[First name  last name, city of all applicants]

[Project title]

1	Requested modules/funds
Explain each item for each applicant.

1.1	Basic Module

1.1.1	Funding for Staff

[Text]

1.1.2	Direct Project Costs

[Text]

1.1.2.1	Equipment up to Euro 10,000, Software and Consumables

[Text]

1.1.2.2	Travel Expenses

[Text]

1.1.2.3	Visiting Researchers (excluding Mercator Fellows)	

[Text]

1.1.2.4	Expenses for Laboratory Animals

[Text]

1.1.2.5	Other Costs

[Text]

1.1.2.6	Project-related publication expenses

[Text]

1.1.3	Instrumentation

1.1.3.1	Equipment exceeding Euro 10,000

[Text]

1.1.3.2	Major Instrumentation exceeding Euro 50,000

[Text]

1.2	Module Temporary Position for Principal Investigator

[Text]

1.3	Module Replacement Funding

[Text] 

1.4	Module Temporary Substitute for Clinicians

[Text]

1.5	Module Mercator Fellows (no UK fellows allowed)

[Text]

1.6	Module Project-Specific Workshops 

[Text]

1.7	Module Public Relations Funding

[Text]

1.8	Module Standard Allowance for Gender Equality Measures
Please detail what measures are planned to promote diversity and equal opportunities.

[Text]