00000



000









000
















(24):


Month No (81)


(82)


Depreciation period

(months) (84)


Amount charged to

project (Euro) (86)


Country Code








#REF! #REF! #REF!

Human resources information (97)Total person hours agreed for the proposed participation to the contract: #REF!Of which researchers and engineers (RSE) person hours (total number of RSE hours on contract):Of which number of female hours (total number of female hours on the contract):






















Yucat B.V.

Short Name (45) Yucat Legal Regist'tion No.(46) 30173099 VAT No. (47) NL8098.80.763.B01

Activity Type (48) IND Legal Status (49) PRC If PRC Specify (50) BV



Drienerlolaan 5

Post Code (12) 7500AK Cedex (13)Town/City Enschede







Yucat

PO Box (11) 416

Drienerlolaan 5, INF 3007

Post Code (12) 7500AK Cedex (13)Town/City Enschede








Country Name (14)




Country Name (14)













Authorised administrative official for the purpose of contract signature(68)Title (Dr, Prof., ...) Ir. Gender (8) M/F MFunction (69) DirectorFamily Name PeetFirst Name BarryTelephone No (15) +31 6 53223721 Fax No. (15) +31 53 489 4524E-mail [email protected] Second Authorised administrative official for the purpose of second signature(70) Indicate if Both must SignTitle (Dr, Prof., ...) Ir. Gender (8) M/F MFunction (69) DirectorFamily Name JanssenFirst Name SjoerdTelephone No (15) +31 6 54343619 Fax No. (15) +31 53 489 4524E-mail [email protected] Person in charge of the project (71)Title (Dr, Prof., ...) Ir. Gender (8) M/F MFunction (69) DirectorFamily Name PeetFirst Name BarryTelephone No (15) +31 6 53223721 Fax No. (15) +31 53 4894524E-mail [email protected] Authorised contact person (72)Title (Dr, Prof., ...) Ir. Gender (8) M/F MFunction (69) DirectorFamily Name JanssenFirst Name SjoerdTelephone No (15) +31 6 54343619 Fax No. (15) +31 53 489 4524E-mail [email protected]









Personnel costs and overheads (73)Categories of staff to work on the project (74):1: Engineer / researcher2:3:4:












0





(24):

Hours on Project




Hours on Project




Hours on Project




Hours on Project




Hours on Project













#REF! #REF! #REF!


PDA's + ass. 0 6,000 18 36 100 3,000 OKPC's 0 8,000 18 36 100 4,000 OKCommunication HW 0 6,000 18 36 100 3,000 OK

00


Consumable costs (Euro) (87) % EC Contribution 50Description: Year 1 Year 2 Year 3 Year 4 Year 5 TotalSmall Hardware / Storage media / Cables 4,000 4,000 8,000Electronic components 1,000 1,000 2,000Software tools and Environments 2,500 2,500 5,000Carry Forward from expansionsheet? Y/N N Total 7,500 7,500 0 0 0 15,000


Description: Year 1 Year 2 Year 3 Year 4 Year 5 TotalProject meetings 3,000 3,000 6,000Dissemination 2,000 2,000 4,000Carry Forward from expansionsheet? Y/N N Total 5,000 5,000 0 0 0 10,000





000



Description: Year 1 Year 2 Year 3 Year 4 Year 5 TotalExperimental communication traffic for trials 4,000 5,000 9,000prototype hardware development costs 2,900 2,900













(24):


Month No (81)


(82)


Depreciation period

(months) (84)


Amount charged to

project (Euro) (86)


Country Code








#REF! #REF! #REF!






y Legal documents establishing organisation (99) Annex attachedn Annual reports and balance sheets (100) No annex attachedn Organisation structure (101) No annex attachedIf applicable and not attached, please specify most recent Research Programme contract number where supplied
















Twente Medical Systems International B.V.

Short Name (45) TMSILegal Regist'tion No.(46) 20056730 VAT No. (47)

Activity Type (48) IND Legal Status (49) PRC If PRC Specify (50) BV



Hendrik ter Kuilestraat 181

Post Code (12) 7547 SK Cedex (13)Town/City Enschede







PO Box (11)

Hendrik ter Kuilestraat 181

Post Code (12) 7547 SK Cedex (13)Town/City Enschede








Country Name (14)




Country Name (14)













Authorised administrative official for the purpose of contract signature(68)Title (Dr, Prof., ...) Ing Gender (8) M/F MFunction (69) Managing DirectorFamily Name PeuscherFirst Name JanTelephone No (15) (31-53) 4339457 Fax No. (15) (31-53) 4350817E-mail [email protected] Second Authorised administrative official for the purpose of second signature(70) Indicate if Both must SignTitle (Dr, Prof., ...) Gender (8) M/F Function (69)Family NameFirst NameTelephone No (15) Fax No. (15) E-mail Scientific Person in charge of the project (71)Title (Dr, Prof., ...) Gender (8) M/F Function (69)Family NameFirst NameTelephone No (15) Fax No. (15) E-mail Authorised contact person (72)Title (Dr, Prof., ...) Ing. Gender (8) M/F MFunction (69) Managing DirectorFamily Name PeuscherFirst Name JanTelephone No (15) (31-53) 4339457 Fax No. (15) (31-53) 4350817E-mail [email protected]









Personnel costs and overheads (73)Categories of staff to work on the project (74):1: Engineer2:3:4:



1: 4000 40.00 160,000 32 #REF! #REF! 1: 43.70908 0 34.967264 #REF!2: 0 #REF! #REF! 2: 0 0 #REF!3: 0 #REF! #REF! 3: 0 0 #REF!4: 0 #REF! #REF! 4: 0 0 #REF!






Hourly Rates are based on: Actual Salaries (AC) or Average Salaries (AV) (77): AVBase year for the rates is: (yyyy)Number of productive hours per year (78) 1600 Overhead Percentage #REF!



0





(24):

Hours on Project




Hours on Project




Hours on Project




Hours on Project




Hours on Project













#REF! #REF! #REF!


