申请表 Application Form.doc

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1、Q-CAS Collaborative Science Fund Page 1 of 6申请表 Application Form2017 年度中国科学院 -昆士兰合作科学基金Queensland- Chinese Academy of Sciences Collaborative Science Fund 2017(注:除了项目中文全称需用中文填写以外,其余内容请用英文填写)SECTION A APPLICANT DETAILS 申请人情况1. Project Name 项目名称(i) Project title(Maximum 5 words) (ii) Full project title

2、中文全称2. CAS Applicant Organisation Details (the lead CAS-based participant) 申请单位情况Organisation (Full name) Research Group /Laboratory(if applicable)Street address Postal address Postcode 3. CAS Project Leader 项目负责人Title Given name(s) Surname Gender Male FemalePhone Mobile Project addressPostcode Emai

3、l 4. CAS Project Contact / Division of S.SIGNATURE OF THE DIRECTOR GENERAL / DEPUTY-DIRECTOR GENERAL/ASSISTANT DIRECTOR GENERAL OF THE APPLICANT ORGANISATIONDATE: .Q-CAS Collaborative Science Fund Page 6 of 6CHECKLIST 核对清单(complete before finalising and submitting application) YesThe applicant organ

4、isation is a CAS institute.The project is a collaborative partnership with a Queensland-based university/ research institution/firm/CRC/ARC Centre of Excellence/government agency which has an ABN and is registered for GST.The application demonstrates that the CAS lead applicant organisation (and its

5、 partners, if any) will contribute at least $75,000 in cash to the project.The application demonstrates that Queensland lead participant (and its partners, if any) will contribute at least $75,000 in cash to the project.The application has been signed by the Applicant Organisations appropriate officer (Director General, Deputy Director-General or Assistant Director-General)All attachments are complete and included.Brief resumes of key researchers are included.

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