Call Test

To be eligible for taking part in the Technology Demonstrator Call within the DIH-HERO project all of the following criteria must be fulfilled:
1. Third parties receiving financial support must be a legal entity, being an SME or a slightly larger company from EU (and its associated countries)/EEA countries;
2. At least two parties have to be involved (either two SMEs or slightly larger companies from two different EU (incl. its associate countries)/EEA countries, or one SME or slightly larger company and one end-user (e.g. hospital) from 2 different EU (incl. its associate countries)/EEA countries;
3. The proposal must clearly state the relevant clinical demand for the intended robotic solution including a clear linkage to end-users;
4. The proposal must address expertise and/or services of the DIH-HERO network;
5. The proposal must fit to the call text;
6. A third party may not receive more than 300k FSTP for the entire action duration;
7. The Proposal must be written in English and submitted via the portal before the deadline;
8. There must be no conflicts of interests with the DIH-HERO consortium partners.
9. Third parties receiving financial support must be financially healthy (they have to sign a declaration of no financial problems).
For further information and requirements please see TD Applicant Guide.

If you are sure to fulfil all the criteria given above, please continue with the next section.

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Required Information

The following information will be required in the submission form:
1. Administrative Data: Basic contact data of the TD project partners (e.g. full name of legal entity, type of company, company registration number, place of registration, VAT no., name of managing director, address, company website, as well as the name, telephone number and email address of the main contact person of the coordinating SME or slightly larger company);
2. Key Data of the TD Project: (e.g. full title of the TD; short name of the TD; brief description (short abstract of approx. 8 -10 lines) incl. an explanation on how you would like to demonstrate the feasibility of new, innovative and enhanced robotic solutions to accelerate the development of Healthcare robotics; targeted application domain; current TRL; project duration; Statement on legal agreement describing the rights and duties of each party to be negotiated among TD consortium partners), and statement on the TD announcement for publication (both given in the online form)
3. TD Project Proposal to be uploaded in pdf format;
4. TD Estimated budget to be uploaded in pdf format
5. Signed Declaration of Honour from all partners saved in pdf format;
6. Signed Declaration of informed Consent for Data Processing from all partners saved in pdf format;
7. Questions for statistical purposes (given in the online form)

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1. TD Partner Information

Please provide the general information about the project partners.
Fields marked with a (*) are required.
Partner 1 (TD project coordinating SME or slightly larger company)
Full name of legal entity*
Type of company*

Please state the legal form of the entity.
SME or slightly larger company*
- We confirm that we fulfill all criteria qualifying as a SME according to the EC definition.
- We confirm that we fulfill all criteria qualifying as a slightly larger company according to the EC definition.
Results of SME Self-assessment questionnaire*
Accepted file types: pdf, Max. file size: 200 MB.
Please upload the result page of the SME self-assessment questionnaire here as pdf, even if you do not qualify as SME.
Company registration number*

This is the official registration number at which your company is registered in your country (e.g. chamber of commerce).
Place of registration*
VAT number*
Name of Managing Director*
PIC code (optional)

This is a 9-digit number serving as a unique identifier for organisations (legal entities) participating in EU funding programmes. If you have not participated in an EU funding programme before, please move to the next question.
Address*
Street Address ZIP / Postal Code City Country
Company website
Main contact person

Please provide the contact information of the person who administers the entire process.

An account will be created using the provided email address.
Are you already registered at DIH-HERO?
- Yes
- No
Name*
First Last
Telephone*
Email address*

We advise you to use a functional email address that is not tied to a single person.

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TD Partner 2
Full name of legal entity*
Type of company*

Please state the legal form of the entity.
SME, slightly larger company or end-user*
- We confirm that we fulfill all criteria qualifying as a SME according to the EC definition.
- We confirm that we fulfill all criteria qualifying as a slightly larger company according to the EC definition.
- We confirm that we fulfill all criteria qualifying as an end-user.
Results of SME Self-assessment questionnaire*
Accepted file types: pdf, Max. file size: 200 MB.
Please upload the result page of the SME self-assessment questionnaire here as pdf, even if you do not qualify as SME.
Company registration number*

This is the official registration number at which your company is registered in your country (e.g. chamber of commerce).
Place of registration*
PIC code (optional)

This is a 9-digit number serving as a unique identifier for organisations (legal entities) participating in EU funding programmes. If you have not participated in an EU funding programme before, please move to the next question.
Address*
Street Address ZIP / Postal Code City Country
Company website
Main contact person

Please provide the contact information of the person who administers the entire process for Partner 2.
Name*
First Last
Telephone*
Email address*
Additional Partner
- Add an additional partner

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TD Partner 3
Full name of legal entity*
Type of company*

Please state the legal form of the entity.
SME, slightly larger company, end-user or other organisation*
- We confirm that we fulfill all criteria qualifying as a SME according to the EC definition.
- We confirm that we fulfill all criteria qualifying as a slightly larger company according to the EC definition.
- We confirm that we fulfill all criteria qualifying as an end-user.
- We confirm that we are not an SME, slightly larger company or end-user.
Results of SME Self-assessment questionnaire*
Accepted file types: pdf, Max. file size: 200 MB.
Please upload the result page of the SME self-assessment questionnaire here as pdf, even if you do not qualify as SME.
Company registration number*