00000



000









000



Description: Year 1 Year 2 Year 3 Year 4 Year 5 TotalSensor prototypes and DSP prototypes for trials 74,000 20,000 94,000

00













(24):


Month No (81)


(82)


Depreciation period

(months) (84)


Amount charged to

project (Euro) (86)


Country Code








#REF! #REF! #REF!




If No êAnnex on Financial and Accounting Rules attached: (Y/N)Annex on Overhead calculation attached: (Y/N)

Documents attached? Y/N

Y Legal documents establishing organisation (99) Annex attachedY Annual reports and balance sheets (100) Annex attachedY Organisation structure (101) Annex attachedIf applicable and not attached, please specify most recent Research Programme contract number where supplied
















UniversiteitTwente

Short Name (45) UTLegal Regist'tion No.(46) VAT No. (47)




Drienerlolaan 5

Post Code (12) 7522 NB Cedex (13)Town/City Enschede


Organisation details (54)Year (55)

Annual turnover (56) N/A N/A Total R&D Expenditure (58) N/A





CTIT / APS

PO Box (11) 217

Drienerlolaan 5

Post Code (12) 7500 AE Cedex (13)Town/City Enschede








Country Name (14)




Country Name (14)













Authorised administrative official for the purpose of contract signature(68)Title (Dr, Prof., ...) Prof. Dr. Gender (8) M/F MFunction (69) Rector MagnificusFamily Name van VughtFirst Name FransTelephone No (15) (31-53) 4892009 Fax No. (15) (31-53) 4892191E-mail [email protected] Second Authorised administrative official for the purpose of second signature(70) Indicate if Both must SignTitle (Dr, Prof., ...) Gender (8) M/F Function (69)Family NameFirst NameTelephone No (15) Fax No. (15) E-mail Scientific Person in charge of the project (71)Title (Dr, Prof., ...) Prof. Dr. Gender (8) M/F MFunction (69) APS ChairmanFamily Name KonstantasFirst Name DimitriTelephone No (15) (31-53) 4893784 Fax No. (15) (31-53) 4894524 E-mail [email protected] Authorised contact person (72)Title (Dr, Prof., ...) Prof. Dr. Gender (8) M/F MFunction (69) CTIT directorFamily Name HenkFirst Name ZijmTelephone No (15) (31-53) 4894328 Fax No. (15) (31-53) 4898031E-mail [email protected]

Date (DD/MM/YYYY) 04/02./2002








Personnel costs and overheads (73)Categories of staff to work on the project (74):1: Professor2: Associate Professor3: Assistant Professor4: Engineer



1: 300 65.00 19,500 60 #REF! #REF! 1: 71.027255 0 65.56362 #REF!2: 1200 51.00 61,200 60 #REF! #REF! 2: 55.729077 0 65.56362 #REF!3: 2028 44.00 89,232 60 #REF! #REF! 3: 48.079988 0 65.56362 #REF!4: 1512 40.00 60,480 60 #REF! #REF! 4: 43.70908 0 65.56362 #REF!




1: 68.9585 0 63.654 #REF! #REF!2: 54.1059 0 63.654 #REF! #REF!3: 46.6796 0 63.654 #REF! #REF!4: 42.436 0 63.654 #REF! #REF!





0


Have you used 7.2 Bis 1? Y YNB See 7.3 for entering % support of Personnel and OverheadsPlease enter information in cells marked:Automatically calculated cells are marked:Automatically calculated that can be overwritten



(24):

Hours on Project




Hours on Project




Hours on Project




Hours on Project




Hours on Project













#REF! #REF! #REF!


00000


Consumable costs (Euro) (87) % EC Contribution 50Description: Year 1 Year 2 Year 3 Year 4 Year 5 TotalMaterial for trial set up (disposable sensors, cables etc) 5,000 5,000 10,000Small hardware supplies 5,000 5,000 10,000



Description: Year 1 Year 2 Year 3 Year 4 Year 5 TotalProject meetings 15,000 8,000 23,000Dissemination meetings 10,000 5,000 15,000Carry Forward from expansionsheet? Y/N N Total 25,000 13,000 0 0 0 38,000





000



Description: Year 1 Year 2 Year 3 Year 4 Year 5 TotalUMTS test site usage fees 350,000 350,000Prototype BAN development and integration costs 125,000 125,000Workshop organization 3,000 3,000 6,000Carry Forward from expansionsheet? Y/N N Total 478,000 3,000 0 0 0 481,000












(24):


Month No (81)


(82)


Depreciation period

(months) (84)


Amount charged to

project (Euro) (86)


Country Code








#REF! #REF! #REF!



Financial and accounting rules used by the Participant (98)Yes/No: YIf YES, Specify the most recent Commission Contract No.IST-2000-31050If NoAnnex on Financial and Accounting Rules attached: (Y/N)Annex on Overhead calculation attached: (Y/N)



If applicable and not attached, please specify most recent Research Programme contract number where suppliedIST-2000-31050
















Luleaa Tekniska Universitet

Short Name (45) LTULegal Regist'tion No.(46) SE202100-284101 VAT No. (47)




Post Code (12) S-971 87 Cedex (13)Town/City Luleaa

Country Code (14) S Sweden

Organisation details (54)Year (55) NA

Annual turnover (56) N/A N/A Total R&D Expenditure (58) N/A

Number of employees (59) S6 Number of R&D personnel (60)Number of researchers and engineers (61) Number of female R&D personnel (62)Is your Organisation Independent (63) Y/N Y



Luleaa University of Technology, att. Mr. Lars Wikman

PO Box (11)

Post Code (12) S-971 87 Cedex (13)Town/City Luleaa








Country Name (14)




Country Name (14)













