JSIP
Japan (NEDO)-Spain (CDTI) Innovation Program
APPLICATION FORM
1. General Information
1.1 Main Participants
Spain
Japan
1.2 Title
Acronym
1.3 Summary
(Title: Do not exceed 120 characters)
(Acronym: 1 word)
(Do not exceed 240 characters)
1.4 Technological Area
(Choose only one)
Energy & Environment
Nanotechnology & Materials
Electronics & Information
Machinery System
Biotechnology & Medical
Others
Year 1
1.5
Duration (months):
Budget
Start Date:
and
Duration Budget
Spain – 1000 Euro
Japan – 1,000,000 Yen
Total in Euro
Total in Yen
Exchange rate
Year 2
Year 3
TOTAL
(if applicable)
Spain
Japan
Spain
Japan
Spain
Japan
Spain
Japan
2. Project Outline
2.1 Description
2.2 Proposed Research and Development
JSIP Application Form
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2.3 Market Application and Exploitation
3. Participant Information
Spanish Participants
3.1 Main Participant
Full Name
Organization Address
Contact person data
Telephone number
Fax number
Function
E-mail
Activity
3.2 Other Participant (1) (If applicable)
Full Name
Organization Address
Contact person data
Telephone number
Fax number
Function
E-mail
Activity
JSIP Application Form
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3.3 Other Participant (2) (If applicable)
Full Name
Organization Address
Contact person data
Telephone number
Fax number
Function
E-mail
Activity
Japanese Participants
3.1 Main Participant
Full Name
Organization Address
Contact person data
Telephone number
Fax number
Function
E-mail
Activity
3.2 Other Participant (1) (If applicable)
Full Name
Organization Address
Contact person data
Telephone number
Fax number
Function
E-mail
Activity
3.3 Other Participant (2) (If applicable)
Full Name
Organization Address
Contact person data
Telephone number
Fax number
Function
E-mail
Activity
JSIP Application Form
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4. Contribution to the Project
Spanish Participants
Name of organizations and a brief description of their activities in the project
Main Participant
Other Participant (1)
Other Participant (2)
Japanese Participants
Name of organizations and a brief description of their activities in the project
Main Participant
Other Participant (1)
Other Participant (2)
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5. Expertise of the Participants
Spanish Participants
Name of organizations and a brief description of their experience in relation to the project
Main Participant
Other Participant (1)
Other Participant (2)
Japanese Participants
Name of organizations and a brief description of their experience in relation to the project
Main Participant
Other Participant (1)
Other Participant (2)
JSIP Application Form
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6. Consortium Agreement
Indicate if the main and other participants have signed a Consortium Agreement of the
proposed project or any other collaboration agreement and note the signing date if applicable.
Signed Consortium Agreement of the proposed project,
Date:
Other type of collaboration agreement,
Date:
Brief description about the other type of collaboration agreement:
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This application form must be signed by all applicants before submission to NEDO and CDTI in order to
obtain JSIP status.
The participants signing below intend to cooperate as described herein with the aim of realizing the
technical development as set forth throughout this document, and they hereby formally apply for JSIP
status for this project. In addition, the participants have or intend to execute a formal collaboration
agreement.
The participants will provide their respective JSIP National Managers with updates to this form whenever
a significant change occurs, or at least once a year. They will also submit a brief final report when the
project is completed and then provide information on the exploitation of project results on a periodic
basis.
Signature of the Main Participant from Spain
Organization name
Full name
Last name
Function in Organization
Signature
Name of the person signing
First name
Date;
Important Notice
1.
The information provided in this application form will be exchanged between NEDO and CDTI to
evaluate whether the proposed project meets the requirements for international collaboration under
the Japan (NEDO)-Spain (CDTI) Innovation Program (JSIP). Information will only be used by the
JISP National Managers and related specialists within NEDO and CDTI for the purpose of proposal
evaluation and selection. For further information, please contact the National Manager for Japan
at international@ml.nedo.go.jp or the National Manager for Spain at jsip@cdti.es.
2.
After a proposal has obtained JSIP status, new interested applicants can officially be recognized as
participants when they satisfy JSIP criteria and after they have added their signature to this
application form with the supplements to item 3, item 4, item 5, and item 6.
JSIP Application Form
8
This application form must be signed by all applicants before submission to NEDO and CDTI in order to
obtain JSIP status.
The participants signing below intend to cooperate as described herein with the aim of realizing the
technical development as set forth throughout this document, and they hereby formally apply for JSIP
status for this project. In addition, the participants have or intend to execute a formal collaboration
agreement.
The participants will provide their respective JSIP National Managers with updates to this form whenever
a significant change occurs, or at least once a year. They will also submit a brief final report when the
project is completed and then provide information on the exploitation of project results on a periodic
basis.
