Indo-Pacific Plastics Innovation Network

Seed Funding Grant Program (Round 3)

Application Form
updated on 12 December 2024

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Instructions
This application form captures the information required to assess and manage your application for
a grant. This form (MS word format) must be completed for each application.
Applications should adhere to the word limits as indicated at relevant sections and supply only the
information requested.
Text in italics is provided to assist you to complete all questions and should be deleted before
submission. Please do not amend the formatting of the application form.
Please read the IPPIN Seed Funding Grant Program (Round 3) Guidelines before completing your
application.

Submitting your application

You must complete all questions before submission.
Please check all your answers before you submit your application. After submission, you may not
be able to edit your application.

Getting help
If you require further assistance completing this form, please contact the program team at
[email protected].

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1 Table of Contents
2 Eligibility...............................................................................................................................4
3 Applicant information...........................................................................................................5
3.1 If the lead applicant is from CSIRO.....................................................................................5
3.2 If the lead application is from an Australian University......................................................6
4 Project partners....................................................................................................................7
5 Project information...............................................................................................................9
5.1 Project title and description............................................................................................... 9
5.2 Project outcomes................................................................................................................9
5.3 Link to program intent........................................................................................................9
5.4 Project duration................................................................................................................10
5.5 Project milestones............................................................................................................11
5.6 Project location.................................................................................................................12
6 Project Budget....................................................................................................................13
6.1 Project budget summary table.........................................................................................13
6.2 Source of funding............................................................................................................. 14
6.3 Grant amount sought....................................................................................................... 15
7 Assessment Criteria............................................................................................................16
8 Declaration.........................................................................................................................18

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2 Eligibility
Eligibility

Are you the lead entity of this application? Yes No

Are you CSIRO? Yes No

Are you an Australian university? Yes No

Have you or a project partner previously participated in a program or activity of Yes No

one of the Chapters under the Indo-Pacific Plastics Innovation Network?

Do you have a project aimed at one of the following program objectives? Yes No
 translation of research into real-world solutions to address plastic waste
 developing partnerships supporting the scaling of solutions to address
plastic waste in the Indo-Pacific and beyond, including attracting co-
funding
 application of new or adapted deep-tech solutions in emerging or under-
resourced domains
 new pathways for technologies and research to scale and achieve
systems-level impact in Indonesia, Vietnam, Thailand, Laos and
Cambodia.

Have you provided the following mandatory attachments with this application? Yes No
 a project plan including agreement or arrangements for governance,
security and intellectual property rights and the identification of risks
and mitigation strategies (maximum 10 pages excluding appendices)
 a detailed project budget
 letters of support from all project partners (if relevant) including
outlining any funding and/or in-kind contributions, refer to section 7.3.
 additional evidence that supports selection criteria responses (not
mandatory and only where applicable)
 (applicable to CSIRO applicants) endorsement by the relevant Research
Unit leader
 (applicable to university applicants) evidence of support from the board,
CEO or equivalent that the project is supported, and that you can
complete the project and meet the costs of the project not covered by
grant funding

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Do you agree to deliver your project in accordance with relevant legislation, Yes No
policies, and industry standards in all project locations?

Do you have contracts or arrangements in place with all existing project Yes *No
partners?

*Note that if successful, grant funds can only be released once you have formal arrangements
in place with all project partners.

3 Applicant information
3.1 If the lead applicant is from CSIRO

Administrative contact details for lead applicant from CSIRO

Full Name of Contact (This is the lead person from CSIRO participating on the project)

Please insert details

Business Unit

Please insert details

Email address

Please insert details

Phone number/s

Please insert details

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3.2 If the lead application is from an Australian University

Administrative contact details for lead applicant from an Australian University

Full Name of Contact (This is the lead person from an Australian university participating on the project)

Please insert details

Name of University and Department

Please insert details

Address (for contract purposes)

Please insert details

ABN

Please insert details

Email address

Please insert details

Phone number/s

Please insert details

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4 Project partners
Add or delete new sections to the partner listing as required. If you have trouble with adding new
sections here, please contact the program team at [email protected].

Partner 1 details

Organisation: Please insert details (if applicable)

Country: Please insert details (if applicable)

Description of The roles/responsibilities the project partner will undertake, and the
contribution: resources it will contribute (if any)

Project contact: Please insert details (if applicable)

Email address: Please insert details (if applicable)

Phone number/s Please insert details (if applicable)

Is there an agreement or arrangement in place with this partner already? Yes No

Partner 2 details

Organisation: Please insert details (if applicable)

Country: Please insert details (if applicable)

Description of Please insert details (if applicable)

contribution:

Project contact: Please insert details (if applicable)

Email address: Please insert details (if applicable)

Phone number/s Please insert details (if applicable)

Is there an agreement or arrangement in place with this partner already? Yes No

Partner 3 details

Organisation: Please insert details (if applicable)

Country: Please insert details (if applicable)

Description of Please insert details (if applicable)

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contribution:

Project contact: Please insert details (if applicable)

Email address: Please insert details (if applicable)

Phone number/s Please insert details (if applicable)

Is there an agreement or arrangement in place with this partner already? Yes No

Partner 4 details

Organisation: Please insert details (if applicable)

Country: Please insert details (if applicable)

Description of Please insert details (if applicable)

contribution:

Project contact: Please insert details (if applicable)

Email address: Please insert details (if applicable)

Phone number/s Please insert details (if applicable)

Is there an agreement or arrangement in place with this partner already? Yes No

Note that an agreement or arrangement must be in place with project partners before funds can
be released to successful projects.

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5 Project information
If your application is successful, we may publish some grant details on the CSIRO website or via
other CSIRO communication tools. Those details may include:
 project title
 brief project description and its intended outcome
 grant funds awarded
 photos
 location of grant activities being undertaken.