Authorised administrative official for the purpose of contract signature(68)Title (Dr, Prof., ...) President Gender (8) M/F FFunction (69) President of the UniversityFamily Name PalmérFirst Name IngegerdTelephone No (15) +46 920 491000 Fax No. (15) +46 920 497 399E-mail [email protected] Second Authorised administrative official for the purpose of second signature(70) Indicate if Both must SignTitle (Dr, Prof., ...) Director Gender (8) M/F MFunction (69) Director of the UniversityFamily Name SarbaeckFirst Name StaffanTelephone No (15) +46 920 491000 Fax No. (15) +46 920 497 399E-mail [email protected] Person in charge of the project (71)Title (Dr, Prof., ...) Dean Gender (8) M/F FFunction (69) Dean at the department of health sciencesFamily Name AxelssonFirst Name KarinTelephone No (15) +46 921 758 03 Fax No. (15) +46 921 758 50E-mail [email protected] Authorised contact person (72)Title (Dr, Prof., ...) CEO Gender (8) M/F MFunction (69) CEO at the Centre for Distance-spanning HealthcareFamily Name WikmanFirst Name LarsTelephone No (15) +46 920 49 23 52 Fax No. (15) +46 920 49 28 01E-mail [email protected]









Personnel costs and overheads (73)Categories of staff to work on the project (74):1: Health care staff, incl. medical enginners2: Reserachers and engineers3: LTU Senior Engineer4:



1: 1200 28.00 33,600 17 #REF! #REF! 1: 30.596356 0 18.576359 #REF!2: 2600 30.00 78,000 18 #REF! #REF! 2: 32.78181 0 19.669086 #REF!3: 700 35.00 24,500 21 #REF! #REF! 3: 38.245445 0 22.947267 #REF!4: 0 #REF! #REF! 4: 0 0 #REF!


1: 4080 28.84 117,667 17.51 #REF! #REF! 1: 31.51424668 0 19.13364977 #REF!2: 7000 30.9 216,300 18.54 #REF! #REF! 2: 33.7652643 0 20.25915858 #REF!3: 1220 36.05 43,981 21.63 #REF! #REF! 3: 39.39280835 0 23.63568501 #REF!4: 0 0 #REF! #REF! 4: 0 0 #REF!


1: 29.7052 0 18.0353 #REF! #REF!2: 31.827 0 19.0962 #REF! #REF!3: 37.1315 0 22.2789 #REF! #REF!4: 0 0 #REF! #REF!





0





(24):

Hours on Project




Hours on Project




Hours on Project




Hours on Project




Hours on Project













#REF! #REF! #REF!


Laptops 0 12,000 18 36 100 6,000 OKPDAs 0 6,000 18 36 100 3,000 OKMobile phones 0 3,000 18 36 100 1,500 OK

00


Consumable costs (Euro) (87) % EC Contribution 50Description: Year 1 Year 2 Year 3 Year 4 Year 5 Totalmobile Traffic costs 2,000 6,000 8,000

00



Description: Year 1 Year 2 Year 3 Year 4 Year 5 TotalWorkshops/conferences/dissemination 40,000 45,000 85,000Local workshops/meetings/trials 2,500 2,500 5,000Carry Forward from expansionsheet? Y/N N Total 42,500 47,500 0 0 0 90,000





000



Description: Year 1 Year 2 Year 3 Year 4 Year 5 TotalRent of labspace / BANequipment 5,000 15,000 20,000Prototype development 10,000 40,000 50,000Organisation of workshops/meetings 2,000 6,000 8,000Carry Forward from expansionsheet? Y/N N Total 17,000 61,000 0 0 0 78,000







Currency (95): SEK Conversion Rate to EURO (96): 9.24% EC Contribution to personnel 100 % EC Contribution to Overheads 0





(24):


Month No (81)


(82)


Depreciation period

(months) (84)


Amount charged to

project (Euro) (86)


Country Code








#REF! #REF! #REF!



Financial and accounting rules used by the Participant (98)Yes/No: YIf YES, Specify the most recent Commission Contract No.G1RD-2001-00673If NoAnnex on Financial and Accounting Rules attached: (Y/N)Annex on Overhead calculation attached: (Y/N)


N Legal documents establishing organisation (99) No annex attachedY Annual reports and balance sheets (100) Annex attachedN Organisation structure (101) No annex attachedIf applicable and not attached, please specify most recent Research Programme contract number where supplied
















Telia Mobile Aktiebolag

Short Name (45) TeliaLegal Regist'tion No.(46) 556025-7932 VAT No. (47)

Activity Type (48) IND Legal Status (49) PRC If PRC Specify (50) AB



Rudsjoegatan 2

Post Code (12) 13680 Cedex (13)Town/City Nacka Strand





Telia AB (100%)12386 FarstaSweden



Telia Mobile Messaging

PO Box (11)

Kungsgatan 31

Post Code (12) 97175 Cedex (13)Town/City Luleå








Country Name (14)




Country Name (14)













Authorised administrative official for the purpose of contract signature(68)Title (Dr, Prof., ...) Mr Gender (8) M/F MFunction (69) Chef Telia Mobile MessagingFamily Name LindkvistFirst Name AssarTelephone No (15) (46-920) 239250 Fax No. (15) (46-920) 239263E-mail [email protected] Second Authorised administrative official for the purpose of second signature(70) Indicate if Both must SignTitle (Dr, Prof., ...) Gender (8) M/F Function (69)Family NameFirst NameTelephone No (15) Fax No. (15) E-mail Scientific Person in charge of the project (71)Title (Dr, Prof., ...) Ing. Gender (8) M/F MFunction (69) Business DevelopmentFamily Name IsaksssonFirst Name GregerTelephone No (15) (46-70) 5135585 Fax No. (15) (46-920) 239263E-mail [email protected] Authorised contact person (72)Title (Dr, Prof., ...) Ing. Gender (8) M/F MFunction (69) Business DevelopmentFamily Name IsakssonFirst Name GregerTelephone No (15) (46-70) 5135585 Fax No. (15) (46-920) 239263E-mail [email protected]









Personnel costs and overheads (73)Categories of staff to work on the project (74):1: Proj leader/ engineer2:3:4:



1: 1640 41.00 67,240 32.8 #REF! #REF! 1: 41 0 32.8 #REF!2: 0 #REF! #REF! 2: 0 0 #REF!3: 0 #REF! #REF! 3: 0 0 #REF!4: 0 #REF! #REF! 4: 0 0 #REF!


