Annex 2:

CERS data service application form

Research project information

Please provide information about the project

Please specify the purpose of the research (multiple choices are possible)!

Thesis Doctoral dissertation	Thesis, related to university studies

Research related to the application, other research, publications

Other, namely:

Project title:

Project description:

Project ID (to be filled in by the CERS Databank):

Information about the researcher(s)

Please provide the following information for each researcher involved in the research!

Please note that this form must be completed for all researchers using the service in the context of this research.

Please indicate the researcher who will be the contact person for the given research.

Please indicate which researcher will be the project leader for the given research. Please indicate the project leader in Researcher details table 1.

1. Details of the Principal Investigator (Note: the 1st Investigator will be assigned the rank of Principal Investigator!)

Prefix (Dr., id., jr., etc.):	Last name:	First name:	Photo identification document number:
Date of birth:	Address:
Position (Ph.D. student, institute researcher, etc.):	Phone number:
Name and address of the institution:
E-mail:	Contact person?
Yes	No
Will you use CERS Data Access in person?	Yes	No Why not? :
Please indicate your existing legal relationship with the institution indicated in point II.1 (please underline the appropriate relationship in the case of fixed-term or indefinite relationships).
Researcher employed by BCE: fixed-term | indefinite
University student status at BCE
BCE-s PHD student status
Other, namely:
2. Researcher details
Prefix (Dr., id., jr., etc.):	Last name:	First name:	Photo identification document number:
Date of birth:	Address:
Position (Ph.D. student, institute researcher, etc.):	Phone number:
Name and address of the institution:
E-mail:	Contact person?
Yes	No
Will you use CERS Data Access in person?	Yes	No Why not? :
Please indicate your existing legal relationship with the institution indicated in point II.1 (please underline the appropriate relationship in the case of fixed-term or indefinite relationships).
Researcher employed by BCE: fixed-term | indefinite
University student status at BCE
BCE-s PHD student status
Other, namely:
3. Researcher details
Prefix (Dr., id., jr., etc.):	Last name:	First name:	Photo identification document number:
Date of birth:	Address:
Position (Ph.D. student, institute researcher, etc.):	Phone number:
Name and address of the institution:
E-mail:	Contact person?
Yes	No
Will you use CERS Data Access in person?	Yes	No Why not? :
Please indicate your existing legal relationship with the institution indicated in point II.1 (please underline the appropriate relationship in the case of fixed-term or indefinite relationships).
Researcher employed by BCE: fixed-term | indefinite
University student status at BCE
BCE-s PHD student status
Other, namely:
4. Researcher details
Prefix (Dr., id., jr., etc.):	Last name:	First name:	Photo identification document number:
Date of birth:	Address:
Position (Ph.D. student, institute researcher, etc.):	Phone number:
Name and address of the institution:
E-mail:	Contact person?
Yes	No
Will you use CERS Data Access in person?	Yes	No Why not? :
Please indicate your existing legal relationship with the institution indicated in point II.1 (please underline the appropriate relationship in the case of fixed-term or indefinite relationships).
Researcher employed by BCE: fixed-term | indefinite
University student status at BCE
BCE-s PHD student status
Other, namely:
5. Researcher details
Prefix (Dr., id., jr., etc.):	Last name:	First name:	Photo identification document number:
Date of birth:	Address:
Position (Ph.D. student, institute researcher, etc.):	Phone number:
Name and address of the institution:
E-mail:	Contact person?
Yes	No
Will you use CERS Data Access in person?	Yes	No Why not? :
Please indicate your existing legal relationship with the institution indicated in point II.1 (please underline the appropriate relationship in the case of fixed-term or indefinite relationships).
Researcher employed by BCE: fixed-term | indefinite
University student status at BCE
BCE-s PHD student status
Other, namely:

For scientific purposes, professional content of research

relevant information

Research baseline information

Please provide the title of the research.

Please specify the topic of your research!

II.2 Information for scientific purposes

Please briefly outline the main objectives of the research project and describe the main steps to be taken to achieve them.

Please specify which file(s) you wish to access and describe how the use of the file(s) is related to the purpose of the research.

Want to import external data files?

Yes No

If yes, please name the external data files and describe their content!

Please indicate which of the following statistical analysis software you intend to use for your research (more than one choice is possible).

STATA

R	R studio

Do you wish to bring the software codes for the above mentioned software into the research room?

Yes No

If yes, please briefly describe the expected content of the program codes.

Please briefly describe how you plan to publish the research results generated and when you expect to publish them.

Research calendar

Please indicate the expected timeline of the research (start of research, expected time to generate research results, main milestones of the research, end of research, etc.)

Please note that the maximum duration of the research is 1 year! Please enter the start and end dates of the research in year/month/day format!

If you have any further comments related to the research, please write them here!

Date:

I hereby certify that the information provided above is true and correct:

..................................................

Project Leader

E.g. No, because I will be a co-author. I will only use research results produced by the participants in the project.

E.g. No, because I will be a co-author. I will only use research results produced by the participants in the project.

E.g. No, because I will be a co-author. I will only use research results produced by the participants in the project.

E.g. No, because I will be a co-author. I will only use research results produced by the participants in the project.

E.g. No, because I will be a co-author. I will only use research results produced by the participants in the project.