《中国科学院-澳大利亚联邦科学与工业研究组织合作研究项目申请表（2014-2015）》.docx

CAS Bureau of International Cooperation E blning@cashq.ac.cn T +86 10 68597569 F +86 10 68511095 A 52 Sanlihe Rd, Xicheng District, Beijing 100864, China CAS-CSIRO Project Fund PLEASE EMAIL TO blning@cashq.ac.cn BY CLOSE OF BUSINESS AUGUST 15 2014, PLEASE SUBMIT AS MSWORD DOCUMENT & SCAN “6. LEADERSHIP ENDORSEMENT” SEPARATELY. Collaborative Research Project Application Form 2014 1. Project Overview Project title (in Chinese) Project title (in English) CAS-CSIRO priority research area Proposed start date (DD/MM/YYYY) Proposed end date (DD/MM/YYYY) Choose an item. Overview of project objectives (max: 250 words) State the economic, social & environmental outcomes for China & Australia (max: 100 words) 2. Applicants details CAS lead organisation Lead institution (full legal name in English) Lead institution (in Chinese characters) Address Legal representative name Organisation type CAS lead researcher Title (Mr/Mrs/Miss/Ms/Dr/Prof) Given name Surname Full name (in Chinese characters) Email Phone/mobile Position CAS project contact Title (Mr/Mrs/Miss/Ms/Dr/Prof) Given name Surname Full name (in Chinese characters) Fax Email Phone/mobile CSIRO lead flagship Flagship Finance manager (in business) Contract manager (in business) Choose an item. CSIRO lead researcher Title (Mr/Mrs/Miss/Ms/Dr/Prof) Given name Surname Ident Fax Email Phone/mobile Position 3. Project costs & funding summary Please note: only projects with matching “E) CAS total contribution” and “I) CSIRO total contribution” will be approved. Exchange rate used for application & all $A: RMB attachments Project costs Australian dollars ($A) Chinese (RMB) A) Total project costs Project funding Cash InTotal Cash InTotal kind kind B) CAS lead institute C) CAS partners D) CAS corporate E) CAS total contribution F) CSIRO flagship G) CSIRO partners H) CSIRO corporate I) CSIRO total contribution J) Total project funding Additional budget information Number of additional attachments List of attachment (please list document titles) 4. Application history Has this or a similar application Choose an item. been submitted to a CAS or CSIRO funded program or other program in the last 12 months? If yes, please provide details and explain how this application differs from previous submissions (max: 100 words) 5. Assessment criteria Please address each of the following assessment criteria: 1. How would this project address common national challenges of China & Australia and align with the enterprise strategies of both organisations (max 250 words). 2. How would this project draw upon complementary skills from both organisations? For example, explain why neither organisation could do this alone (max 250 words). 3. Outline the intended deliverables and explain how delivering these deliverables would allow you to meet the project outcomes (max 250 words). 4. Describe how this project is supported by leadership from both organisations? (max 100 words). 5. Describe how this project builds on existing collaboration and why this funding is essential? (max 100 words) 6. Describe how the expertise of team members will allow them to carry out this project successfully. (max 100 words) Additional information Number of additional attachments List of attachment (please list document titles – e.g. letter of support) 6. Leadership endorsement CAS applicant Project title: With reference to the application (President / Director General’s surname, to the CSIRO-CAS Fund, for the first name) project (above) I: President / Director General of (Name of institute) the applicant organisation: 1. authorise the Bureau of International Cooperation, CAS to undertake any necessary checks subject to any written notification as to confidentiality provided to the Bureau(s); 2. declare that: (a) the information supplied in this 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 or assurances that the application will be approved by the the Bureau of International Cooperation, CAS; 3. acknowledge that an offer of funding under the CSIRO-CAS Fund will be subject to the applicant organisation signing a CSIRO- CAS Collaborative Research Agreement of receipt of the offer, or the offer will lapse. (signature of President/Director General of Applicant’s organisation) (date) CSIRO applicant Project title: With reference to the application to the CSIRO-CAS Fund, for the (Flagship Director’s surname, first name) project (above) I: Flagship Director of the: Choose an item. 4. Authorise CSIRO International to undertake any necessary checks subject to any written notification as to confidentiality provided to the Bureau(s); 5. Declare that: (a) The information supplied in this 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 or assurances that the application will be approved by CSIRO International. 6. Acknowledge that an offer of funding under the CAS-CSIRO Fund will be subject to the applicant organization signing a CAS-CSIRO Collaborative Research Agreement 60 days of receipt of the offer, or the offer will lapse. (signature of Flagship Director’s surname, first name) (date)