1: 3280 41 134,480 32.8 #REF! #REF! 1: 41 0 32.8 #REF!2: 0 0 #REF! #REF! 2: 0 0 #REF!3: 0 0 #REF! #REF! 3: 0 0 #REF!4: 0 0 #REF! #REF! 4: 0 0 #REF!


1: 41 0 32.8 #REF! #REF!2: 0 0 #REF! #REF!3: 0 0 #REF! #REF!4: 0 0 #REF! #REF!





0





(24):

Hours on Project




Hours on Project




Hours on Project




Hours on Project




Hours on Project













#REF! #REF! #REF!


00000


Consumable costs (Euro) (87) % EC Contribution 50Description: Year 1 Year 2 Year 3 Year 4 Year 5 TotalSoftware and licences 5,000 10,000 15,000Subscription and Traffic Costs for 12 months 30,000 60,000 90,000Infrastructure Costs 16,000 32,000 48,000Carry Forward from expansionsheet? Y/N N Total 51,000 102,000 0 0 0 153,000


Description: Year 1 Year 2 Year 3 Year 4 Year 5 TotalTravel/ subsistance 7,500 15,500 23,000






000











Currency (95): SEK Conversion Rate to EURO (96): 9.44% EC Contribution to personnel 100 % EC Contribution to Overheads 0





(24):


Month No (81)


(82)


Depreciation period

(months) (84)


Amount charged to

project (Euro) (86)


Country Code








#REF! #REF! #REF!

Human resources information (97)Total person hours agreed for the proposed participation to the contract: #REF!Of which researchers and engineers (RSE) person hours (total number of RSE hours on contract): 6,080Of which number of female hours (total number of female hours on the contract):






















GesundheitScout24 GmbH

Short Name (45) GSCOUTLegal Regist'tion No.(46) VAT No. (47)

Activity Type (48) OTH Legal Status (49) PRC If PRC Specify (50) GmbH



Zeppelinstr. 1

Post Code (12) 50667 Cedex (13)Town/City Köln

Country Code (14) D Germany



Number of employees (59) S4 Number of R&D personnel (60) D2Number of researchers and engineers (61) E2 Number of female R&D personnel (62) F2Is your Organisation Independent (63) Y/N

Scout Holding AG



GesundheitScout24 Medical Service Center GmbH

PO Box (11)

Philosophenweg 51

Post Code (12) 47051 Cedex (13)Town/City Duisburg








Country Name (14)




Country Name (14)













Authorised administrative official for the purpose of contract signature(68)Title (Dr, Prof., ...) Dr. Gender (8) M/F MFunction (69) Board Member, Director of SalesFamily Name KleinFirst Name MichaelTelephone No (15) 0221-2706-114 Fax No. (15) 0221-2706-599E-mail [email protected] Second Authorised administrative official for the purpose of second signature(70) Indicate if Both must SignTitle (Dr, Prof., ...) Mr. Gender (8) M/F MFunction (69) Board Member, General ManagerFamily Name ZochollFirst Name DieterTelephone No (15) 0221-2706-400 Fax No. (15) 0221-2706-599E-mail [email protected] Person in charge of the project (71)Title (Dr, Prof., ...) Gender (8) M/F Function (69)Family NameFirst NameTelephone No (15) Fax No. (15) E-mail Authorised contact person (72)Title (Dr, Prof., ...) Dr. Gender (8) M/F MFunction (69) Board Member, Director of SalesFamily Name KleinFirst Name MichaelTelephone No (15) 0221-2706-114 Fax No. (15) 0221-2706-599E-mail [email protected]









Personnel costs and overheads (73)Categories of staff to work on the project (74):1: Technicians2: Research3:4:



1: 1680 45.00 75,600 20.25 #REF! #REF! 1: 45 0 20.25 #REF!2: 840 45.00 37,800 20.25 #REF! #REF! 2: 45 0 20.25 #REF!3: 0 #REF! #REF! 3: 0 0 #REF!4: 0 #REF! #REF! 4: 0 0 #REF!


1: 1680 45 75,600 20.25 #REF! #REF! 1: 45 0 20.25 #REF!2: 840 45 37,800 20.25 #REF! #REF! 2: 45 0 20.25 #REF!3: 0 0 #REF! #REF! 3: 0 0 #REF!4: 0 0 #REF! #REF! 4: 0 0 #REF!


1: 45 0 20.25 #REF! #REF!2: 45 0 20.25 #REF! #REF!3: 0 0 #REF! #REF!4: 0 0 #REF! #REF!





0





(24):

Hours on Project




Hours on Project




Hours on Project




Hours on Project




Hours on Project













#REF! #REF! #REF!


00000


Consumable costs (Euro) (87) % EC Contribution 50Description: Year 1 Year 2 Year 3 Year 4 Year 5 TotalHosting of the MobiHealth Application 50,000 50,000 100,000Serviceline (Communication Costs) 75,000 75,000 150,000



Description: Year 1 Year 2 Year 3 Year 4 Year 5 TotalTravels inside the EU 15,000 7,600 22,600






000
















(24):


Month No (81)


(82)


Depreciation period

(months) (84)


Amount charged to

project (Euro) (86)


Country Code








#REF! #REF! #REF!
















document.xls Coord form 1-set(1) 90 / 111 05/06/2023 10:50:35


A6.1 Co-ordinator's direct co-ordination costs Personnel costs/overheads (part 1/2) (40)

Co-ordinator's Personnel co-ordination costs (41)Categories of staff to work on the co-ordination:1: Secretarial/Assistant Staff2: Financial Coordinator3:4:Personnel co-ordination Costs Year 1 Overhead Costs Year 1 Personnel co-ordination Costs Year 4 Overhead Costs Year 4Staff Cat.: Hourly Rate (EURO) Staff Cat.: Hourly Rate (EURO)

1: 326 31 10,106 17.05 #REF! #REF! 1: #REF! #REF! #REF! #REF!2: 326 47 15,322 25.9 #REF! #REF! 2: #REF! #REF! #REF! #REF!3: 0 #REF! #REF! 3: #REF! #REF! #REF!4: 0 #REF! #REF! 4: #REF! #REF! #REF!

