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（2015-2016）.docx

CAS-CSIRO Project Fund Project Application Form 2015 Project Overview Project title English name: Chinese name: CAS-CSIRO priority research area Choose an item. Proposed start and end date start: DD/MM/YYYY end: DD/MM/YYYY Applicants details Lead researchers CAS CSIRO Email: Name: (title, first name, SURNAME) English name: Chinese name: Position: Phone/mobile: Lead organisations CAS CSIRO Lead institution or business unit English name: Chinese name: Business unit: Name: Email: Name: Email: Name: Email: Name: Email: Address Legal representative or contract manager Finance manager Project costs & funding summary Please note: only projects with matching “E) CAS total contribution” and “I) CSIRO total contribution” will be approved. CAS Headquarters can only contribute ￥1,000,000 for the project. CAS institute and CSIRO Business units can contribute more than this amount but a minimum matching amount is required. Exchange rate used for application & all attachments $A: RMB Project costs Chinese (RMB) Australian dollars ($A) A) Total project costs (over 3 years) Project funding B) CAS lead institute C) CAS partners D) CAS corporate E) CAS total contribution F) CSIRO business units 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) Cash In-kind Total Cash In-kind Total Application history Has this or a similar application been submitted to a CAS or CSIRO (yes/no) 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:50 words) Assessment criteria Overview of project objectives (max: 250 words) 1. How would this project address common national challenges of China & Australia and align with the enterprise strategies of both organisations (max 100 words). 2. How would this project draw upon complementary skills from both organisations? For example, explain why neither organisation could do this alone (max 100 words). 3. Outline the intended deliverables and explain how delivering these deliverables would allow you to meet the project objectives (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 to the CSIROCAS Fund, for the project (above) I…. (President / Director General’s surname, first name) President / Director General of the applicant organisation … (Name of institute) 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 CSIROCAS Fund, for the project (above) I… (Business Unit Director’s surname, first name) Business unit Director of the… (name of Business Unit) 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 CSIRO-CAS Fund will be subject to the applicant organization signing a CSIRO- CAS Collaborative Research Agreement 60 days of receipt of the offer, or the offer will lapse. (signature of Business Unit Director’s surname, first name) (date)