5.1 Project title and description

Provide a project title.

This response should be limited to 75 characters. Note this box will resize automatically.

Provide a brief project description for publication on the website.

This response should be limited to 750 characters. Ensure this description focuses on your
project’s key activities and outcomes. Outline what it is you are going to do and what benefits
there are. Note this box will resize automatically.

5.2 Project outcomes

This response should be limited to 5000 characters. If successful, this will feature in your
agreement as the anticipated scope of the project. Note this box will resize automatically.

5.3 Link to program intent

Applicants must provide a description of how the project will positively contribute to one or more
of the program’ objectives (section 2.3 of the guidelines), intended outcomes (section 2.4) and
challenge focus areas (section 2.5)

Please type your response here. This response should be limited to 5000 characters. If successful,
this information may be used during program evaluation activities upon completion of the
overall program. Note this box will resize automatically.

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5.4 Project duration

Please refer to the program guidelines to ensure your proposed dates align.

Estimated project start date: Click or tap to enter a date.

Estimated project end date: Click or tap to enter a date.

Estimated project length (in months): Please insert details

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5.5 Project milestones
Milestone days must not be outside the overall project start and end dates. If successful, these milestones will feature in your agreement.
Add or delete milestones as required. If you have trouble with adding new milestone rows, please contact the program team at [email protected]

Milestone table Start date End date

1. Title: Please insert details Click or tap to enter a date. Click or tap to enter a date.

Description of milestone, including expected outcomes

2. Title: Please insert details Click or tap to enter a date. Click or tap to enter a date.

Description of milestone, including expected outcomes

3. Title: Please insert details Click or tap to enter a date. Click or tap to enter a date.

Description of milestone, including expected outcomes

4. Title: Please insert details Click or tap to enter a date. Click or tap to enter a date.

Description of milestone, including expected outcomes

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 5. Title: Please insert details Click or tap to enter a date. Click or tap to enter a date.

Description of milestone, including expected outcomes

5.6 Project location

You must provide the address where the project will be undertaken, and the estimated percentage of project value expected to be undertaken at
that site. If you have multiple project sites you must add the address of each site.
Add or rows as required. If you have trouble with adding new rows, please contact the program team at [email protected].

A project site should be a street address

Project site address: Please insert details Percentage of time at location: Please insert %

Project site address: Please insert details Percentage of time at location: Please insert %

Project site address: Please insert details Percentage of time at location: Please insert %

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6 Project Budget
6.1 Project budget summary table.
Provide a summary of your eligible project expenditure over the life of the project:
Add or delete rows as required. If you have trouble with adding new rows, please contact the program team at [email protected].

Expenditure item Grant funds for project Other funds being contributed Total cost (before GST) by reference
activity (before GST) by project partner (before to a quote or other calculation
GST) method listed in attached detailed
budget

"Example only: Travel costs to complete $2,100 $- $2,100

onsite trials"

"Example only: Project manager fee" $9,000 $- $9,000

"Example only: Hired plant costs" $7,000 $23,000 $30,000

"Example only: Labour costs" $53,000 $25,000 $78,000

Total project cost Please insert details Please insert details Please insert details

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6.2 Source of funding
In this section you must provide details of how you will fund the project.
The total of all sources of funding should be equal to your total project expenditure in the table above. Sources of funding include cash grant
amounts and in-kind contributions from you or your partner, and other contributions specified.

Source of funds Amount

Grant amount sought: $ Please insert details

Cash contributions from you: $ Please insert details

Cash contributions from partners $ Please insert details

In-kind contributions from you: $ Please insert details

In-kind contributions from partners: $ Please insert details

*Other: $ Please insert details (if applicable)

Total $ This should be the same total as the Project Budget Summary table

*Please provide details about what is contained in ‘other’ source of funding:

Please insert details (if applicable)

6.3 Grant amount sought

Enter the total grant amount being sought: $ This should be the same as the amount in the Source of funds table
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7 Assessment Criteria
We will assess your application based on each criterion which are equally weighted. We will only
consider funding applications that score at least 50 per cent against each criterion as these
present best value for money.

The amount of detail and supporting evidence you provide should be relative to the project size,
complexity and grant amount requested.

Answers are limited to 350 words.

Assessment Criterion 1 – the extent to which your project will create or apply innovative
approaches to translate research and scale real-world solutions to address plastic waste. Be
clear and succinct.

Please type your response here - limited to 350 words

Assessment Criterion 2 - your capacity, capability, and resources to deliver the project.

Please type your response here - limited to 350 words

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Assessment Criterion 3 - the broader national and international benefits of your project – this
could include the economic and national benefit/s to be gained from your project for the
priority area/s of focus during the project and beyond.

Please type your response here - limited to 350 words

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8 Declaration
This final section must be signed prior to submission.
Please do not delete or amend any of the material in this section.

NOTE: by signing below, the signatory represents that they have authority to do so and that, if
successful, they are agreeing to:
a)Provide the cash and/or in-kind contribution specified within this application form, as well
as being responsible for ensuring all project partners provide all pledged cash and/or in-
kind contributions specified within this application form for the proposed project
b)Declare that: (a) the information supplied in the application is true, accurate and not
misleading to the best of my knowledge; (b) the applicant organisation and/or its
partner(s) have received no guarantees that the application will be approved
c) The publication of the project title, brief project description and its intended outcome, grant
funding awarded, and location of grant activities being undertaken on the CSIRO
communication channels
Come to an agreement with the Seed Funding Grant program team to agree on project
outcomes within 30 days of an offer of funding.

Signature of representative: Please sign here

Name: Please insert details
Position: Please insert details
Organisation: Please insert details
Date: Please insert details

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