Total co-ordination Personnel costs year 1: 25,428 Total overhead y 1: #REF! Total co-ordination Personnel costs year 4: #REF! Total overhead y 4: #REF!Personnel co-ordination Costs Year 2 Overhead Costs Year 2 Personnel co-ordination Costs Year 5 Overhead Costs Year 5Staff Cat.: Hourly Rate (EURO) Staff Cat.: Hourly Rate (EURO)

1: 163 #REF! #REF! #REF! #REF! #REF! 1: #REF! #REF! #REF! #REF!2: 163 0 #REF! #REF! #REF! 2: #REF! #REF! #REF! #REF!3: #REF! #REF! #REF! #REF! 3: #REF! #REF! #REF!4: #REF! #REF! #REF! #REF! 4: #REF! #REF! #REF!

Total co-ordination Personnel costs year 2: #REF! Total overhead y 2: #REF! Total co-ordination Personnel costs year 5: #REF! Total overhead y 5: #REF!Personnel co-ordination Costs Year 3 Overhead Costs Year 3Staff Cat.: Hourly Rate (EURO)

1: #REF! #REF! #REF! #REF! #REF!2: #REF! #REF! #REF! #REF! #REF!3: #REF! #REF! #REF! #REF!4: #REF! #REF! #REF! #REF!

Total co-ordination Personnel costs year 3: #REF! Total overhead y 3: #REF!Total Co-ordination Personnel costs: #REF! Total Overhead #REF!

Hourly Rates are based on: Actual Salaries (AC) or Average Salaries (AV) (77): AVCalculated overhead % #REF! Average increases per year in percent: #REF!

Number of productive hours per year: #REF! #REF!



Hours on Project




Hours on Project Personnel costs (EURO)



Hours on Project







Hours on Project




For Partners with Fixed Overheads (FF) or Additional Costs (AC) enter your % Overhead here


Shared Cost TU CPF Form – Form A6 1/2

EN I 1 FP5TUFOR COMMISSION USE ONLY


document.xls Coord form 2-set(1) 91 / 111 05/06/2023 10:50:36

Coord form 2-set(1)


A6.2 Co-ordinator's direct co-ordination costs Other costs/overheads (part 2/2) (40)


00000



000



Description: Year 1 Year 2 Year 3 Year 4 Year 5 TotalTravel 7,500 2,500 10,000












Total Allowable direct co-ordination costs (93) #REF! #REF! #REF! #REF! #REF! #REF!%EU Contribution (Annual %age 0 0 0 0 0 #REF!Total EC Contribution (94) #REF! #REF! #REF! #REF! #REF! #REF!

#REF!% EC Contribution to personnel 100 % EC Contribution to Overheads 0


Project Acronym (2)


Month No (81)


(82)


Depreciation period

(months) (84)


Amount charged to

project (Euro) (86)


EN J 1 FP5TUFOR COMMISSION USE ONLY







Participant Role (22): CO 1


Ericsson Consulting GmbH

Short Name (45) ECDLegal Regist'tion No.(46) HRB 37424 VAT No. (47) DE 201467284

Activity Type (48) IND Legal Status (49) PRC If PRC Specify (50) GmbH

K74 S Cost Basis (61) - (FC/FF/AC) FC


Fritz-Vomfelde-Str.26

Post Code (12) D-40547 Cedex (13)Town/City Duesseldorf




Number of employees (59) S4 Number of R&D personnel (60)Number of researchers and engineers (61) E3 Number of female R&D personnel (62) F2Is your Organisation Independent (63) Y/N N

Ericsson GmbH Fritz-Vomfelde-Str. 26D-40547 DuesseldorfGermany




Ericsson Consulting Germany

PO Box (11)

Maximilianstrasse 36/RG

Post Code (12) D-80539 Cedex (13)Town/City Muenchen








Country Name (14)




Country Name (14)













Authorised administrative official for the purpose of contract signature(68)Title (Dr, Prof., ...) Mr Gender (8) M/F MFunction (69) PresidentFamily Name AhrensFirst Name CarstenTelephone No (15) +492115343740 Fax No. (15) +492115343743E-mail [email protected] Second Authorised administrative official for the purpose of second signature(70) Indicate if Both must SignTitle (Dr, Prof., ...) Gender (8) M/F Function (69)Family NameFirst NameTelephone No (15) Fax No. (15) E-mail Scientific Person in charge of the project (71)Title (Dr, Prof., ...) Mr Gender (8) M/F MFunction (69) Senior Consultant HealthcareFamily Name HerzogFirst Name RainerTelephone No (15) +491785340067 Fax No. (15) +498925543712E-mail [email protected] Authorised contact person (72)Title (Dr, Prof., ...) Mr Gender (8) M/F MFunction (69) Senior Consultant HealthcareFamily Name HerzogFirst Name RainerTelephone No (15) +491785340067 Fax No. (15) +498925543712E-mail [email protected]









Personnel costs and overheads (73)Categories of staff to work on the project (74):1: Senior consultant2: Consultant3: Technical Consultant4:



1: 1632 73.00 119,136 40.15 #REF! #REF! 1: 79.769071 0 43.87298905 #REF!2: 1632 60.00 97,920 33 #REF! #REF! 2: 65.56362 0 36.059991 #REF!3: 816 73.00 59,568 40.15 #REF! #REF! 3: 79.769071 0 43.87298905 #REF!4: 0 #REF! #REF! 4: 0 0 #REF!


1: 816 75.19 61,355 41.3545 #REF! #REF! 1: 82.16214313 0 45.1891787215 #REF!2: 816 61.8 50,429 33.99 #REF! #REF! 2: 67.5305286 0 37.14179073 #REF!3: 408 75.19 30,678 41.3545 #REF! #REF! 3: 82.16214313 0 45.1891787215 #REF!4: 0 0 #REF! #REF! 4: 0 0 #REF!


1: 77.4457 0 42.595135 #REF! #REF!2: 63.654 0 35.0097 #REF! #REF!3: 77.4457 0 42.595135 #REF! #REF!4: 0 0 #REF! #REF!





0





(24):

Hours on Project




Hours on Project




Hours on Project




Hours on Project




Hours on Project













#REF! #REF! #REF!


