申请表ApplicationForm11261.doc

申请表 Application Form2020年度中国科学院-昆士兰合作科学基金Queensland- Chinese Academy of Sciences Collaborative Science Fund 2020(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 addressPostcode3. CAS Project Leader 项目负责人TitleGiven name(s)SurnameGender Male FemaleProject addressPhoneMobilePostcodeEmail 4. CAS Project Contact / Division of S&T Contact项目联系人TitleGiven name(s)SurnameAddressPhoneMobilePostcodeEmail 5. Queensland applicant details (lead participant)昆士兰主申请单位University/ Institute/Company(Full name)Address6. Queensland lead researcher昆士兰方面负责人TitleGiven name(s)SurnameGender Male FemaleProject addressEmail7. CAS-based project partners参与该合作的其他中科院研究所Organisation (Full name)LocationOrganisation (Full name)Location8. Queensland project partners参与该合作的其他昆士兰州机构Organisation (Full name)LocationOrganisation (Full name)LocationSECTION B – PROJECT SUMMARY项目摘要1. Executive Summary (PLAIN ENGLISH)(a) Queensland-Chinese Academy of Sciences targeted research areas 目标领域 Agricultural biotechnology and food research, including food safety Human health and medical research Environmental sciences(b) Short description of the overall project (Plain English, maximum 100 words)c) Start date of project(d) End date of project (maximum TWO years)(e) Aims and objectives of the project (use non-technical terms, maximum 300 words)(f) Outline the main economic, social and/or environmental outcomes of the project that will have been achieved (i) at the end of the project (ii) in five years (iii) in the long-term (i.e. the impact of the project)(g) Have you sought or obtained funding for this project from any other source? If so provide the name of the funding source, the name of the relevant program, the status of your application and the amount of funding sought.2. Project Cost and Funding SummaryExchange rate used for application and all attachmentsA$ 1 : CNY (a) Total cost of projectA$Project fundingCash(b) Queensland lead applicant and Queensland partner/s (if any) (minimum A$75,000)A$ DSITI funding soughtA$125,000(c) Total Queensland contributionA$ (d) CAS lead participant and China partner/s (if any) (minimum A$75,000)A$ CAS funding soughtA$125,000(e) Total China contributionA$ (vi) (f) Total funding for projectA$ SECTION C – ASSESSMENT CRITERIA 评审标准1. Level of novelty and scientific merit of the project (30% weighting)Demonstrate that:· the science and research in your proposed project will address a current and significant challenge for both Queensland and China· preliminary research has been undertaken (by the applicant organisation, the project partners or others) that supports the advancement of the proposed project.(No more than TWO pages.)2. Quality of the collaboration and capability of the project team (30% weighting)Demonstrate that:· science and research partners with complementary areas of expertise will work together on a specific project· the project will build upon the competitive comparative advantages of Queensland and China· the participants have the research, scientific and management skills and experience, with the access to infrastructure and funding required, to successfully deliver the project. (No more than TWO pages.)3. Outcomes and impact of the project (40% weighting)Demonstrate that:· the project will develop innovative products, technologies or processes that have a practical application within an area of identified priority· the project will deliver real and tangible economic, social, and/or environmental benefits for Queensland and China.(No more than THREE pages.)SECTION D – APPLICANT DECLARATION 申请人声明Project name: With reference to the application to the Q-CAS Collaborative Science Fund, for the named project, I, , (NAME)Director General / Deputy-Director General/Assistant Director General of the Applicant Organisation:(1) authorise the Bureau of Frontier Sciences and Education and 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:· the information supplied in this application is true, accurate and not misleading to the best of my knowledge· the applicant organisation and/or its partner(s) 。