List of questions

to be answered in the hosts statement

Please answer the following questions in the order given to produce a 1 2 page expert opinion. It should be accompanied b signed confirmation that research facilities will be made available. 1. Do you know the applicant personally, or are you in contact with anyone at her/his current institute? 2. How do you rate the applicants academic record and academic achievements to date? Please consider the following points! dedication" mobilit " breadth of specialisation" academic productivit " future potential. 3. How do you rate the quality of the applicants key publications? Please consider the following points! originalit " innovativeness" impact on the continued development of the field" candidates personal contribution #multiple authorship$. 4. Do you know the applicants expert reviewers and how do you rate them? 5. How do you rate the research plan the applicant has submitted? Please consider the following points! current relevance" originalit " clarit of focus" academic #methodological$ qualit " feasibilit at the host institute" potential for continuing the applicants academic development" chances of success in the period envisaged for sponsorship. 6. To what extent were you involved in drawin up the research plan the applicant has submitted? !ill it overlap/interact with other work bein carried out at your institute? 7. Does the applicant have the lan ua e skills necessary to carry out the research pro"ect successfully? 8. #re you aware of any aspects which militate a ainst sponsorship? #e.g. potential conflicts with legall %binding principles of scientific ethics" danger of armaments%related technolog transfer in terms of legal regulations" etc.$

Only required for applications submitted by experienced researchers: 9. How do you rate the applicants own research profile?
Only required for applications for the Georg Forster Research Fellowship Programme: 10. To what extend are the expected results from the proposed research stay as well as the applied methods and techniques relevant for the future development of the applicant$s country of ori in?

&onsideration of ethical issues in relation to the research pro'ects in the (eorg )orster *esearch )ellowship Programme #+,*-,.$
%verview of ethical issues &please mark as applicable' (esearch on Human )mbryo/ *oetus /oes the proposed research involve human ,mbr os0 /oes the proposed research involve human )oetal 1issues2 &ells0 /oes the proposed research involve human ,mbr onic .tem &ells #h,.&s$0 /oes the proposed research on human ,mbr onic .tem &ells involve cells in culture0 /oes the proposed research on +uman ,mbr onic .tem &ells involve the derivation of cells from ,mbr os0 I &34)I*- 1+51 434, 3) 1+, 5637, I..8,. 5PPL9 13 -9 P*3P3.5L (esearch on Humans /oes the proposed research involve children0 /oes the proposed research involve patients0 /oes the proposed research involve people not able to give consent0 /oes the proposed research involve adult health volunteers0 /oes the proposed research involve +uman genetic material0 /oes the proposed research involve +uman biological samples0 /oes the proposed research involve +uman data collection0 I &34)I*- 1+51 434, 3) 1+, 5637, I..8,. 5PPL9 13 -9 P*3P3.5L -rivacy /oes the proposed research involve processing of genetic information or personal data #e.g. health" sexual lifest le" ethnicit " political opinion" religious or philosophical conviction$0 /oes the proposed research involve trac:ing the location or observation of people0 I &34)I*- 1+51 434, 3) 1+, 5637, I..8,. 5PPL9 13 -9 P*3P3.5L (esearch on #nimals /oes the proposed research involve research on animals0 5re those animals transgenic small laborator animals0 5re those animals transgenic farm animals0 5re those animals non%human primates0 5re those animals cloned farm animals0 I &34)I*- 1+51 434, 3) 1+, 5637, I..8,. 5PPL9 13 -9 P*3P3.5L +), -a e

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(esearch .nvolvin Developin /ountrie /oes the proposed research involve the use of local resources #genetic" animal" plant" etc$0 Is the proposed research of benefit to local communities #e.g. capacit building" access to healthcare" education" etc$0 I &34)I*- 1+51 434, 3) 1+, 5637, I..8,. 5PPL9 13 -9 P*3P3.5L

Dual01se *esearch having direct militar use. *esearch having the potential for terrorist abuse. I &34)I*- 1+51 434, 3) 1+, 5637, I..8,. 5PPL9 13 -9 P*3P3.5L

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,ummary evaluation of ethical issues for the planned research pro"ect 1he ethical issues listed are not relevant for the planned research pro'ect. 1he points mar:ed 9,. are applicable to the planned research pro'ect. I attach a full explanation on how these aspects are being dealt with. 5n opinion from our ethics committee is required for the points mar:ed 9,.. In the event of funding" I will obtain this opinion in due time and send it to the 5lexander von +umboldt )oundation. I will also guarantee compliance with an constraints.

I herewith confirm the correctness and completeness of the above mentioned details.

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+osts confirmation of research facilities and support

5pplicants name

4ame of the proposed host

4ame of the host institute

5ddress of the host institute #.treet" Postal &ode" &it 21own" &ountr $

&ontact data of the host institute #phone number" fax number" e%mail address$

I herewith confirm that all the facilities" equipment and consumables necessar to carr out the research pro'ect are available and that I am authorised to provide a wor:place for the applicant. I affirm that if sponsorship is granted the researcher will be covered b the same safet conditions as other researchers wor:ing at the institute. I will act as the applicants academic mentor and guarantee both the academic supervision of the pro'ect and the observation of the rules of good scientific practice #c.f. information for hosts on the +umboldt )oundation =s website$ as well as of legall %binding principles of scientific ethics in the context of supervision.

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I hereb agree that data relating to m person and position collected as part of the present application #application review for expert reviewers$ #surname, given name, academic title, field of research and specialism, gender, postal address, email address$ ma be stored and processed electronicall b the 5lexander von +umboldt )oundation and used for purposes of review" statistics and evaluation b the 5lexander von +umboldt )oundation and its authorised agents according to > 11 6/.(? evaluation results will onl be published in cumulative" anon mised form. I understand that I can withdraw m consent to participate in the evaluation at an time. 5s these data ma be required in order to process #review for expert reviewers$ future applications" the will be stored on servers of the 5lexander von +umboldt )oundation until I withdraw m consent. Personal data will not be made available to third parties as per > < 6/.(. In the event of a positive decision" the 5lexander von +umboldt )oundation is entitled to publish m name" academic title" field of research and information on the host institute in connection with the funding decision.

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