00000



000



Description: Year 1 Year 2 Year 3 Year 4 Year 5 TotalTravel inside EU/consortium 10,000 10,000 20,000Travel related to cluster activities 10,000 5,000 15,000Carry Forward from expansionsheet? Y/N N Total 20,000 15,000 0 0 0 35,000





000



Description: Year 1 Year 2 Year 3 Year 4 Year 5 TotalDissemination/communication 30,000 40,000 70,000exhbition and international fairs' participation 0 7,000 7,000








Currency (95): EUR Conversion Rate to EURO (96):% EC Contribution to personnel 100 % EC Contribution to Overheads 0





(24):


Month No (81)


(82)


Depreciation period

(months) (84)


Amount charged to

project (Euro) (86)


Country Code








#REF! #REF! #REF!



Financial and accounting rules used by the Participant (98)Yes/No: YIf YES, Specify the most recent Commission Contract No.



Y Legal documents establishing organisation (99) Annex attachedY Annual reports and balance sheets (100) Annex attachedY Organisation structure (101) Annex attachedIf applicable and not attached, please specify most recent Research Programme contract number where supplied









document.xls Coord form 1 97 / 111 05/06/2023 10:50:36


A6.1 Co-ordinator's direct co-ordination costs Personnel costs/overheads (part 1/2) (40)

Co-ordinator's Personnel co-ordination costs (41)Categories of staff to work on the co-ordination:1:2:3:4:Personnel co-ordination Costs Year 1 Overhead Costs Year 1 Personnel co-ordination Costs Year 4 Overhead Costs Year 4Staff Cat.: Hourly Rate (EURO) Staff Cat.: Hourly Rate (EURO)

1: 0 #REF! #REF! 1: #REF! #REF! #REF!2: 0 #REF! #REF! 2: #REF! #REF! #REF!3: 0 #REF! #REF! 3: #REF! #REF! #REF!4: 0 #REF! #REF! 4: #REF! #REF! #REF!

Total co-ordination Personnel costs year 1: 0 Total overhead y 1: #REF! Total co-ordination Personnel costs year 4: #REF! Total overhead y 4: #REF!Personnel co-ordination Costs Year 2 Overhead Costs Year 2 Personnel co-ordination Costs Year 5 Overhead Costs Year 5Staff Cat.: Hourly Rate (EURO) Staff Cat.: Hourly Rate (EURO)

1: #REF! #REF! #REF! #REF! 1: #REF! #REF! #REF!2: #REF! #REF! #REF! #REF! 2: #REF! #REF! #REF!3: #REF! #REF! #REF! #REF! 3: #REF! #REF! #REF!4: #REF! #REF! #REF! #REF! 4: #REF! #REF! #REF!

Total co-ordination Personnel costs year 2: #REF! Total overhead y 2: #REF! Total co-ordination Personnel costs year 5: #REF! Total overhead y 5: #REF!Personnel co-ordination Costs Year 3 Overhead Costs Year 3Staff Cat.: Hourly Rate (EURO)

1: #REF! #REF! #REF! #REF!2: #REF! #REF! #REF! #REF!3: #REF! #REF! #REF! #REF!4: #REF! #REF! #REF! #REF!

Total co-ordination Personnel costs year 3: #REF! Total overhead y 3: #REF!Total Co-ordination Personnel costs: #REF! Total Overhead #REF!

Hourly Rates are based on: Actual Salaries (AC) or Average Salaries (AV) (77):Calculated overhead % #REF! Average increases per year in percent: #REF!

Number of productive hours per year: #REF! #REF!



Hours on Project







Hours on Project







Hours on Project




For Partners with Fixed Overheads (FF) or Additional Costs (AC) enter your % Overhead here



EN I 1 FP5TUFOR COMMISSION USE ONLY


document.xls Coord form 1 Bis 98 / 111 05/06/2023 10:50:36

Continuation of sheet 6.1 Extra Sheet Number:

Participant No 1 Personnel co-ordination costs and overheads (41)Categories of staff to work on the co-ordination:1:2:3:4:Personnel co-ordination Costs Year 1 Overhead Costs Year 1 Personnel co-ordination Costs Year 4 Overhead Costs Year 4Staff Cat.: Hourly Rate (EURO) Staff Cat.: Hours on Project Hourly Rate (EURO)

1: 0 #REF! #REF! 1: #REF! #REF! #REF!2: 0 #REF! #REF! 2: #REF! #REF! #REF!3: 0 #REF! #REF! 3: #REF! #REF! #REF!4: 0 #REF! #REF! 4: #REF! #REF! #REF!

Total Personnel costs year 1: 0 Total overhead y 1: #REF! Total co-ordination Personnel costs year 4: #REF! Total overhead y 4: #REF!Personnel co-ordination Costs Year 2 Overhead Costs Year 2 Personnel co-ordination Costs Year 5 Overhead Costs Year 5Staff Cat.: Hourly Rate (EURO) Staff Cat.: Hours on Project Hourly Rate (EURO)

1: #REF! #REF! #REF! #REF! 1: #REF! #REF! #REF!2: #REF! #REF! #REF! #REF! 2: #REF! #REF! #REF!3: #REF! #REF! #REF! #REF! 3: #REF! #REF! #REF!4: #REF! #REF! #REF! #REF! 4: #REF! #REF! #REF!

Total Personnel costs year 2: #REF! Total overhead y 2: #REF! Total co-ordination Personnel costs year 5: #REF! Total overhead y 5: #REF!Personnel Costs Year 3 Overhead Costs Year 3Staff Cat.: Hourly Rate (EURO)

1: #REF! #REF! #REF! #REF!2: #REF! #REF! #REF! #REF!3: #REF! #REF! #REF! #REF!4: #REF! #REF! #REF! #REF!

Total Personnel costs year 3: #REF! Total overhead y 3: #REF!