This is the official registration number at which your company is registered in your country (e.g. chamber of commerce).
Place of registration*
PIC code (optional)

This is a 9-digit number serving as a unique identifier for organisations (legal entities) participating in EU funding programmes. If you have not participated in an EU funding programme before, please move to the next question.
Address*
Street Address ZIP / Postal Code City Country
Company website
Additional Partner 4
- Add an additional partner

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TD Partner 4
Full name of legal entity*
Type of company*

Please state the legal form of the entity.
SME, slightly larger company, end-user or other organisation*
- We confirm that we fulfill all criteria qualifying as a SME according to the EC definition.
- We confirm that we fulfill all criteria qualifying as a slightly larger company according to the EC definition.
- We confirm that we fulfill all criteria qualifying as an end-user.
- We confirm that we are not an SME, slightly larger company or end-user.
Results of SME Self-assessment questionnaire*
Accepted file types: pdf, Max. file size: 200 MB.
Please upload the result page of the SME self-assessment questionnaire here as pdf, even if you do not qualify as SME.
Company registration number*

This is the official registration number at which your company is registered in your country (e.g. chamber of commerce).
Place of registration*
PIC code (optional)

This is a 9-digit number serving as a unique identifier for organisations (legal entities) participating in EU funding programmes. If you have not participated in an EU funding programme before, please move to the next question.
Address*
Street Address ZIP / Postal Code City Country
Company website
Additional Partner 5
- Add an additional partner

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TD Partner 5
Full name of legal entity*
Type of company*

Please state the legal form of the entity.
SME, slightly larger company, end-user or other organisation*
- We confirm that we fulfill all criteria qualifying as a SME according to the EC definition.
- We confirm that we fulfill all criteria qualifying as a slightly larger company according to the EC definition.
- We confirm that we fulfill all criteria qualifying as an end-user according to the definition.
- We confirm that we are not an SME, slightly larger company or end-user.
Results of SME Self-assessment questionnaire*
Accepted file types: pdf, Max. file size: 200 MB.
Please upload the result page of the SME self-assessment questionnaire here as pdf, even if you do not qualify as SME.
Company registration number*

This is the official registration number at which your company is registered in your country (e.g. chamber of commerce).
Place of registration*
PIC code (optional)

This is a 9-digit number serving as a unique identifier for organisations (legal entities) participating in EU funding programmes. If you have not participated in an EU funding programme before, please move to the next question.
Address*
Street Address ZIP / Postal Code City Country
Company website

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2. Key Data of the TD Project

Please provide the general information about the TD Project here.
Fields marked with a (*) are required.
Full title of the TD project*
Short name of the TD project*
TD project abstract*
Please give a short description of your TD project including purpose, aim and a short explanation on how you would like to demonstrate the feasibility of new, innovative and enhanced robotic solutions to accelerate the development of Healthcare robotics. Approximately 8-10 lines
Clinical problem to be addressed by the TD project*
Please describe the clinical problem which should be addressed/solved by the TD project. (Approx. 6-8 lines)
Major healthcare robotics application domain targeted by the TD project*
- Diagnostic Robotics
- Interventional Robotics
- Rehabilitation Robotics
- Robotics supporting patients
- Robotics supporting healthcare professionals
Please choose the major healthcare robotics application domain targeted by the TD project.
Starting TRL*
Please give the TRL the innovation has at the start of the TD project and explain briefly why you consider your innovation to be at the current TRL.
Expected duration of the TD project*

The maximum duration of the TD project is ≤ 9 months.
Statement concerning legal agreement among the TD project partners*
- The TD project partners will negotiate and sign an agreement describing all rights and duties of each party involved. If the TD will be financially supported, we will send it by email no later than one month after the TD start to: dih-healthcare@utwente.nl
- The TD project partners have already signed an agreement describing all rights and duties of each party involved. If the TD will be financially supported, we will send it by email no later than one month after the TD start to: dih-healthcare@utwente.nl
Statement on publishing the key data of the TD project*
- The TD key data can be published after approval of the TD financial support.
Statement on publishing the TD project abstract*
- The TD project abstract can be published at the end of the TD and after the delivery of the public abstract.

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4. TD project proposal

Please upload your TD project proposal as well a the accompanying declarations here.
Fields marked with a (*) are required.
TD project proposal*
Accepted file types: pdf, Max. file size: 200 MB.
Please find the TD proposal template here.
Budget estimation*
Max. file size: 200 MB.
Please find the template for the budget estimation here.
Signed declaration of honour (of all the parties combined in one document)*
Accepted file types: pdf, Max. file size: 200 MB.
Please combine the declarations of honour of all project partners in one pdf and upload the combined pdf file here.
Signed declaration of informed consent for data processing (of all the parties combined in one document)*
Accepted file types: pdf, Max. file size: 200 MB.
Please combine the declarations of informed consent for data processing of all project partners in one pdf and upload the combined pdf file here.

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Privacy statement*
I agree to the privacy statement of DIH-HERO

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TD2: Application for Technology Demonstrator

Required Information

1. TD Partner Information

Partner 1 (TD project coordinating SME or slightly larger company)

Main contact person

TD Partner 2

Main contact person

TD Partner 3

TD Partner 4

TD Partner 5

2. Key Data of the TD Project

4. TD project proposal

5. Questions for statistical purposes