1、Partnerships Development Programme 2018-19 (Post-visit Report Form) Page 1 of 2內地及台灣策略伙伴發展計劃 2018-2019Mainland and Taiwan Strategic Partnership Development Program 2018-2019訪後報告 Post-visit Report請於訪問結束後三十天內填寫此報告，並交回學術交流處(國內事務 )Please complete and return this form to the Office of Academic Links (Chi
2、na) within 30 days upon completion of your visit.A. 基本資料 Basic information姓名 Name 部門/單位 Department / Unit訪問日期 Visit Period 接待單位 Host Collaborator / Department / InstitutionB. 訪問報告 Report請填寫訪問活動內容，並注明是次是活動帶來的實質成果 Please describe the activities you have undertaken during the visit and highlight the su
3、bstantive resultsC. 可持續發展之研究合作及交流項目 Potential projects for research collaboration and academic exchange請回答以下問題Please answer the following questions on any developments of research collaboration and academic exchange resulting from the Strategic Partnership Development Program1. 通過訪問，是否已建立研究合作或學術交流項目
4、During the visit, has there been discussion on development of research collaboration or academic exchange? 是 Yes 否 No2. 如是，請列明合作項目重點 If yes, the proposed collaboration will focus on: _3. 合作項目內容如下:What kind of activities will the proposed collaboration include: (please check as many as appropriate) 合
5、作研究 Research undertakings _ 聯合出版 Joint publications _ 研究生培養 Supervision of PhD students 會議合作 Joint conference / seminar 其他 Others_4. 這些項目將促進雙方大學簽署協議或進一步合作？Will these activities lead to any further collaboration between the two universities or signing of an agreement? Yes _ No _簽署 日期Signature: _ Date
6、: _Partnerships Development Programme 2018-19 (Post-visit Report Form) Page 2 of 2批核 ENDORSEMENT已批閱此報告，並滿意 / 不滿意其內容I have examined the post-visit report and rate this report as satisfactory / unsatisfactory. (Please circle whichever applicable)1. 申請者是系成員，請簽署 1(a) 及 1(b)For applicant who is a faculty
7、 member of a Department / Unit / Centre (please complete 1(a) and 1(b) below):系主任 / 中心主任 / 單位主管批核(a) Endorsement by Head of Department / Unit / Centre : 評語 Comments:姓名 Name in Print : _ 職稱 Title:_簽署 Signature: _ 日期 Date:_院長/ 研究所所長(b) Endorsement by Dean of Faculty or Director of Research Institute評語
8、 Comments:姓名 Name in Print: _ 職稱 Title: _簽署 Signature: _ 日期 Date: _2. 申請者是系系主任 / 中心主任 / 單位主管For applicant who is a Head of Department / Unit / Centre院長 / 研究所所長管批核Endorsement by Dean of Faculty or Director of Research Institute評語 Comments:姓名 Name in Print : _ 職稱 Title:_簽署 Signature: _ 日期 Date:_3. 申請者
9、是院長/ 研究所所長，請簽署 3(a) 或 3(b) For applicant who is a Dean of Faculty or Director of Research Institute (please complete 3(a) OR 3(b) below) 常務副校長批核 (申請者為院長)(a) Endorsement by Provost (for Dean of Faculty)評語 Comments:姓名 Name in Print : _ 職稱 Title:_簽署 Signature: _ 日期 Date:_(b) 副校長(研究) (申請者是研究所所長)Endorsement by PVC (Research) (for Director of Research Institute)評語 Comments:姓名 Name in Print : _ 職稱 Title:_簽署 Signature: _ 日期 Date:_