Have you used Coord form 1 Bis ? Y/N N


Hours on Project







Hours on Project







Hours on Project




document.xls Coord form 2 99 / 111 05/06/2023 10:50:36


A6.2 Co-ordinator's direct co-ordination costs Other costs/overheads (part 2/2) (40)


00000



000


0 0 0 0 0Travel/Subsistance costs (Euro) (88) % EC Contribution













Total Allowable direct co-ordination costs (93) #REF! #REF! #REF! #REF! #REF! #REF!%EU Contribution (Annual %age 0 0 0 0 0 #REF!Total EC Contribution (94) #REF! #REF! #REF! #REF! #REF! #REF!

#REF!% EC Contribution to personnel 100 % EC Contribution to Overheads 100


Project Acronym (2)


Month No (81)


(82)


Depreciation period

(months) (84)


Amount charged to

project (Euro) (86)


EN J 1 FP5TUFOR COMMISSION USE ONLY



Participant 1 Durable Equipment costs (Euro) (79)Description (80)

0000000000000000000000000000000000000000000

Total 0

Consumable costs (Euro) (87)Description: Year 1 Year 2 Year 3 Year 4 Year 5 Total

00000000000000000000000

Total 0 0 0 0 0 0

Travel/Subsistance costs (Euro) (88)Description: Year 1 Year 2 Year 3 Year 4 Year 5 Total

00000000000000


Month No (81)


(82)

Period of use

(months) (83)

Depreciation period

(months) (84)


Amount charged to

project (Euro) (86)


00000000

Total 0 0 0 0 0 0

Computing costs (Euro) (89)Description: Year 1 Year 2 Year 3 Year 4 Year 5 Total

0000000000000000000000

Total 0 0 0 0 0 0

Other significant project costs (Euro) (91)Description: Year 1 Year 2 Year 3 Year 4 Year 5 Total

0000000000000000000000

Total 0 0 0 0 0 0

Protection of knowledge (Euro) (92)Description: Year 1 Year 2 Year 3 Year 4 Year 5 Total

0000000000000000000000

Total 0 0 0 0 0 0


document.xls Participant Form 1-set 102 / 111 05/06/2023 10:50:36






Short Name (45)Legal Regist'tion No.(46) VAT No. (47)

Activity Type (48) Legal Status (49) If PRC Specify (50)

Cost Basis (61) - (FC/FF/AC) FC


Post Code (12) Cedex (13)Town/City

Country Code (14) #N/A

Organisation details (54)Year (55)

Annual turnover (56) Total R&D Expenditure (58)

Number of employees (59) Number of R&D personnel (60)Number of researchers and engineers (61) Number of female R&D personnel (62)Is your Organisation Independent (63) Y/N



PO Box (11)









Country Name (14)




Country Name (14)












Authorised administrative official for the purpose of contract signature(68)Title (Dr, Prof., ...) Gender (8) M/F Function (69)Family NameFirst NameTelephone No (15) Fax No. (15) E-mail Second Authorised administrative official for the purpose of second signature(70) Indicate if Both must SignTitle (Dr, Prof., ...) Gender (8) M/F Function (69)Family NameFirst NameTelephone No (15) Fax No. (15) E-mail Scientific Person in charge of the project (71)Title (Dr, Prof., ...) Gender (8) M/F Function (69)Family NameFirst NameTelephone No (15) Fax No. (15) E-mail Authorised contact person (72)Title (Dr, Prof., ...) Gender (8) M/F Function (69)Family NameFirst NameTelephone No (15) Fax No. (15) E-mail

Date (DD/MM/YYYY)





Project Acronym (2) #VALUE! Project No (3) #VALUE!


Participant Role (22): #VALUE! #VALUE! #VALUE!

Personnel costs and overheads (73)Categories of staff to work on the project (74):1:2:3:4:



1: 0 #VALUE! #VALUE! 1: 0 0 #VALUE!2: 0 #VALUE! #VALUE! 2: 0 0 #VALUE!3: 0 #VALUE! #VALUE! 3: 0 0 #VALUE!4: 0 #VALUE! #VALUE! 4: 0 0 #VALUE!

Total Personnel costs year 1: 0 Total overhead y 1: #VALUE! Total Personnel costs year 4: 0 Total overhead y 4: #VALUE!Personnel Costs Year 2 Overhead Costs Year 2 Personnel Costs Year 5 Overhead Costs Year 5Staff Cat.: Hourly Rate (EURO) Staff Cat.: Hourly Rate (EURO)

1: 0 0 #VALUE! #VALUE! 1: 0 0 #VALUE!2: 0 0 #VALUE! #VALUE! 2: 0 0 #VALUE!3: 0 0 #VALUE! #VALUE! 3: 0 0 #VALUE!4: 0 0 #VALUE! #VALUE! 4: 0 0 #VALUE!

Total Personnel costs year 2: 0 Total overhead y 2: #VALUE! Total Personnel costs year 5: 0 Total overhead y 5: #VALUE!Personnel Costs Year 3 Overhead Costs Year 3Staff Cat.: Hourly Rate (EURO)

1: 0 0 #VALUE! #VALUE!2: 0 0 #VALUE! #VALUE!3: 0 0 #VALUE! #VALUE!4: 0 0 #VALUE! #VALUE!

Total Personnel costs year 3: 0 Total overhead y 3: #VALUE!Total Personnel costs: 0 Total Overhead #VALUE!

Hourly Rates are based on: Actual Salaries (AC) or Average Salaries (AV) (77):Base year for the rates is: (yyyy)Number of productive hours per year (78) Overhead Percentage 0.0%



0





(24):

Hours on Project




Hours on Project




Hours on Project




Hours on Project




Hours on Project









document.xls Part Form 2 Bis 1-set 105 / 111 05/06/2023 10:50:36

Continuation of sheet 7.2 Extra Sheet No.: #VALUE!

Participant No #VALUE! Personnel costs and overheads (82)Categories of staff to work on the project (83):1:2:3:4:Personnel Costs (84) Year 1 Overhead Costs (85) Year 1 Personnel Costs (84) Year 4 Overhead Costs (85) Year 4Staff Cat.: Hourly Rate (EURO) Staff Cat.: Hours on Project Hourly Rate (EURO)

1: 0 #VALUE! #VALUE! 1: #VALUE! #VALUE! #VALUE!2: 0 #VALUE! #VALUE! 2: #VALUE! #VALUE! #VALUE!3: 0 #VALUE! #VALUE! 3: #VALUE! #VALUE! #VALUE!4: 0 #VALUE! #VALUE! 4: #VALUE! #VALUE! #VALUE!

