1、30 June 2018 Page 1of 9Circulation restricted to the Administration Office of THEKEY Scientific Research Fund and to the author of the document to protect the individual and to protect privacy, commercial and industrial secrecyAPPLICATION FOR THE PROJECTS OF THE RACING PLANTHEKEY SCIENTIFIC RESEARCH
2、 FUND 关键科学研究基金千里马计划申请书范本Please supply one signed application. All data included in this application must concern only the legal entity or entities making the application.1 SUBMITTED by 申请依托机构Name(s) of legal entity or entities making this application申请依托机构名称Nationality国籍Leader领导机构Member成员机构Etc 2 CON
3、TACT PERSON (for this application)联系人Name姓名Organization机构名称Address地址Telephone电话Fax传真e-mail电子邮件15 January 2016 Page 2 of 93 GENERAL INFORMATION OF THE PROJECT 项目描述A. General Information (max. 1 page)项目基本信息A.1. Project Title (max. 15 words)项目名称 （不超 15 字）A.2. Thematic areas for the project (single or m
4、ultiple choice)项目所属领域A.3. Indicative total project cost项目申请金额Amount: USD CNY A.4. Any co-financing是否有其他来源资金共同投入Yes No 是 否A.5. Estimated project duration估计项目时长 Half year One year months半年 一年 个月B. Project description (max. 2 pages)项目描述 （不超过 2 页）Description of the current research trend in the fieldDes
5、cription of the research project including objectives, background, merits and importance of the project, scientific issues targeted, proposed methodologies applicable Main research activities of the key membersDescription of the existing collaboration, the necessity of proposed collaboration, and co
6、llaborative arrangements defining general responsibilities and tasks assigned to each side in order to realize the project goalsDescription of planned workshops or symposia if any描述本领域内的发展趋势；描述本研究项目：目标，背景，项目的优点和重要性，针对的科学议题，准备采用的方法；核心成员的主要研究活动；对现有中外合作的描述、建议的中外协作的必要性和合作安排，为实现项目目标而做出的双方合作安排：各方的责任和分工；如果
7、在项目中计划了研讨会或论坛，请进行描述。30 June 2018 Page 3 of 94 THE WORK PLAN 工作计划Month月份 1 2 3 4 5 6 7 8 9 10 11 12Activities工作内容30 June 2018 Page 4 of 95 BUDGET ESTIMATION估计预算5.1 Chinese Side中方申请人Month月份 1 2 3 4 5 6 7 8 9 10 11 12Research Cost研究费用Equipment/Instrument仪器设备Seminar/Workshop Cost研讨会费用Travels旅行访问Others其他
8、Total总计30 June 2018 Page 5 of 95.2 International Side国际合作方Month月份 1 2 3 4 5 6 7 8 9 10 11 12Research Cost研究费用Equipment/Instrument仪器设备Seminar/Workshop Cost研讨会费用Travels旅行访问Others其他Total总计5.3 Total Amount项目总金额Total Amount Applied for from THEKEY Fund: 向关键基金申请的项目金额总计：Total Amount from Other Sources:项目其他
9、资金来源合计： 30 June 2018 Page 6of 96. APPLICANT INFORMATION申请人信息6.1 Chinese Side中方申请人Position in The Project项目中担任职务Name姓名Degree学历Research Area研究领域Academic Title职称Institution机构Address地址E-Mail电子邮件Tel.电话：Fax:传真：Project Experiences项目经验Expertise专长Related Scientific Publications in the last 5 years （up to 10)
10、过去五年的主要发表的相关论文及出版物 （不超过 10 篇）30 June 2018 Page 7of 96.2 International Side国际申请人Position in The Project项目中担任职务Name姓名Degree学历Research Area研究领域Academic Title职称Institution机构Address地址F-Mail电子邮件Tel.电话：Fax:传真：Project Experiences项目经验Expertise专长Related Scientific Publications in the last 5 years （up to 10)过去
11、五年的主要发表的相关论文及出版物 （不超过 10 篇）30 June 2018 Page 8of 96.3 Other Members其他成员Position in The Project项目中担任职务Name姓名Degree学历Research Area研究领域Academic Title职称Institution机构Address地址G-Mail电子邮件Tel.电话：Fax:传真：Project Experiences项目经验Expertise专长Related Scientific Publications in the last 5 years （up to 10)过去五年的主要发表的
12、相关论文及出版物 （不超过 10 篇）7. SIGNATURES签字Chinese Applicant International Cooperative Side 中方申请人 国际合作方 Signature签字Signature签字Name姓名Name姓名Date日期Date日期Page 9of 9FORMAT FOR EXPRESSIONS OF INTERESTS 项目意向书范本Your ref: Dear Sir/MadamIn response to your Call for Expressions of Interests, we, , submit the applicatio
13、n form. We assure the information we have presented in this Expressions of Interests and the application form and its appendices is true and correct. We hereby declare that:We have examined the Call for Expressions of Interests. If our application is short-listed, we fully intend to submit a full pr
14、oject proposal according to your requirements.We are fully aware that, for a consortium, the composition of the consortium cannot be changed in the course of the fund application procedure, unless the Administration Office has given its prior approval in writing. We are aware that, for the purposes of evaluation, our personal data may be transferred to the Fund internal offices and the evaluation panel.Yours faithfully,
