I, THE UNDERSIGNED

Surname and First Name  	                                              born on (dd/mm/yyyy)____________     
at ____________ province ________ Country of birth   	 citizenship ________________    

Residence: street/square ________________________________   number _____________
Town _________ Province/Region 	 Zip code ____Country ________________ 
Phone number 	 e-mail 		

Additional address (fill it in only if different from residence) 
Town _________ Province/Region 	 Zip code ____Country ________________  

WISHING TO
choose the University of Florence as the Host institution                                 for the following project to be submitted in the framework of the Notice               no. 201 published by the Italian Ministry of University and Research (MUR) on 3 July 2024
Funding line
•	Young researchers who won an MSCA grant (referred to in Article 4(1)(a) of the Notice)
•	Young researchers who are beneficiaries of the 'Seal of Excellence' (referred to in Article 4(1)(b) of the Notice)

New project proposal 
Extended title: _______________________________________________________________________          
Acronym:  ___________________________________________________________________________
MSCA Scientific-disciplinary macro-sector ____________________________________________________________________________________
duration (in months) __________________________
keywords (maximum 5) ____________________________________________________________________________________
___________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Total requested funding (EUR)__________________________________________________________
Abstract (maximum 2000 characters, spaces excluded)
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

To this end, I DECLARE UNDER MY OWN RESPONSIBILITY

•	that I am submitting only one project proposal under Notice No. 201

•	that I have not renounced - subsequent to the signing of the Deed of Obligation by the Host Institution with the Italian Ministry of University and Research (MUR) - to the grant awarded under the Notice referred to in Decree no. 247 of 19 August 2022 as amended and supplemented (i.e. the Young Researchers 2022 Notice).  

•	that I am no more than 40 years old on the date of adoption of Notice No. 201 (3 July 2024)  

•	that I am over 40 years old and up to 45 years old on the date of adoption of Notice No. 201 (3 July 2024) and, in this case   
	that I obtained my doctoral degree (PhD) no more than 7 years ago, on (dd/mm/yyyyy) ______________________ at/doctoral degree issued by _______________________________________________________________
                  by discussing a thesis entitled ________________________________________
________________________________________________________________
	that I fall under one or more of the following conditions (please indicate which one(s)):
•	 I have to acquire first experience as a fund manager and/or responsible for research activities (i.e. Principal Investigator - P.I.)
•	 I have to gain experience in leading and managing a national and/or international research team;
•	 I have not, or I have not had prior to winning the European grant, a permanent Full Time Equivalent (FTE) contract as a researcher and/or professor. 

LIKEWISE, I DECLARE UNDER MY OWN RESPONSIBILITY
If the Funding line “Young researchers who won an MSCA grant” (referred to in Article 4(1)(a) of the Notice) is applicable 
	that I/we have been the winner of a Horizon 2020 MSCA Individual Fellowship/ Horizon Europe Postdoctoral Fellowship project
Title: _____________________________________________________________
Acronym: __________________________________________________________
Number of the Grant Agreement: ______________________
Start Date - End Date of the MSCA-funded Project: _______ - ______

If the Funding line “Young researchers who are beneficiaries of "Seal of Excellence" (referred to in Article 4(1)(b) of the Notice) is applicable 
	I received the communication concerning the award of the Seal of Excellence for participation in a call for MSCA Postdoctoral Fellowships, within the framework of the Horizon Europe Programme, on (dd/mm/yyyyy): _____________
identification code of the call for which the Applicant was awarded the Seal of Excellence: ___________________________________________________________
score obtained: ___________________________________________________

and attach to the application:
If the Funding line “Young researchers who won an MSCA grant” (referred to in Article 4(1)(a) of the Notice) is applicable 
•	"MSCA Project Proposal" with a copy of the grant agreement
•	Evaluation Summary Report (ESR) of the "MSCA Funded Project
•	Project Proposal including the description of the new project proposal complementary and consequential to the funded project under the MSCA call for proposals (Annex 1A of Notice No. 201)
•	Financial framework and timetable: economic and financial plan presenting the breakdown of project costs by items of expenditure, as per art. 8 of the Notice and setting out the timetable for the implementation of project activities
•	Ethics self-assessment (Annex 3 to Notice No. 201) 
•	Declaration of compliance with the DNSH principle (Annex 4 to Notice No. 201)
•	Curriculum Vitae / Resume 
•	Copy of a valid identity document

If the Funding line “Young researchers who are beneficiaries of a Seal of Excellence" (referred to in Article 4(1)(b) of the Notice) is applicable 
•	Full text of the MSCA proposal for which the Seal of Excellence was obtained (SoE Evaluated Proposal) 
•	Evaluation Summary Report (ESR) of the SoE Evaluated Proposal 
•	Copy of the Seal of Excellence
•	Financial framework and timetable: economic-financial plan presenting the breakdown of the project costs by expenditure items, as per art. 8, par. 5 of Notice no. 201 (adjusted with respect to the MSCA proposal that was awarded the Seal of Excellence) and reporting the implementation timetable of the project activities (updated procedural and financial timetable with respect to the MSCA proposal that was awarded the Seal of Excellence)
•	Ethics self-assessment (Annex 3 to Notice No. 201) 
•	Declaration of compliance with the DNSH principle (Annex 4 to Notice No. 201)
•	Curriculum Vitae / Resume 
•	Copy of a valid identity document

________________                                                       __________________
(date)                                                                                         (signature)