Total Personnel costs year 1: 0 Total overhead y 1: #VALUE! Total Personnel costs year 4: #VALUE! Total overhead y 4: #VALUE!Personnel Costs Year 2 Overhead Costs Year 2 Personnel Costs Year 5 Overhead Costs Year 5Staff Cat.: Hourly Rate (EURO) Staff Cat.: Hours on Project Hourly Rate (EURO)

1: #VALUE! #VALUE! #VALUE! #VALUE! 1: #VALUE! #VALUE! #VALUE!2: #VALUE! #VALUE! #VALUE! #VALUE! 2: #VALUE! #VALUE! #VALUE!3: #VALUE! #VALUE! #VALUE! #VALUE! 3: #VALUE! #VALUE! #VALUE!4: #VALUE! #VALUE! #VALUE! #VALUE! 4: #VALUE! #VALUE! #VALUE!

Total Personnel costs year 2: #VALUE! Total overhead y 2: #VALUE! Total Personnel costs year 5: #VALUE! Total overhead y 5: #VALUE!Personnel Costs Year 3 Overhead Costs Year 3Staff Cat.: Hourly Rate (EURO)

1: #VALUE! #VALUE! #VALUE! #VALUE!2: #VALUE! #VALUE! #VALUE! #VALUE!3: #VALUE! #VALUE! #VALUE! #VALUE!4: #VALUE! #VALUE! #VALUE! #VALUE!

Total Personnel costs year 3: #VALUE! Total overhead y 3: #VALUE!

#VALUE! N


Hours on Project







Hours on Project







Hours on Project







#VALUE! #VALUE! #VALUE!


00000



000


0 0 0 0 0Travel/Subsistance costs (Euro) (88) % EC Contribution







000









Total Allowable Costs (93) #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!%EU Contribution Annual %age 0 0 0 0 0 #VALUE!Total EC Contribution (94) #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!

#VALUE! Conversion rate used






(24):


Month No (81)


(82)


Depreciation period

(months) (84)


Amount charged to

project (Euro) (86)


Country Code





Continuation of sheet 7.3 Extra Sheet Number: #VALUE!

Participant #VALUE! Durable Equipment costs (Euro) (79)Description (80)

0000000000000000000000000000000000000000000

Total 0

Consumable costs (Euro) (87)Description: Year 1 Year 2 Year 3 Year 4 Year 5 Total

00000000000000000000000

Total 0 0 0 0 0 0

Travel/Subsistance costs (Euro) (88)Description: Year 1 Year 2 Year 3 Year 4 Year 5 Total

0000000000000000000000

Total 0 0 0 0 0 0

Computing costs (Euro) (89)Description: Year 1 Year 2 Year 3 Year 4 Year 5 Total

00


Month No (81)


(82)

Period of use

(months) (83)

Depreciation period

(months) (84)


Amount charged to

project (Euro) (86)


Continuation of sheet 7.3 Extra Sheet Number: #VALUE!

00000000000000000000

Total 0 0 0 0 0 0

Subcontracting/External Services costs (Euro) (90)Work Service Cost Year 1 Cost Year 2 Cost Year 3 Cost Year 4 Cost Year 5 Total

0000000000000000000000

Total 0 0 0 0 0 0

Other significant project costs (Euro) (91)Description: Year 1 Year 2 Year 3 Year 4 Year 5 Total

0000000000000000000000

Total 0 0 0 0 0 0

Protection of knowledge (Euro) (92)Description: Year 1 Year 2 Year 3 Year 4 Year 5 Total

0000000000000000000000

Total 0 0 0 0 0 0



Country Code




#VALUE! #VALUE! #VALUE!

Human resources information (97)Total person hours agreed for the proposed participation to the contract: #VALUE!Of which researchers and engineers (RSE) person hours (total number of RSE hours on contract):Of which number of female hours (total number of female hours on the contract):















document.xls Subcon Form 1-set 110 / 111 05/06/2023 10:50:36

Project Acronym (2) #REF! Project No (3) #REF!A3.1!E7 A3.1!I7

A8.1 Subcontractor Profile/Information (1 form per subcontractor) (102)

Legal information on the subcontracting organisationSubcontractor to Contractor No (103) Subcontractor No (104) #VALUE!


Short Name (45)

Activity Type (48) Legal Status (49) If PRC Specify (50)




Organisation details (54)Is your Organisation Independent (63) Y/N



PO Box (11)

Post Code (12) Cedex (13)Town/CityCountry Code (14) Country Name (14) Authorised administrative official for the purpose of contract signature( 68)Title (Dr, Prof., ...) Gender (8) M/F Function (69) Family Name First Name Telephone No (15) Fax No. (15) E-mail

Date (DD/MM/YYYY)


If the Commission Number is not availabler( 43 ) please enter information in cells marked:Please enter information in cells marked:Automatically calculated cells are marked:Automatically calculated that can be overwritten


(46) Legal Regist'tion No.




Country Name (14)





I certify that the information set out in forms A8.1 to A8.2 is accurate and correct for the service specified in the subcontract.




document.xls Subcon Form 2-set 111 / 111 05/06/2023 10:50:36

Project Acronym (2) #REF! Project No (3) #REF!A3.1!E7 A3.1!I7

A8.2 Subcontractor Profile/Information (1 form per subcontractor) (102)

Subcontractor to Contractor No (103) #VALUE! Subcontractor No (104) #VALUE!

Description of the service to be performed (105)

Estimated Price for the service elements (106)

Category Year 1 Year 2 Year 3 Year 4 Year 5 Total

0

0

0

0

0

0

0

0

0

Total Price 0 0 0 0 0 0

Estimated person months for the service (107)Year 1 Year 2 Year 3 Year 4 Year 5 Total

Person Months 0

Please enter information in cells marked:Automatically calculated cells are marked:Automatically calculated that can be overwritten see note 48