Signature of Other Participant (1) from Spain
Organization name
Full name
Last name
Function in Organization
Signature
Name of the person signing
First name
Date;
Important Notice
1.
The information provided in this application form will be exchanged between NEDO and CDTI to
evaluate whether the proposed project meets the requirements for international collaboration under
the Japan (NEDO)-Spain (CDTI) Innovation Program (JSIP). Information will only be used by the
JISP National Managers and related specialists within NEDO and CDTI for the purpose of proposal
evaluation and selection. For further information, please contact the National Manager for Japan
at international@ml.nedo.go.jp or the National Manager for Spain at jsip@cdti.es.
2.
After a proposal has obtained JSIP status, new interested applicants can officially be recognized as
participants when they satisfy JSIP criteria and after they have added their signature to this
application form with the supplements to item 3, item 4, item 5, and item 6.
JSIP Application Form
9
This application form must be signed by all applicants before submission to NEDO and CDTI in order to
obtain JSIP status.
The participants signing below intend to cooperate as described herein with the aim of realizing the
technical development as set forth throughout this document, and they hereby formally apply for JSIP
status for this project. In addition, the participants have or intend to execute a formal collaboration
agreement.
The participants will provide their respective JSIP National Managers with updates to this form whenever
a significant change occurs, or at least once a year. They will also submit a brief final report when the
project is completed and then provide information on the exploitation of project results on a periodic
basis.
Signature of Other Participant (2) from Spain
Organization name
Full name
Last name
Function in Organization
Signature
Name of the person signing
First name
Date;
Important Notice
1.
The information provided in this application form will be exchanged between NEDO and CDTI to
evaluate whether the proposed project meets the requirements for international collaboration under
the Japan (NEDO)-Spain (CDTI) Innovation Program (JSIP). Information will only be used by the
JISP National Managers and related specialists within NEDO and CDTI for the purpose of proposal
evaluation and selection. For further information, please contact the National Manager for Japan
at international@ml.nedo.go.jp or the National Manager for Spain at jsip@cdti.es.
2.
After a proposal has obtained JSIP status, new interested applicants can officially be recognized as
participants when they satisfy JSIP criteria and after they have added their signature to this
application form with the supplements to item 3, item 4, item 5, and item 6.
JSIP Application Form
10
This application form must be signed by all applicants before submission to NEDO and CDTI in order to
obtain JSIP status.
The participants signing below intend to cooperate as described herein with the aim of realizing the
technical development as set forth throughout this document, and they hereby formally apply for JSIP
status for this project. In addition, the participants have or intend to execute a formal collaboration
agreement.
The participants will provide their respective JSIP National Managers with updates to this form whenever
a significant change occurs, or at least once a year. They will also submit a brief final report when the
project is completed and then provide information on the exploitation of project results on a periodic
basis.
Signature of the Main Participant from Japan
Organization name
Full name
Last name
Function in Organization
Signature
Name of the person signing
First name
Date;
Important Notice
1.
The information provided in this application form will be exchanged between NEDO and CDTI to
evaluate whether the proposed project meets the requirements for international collaboration under
the Japan (NEDO)-Spain (CDTI) Innovation Program (JSIP). Information will only be used by the
JISP National Managers and related specialists within NEDO and CDTI for the purpose of proposal
evaluation and selection. For further information, please contact the National Manager for Japan
at international@ml.nedo.go.jp or the National Manager for Spain at jsip@cdti.es.
2.
After a proposal has obtained JSIP status, new interested applicants can officially be recognized as
participants when they satisfy JSIP criteria and after they have added their signature to this
application form with the supplements to item 3, item 4, item 5, and item 6.
JSIP Application Form
11
This application form must be signed by all applicants before submission to NEDO and CDTI in order to
obtain JSIP status.
The participants signing below intend to cooperate as described herein with the aim of realizing the
technical development as set forth throughout this document, and they hereby formally apply for JSIP
status for this project. In addition, the participants have or intend to execute a formal collaboration
agreement.
The participants will provide their respective JSIP National Managers with updates to this form whenever
a significant change occurs, or at least once a year. They will also submit a brief final report when the
project is completed and then provide information on the exploitation of project results on a periodic
basis.
Signature of Other Participant (1) from Japan
Organization name
Full name
Last name
Function in Organization
Signature
Name of the person signing
First name
Date;
Important Notice
1.
The information provided in this application form will be exchanged between NEDO and CDTI to
evaluate whether the proposed project meets the requirements for international collaboration under
the Japan (NEDO)-Spain (CDTI) Innovation Program (JSIP). Information will only be used by the
JISP National Managers and related specialists within NEDO and CDTI for the purpose of proposal
evaluation and selection. For further information, please contact the National Manager for Japan
at international@ml.nedo.go.jp or the National Manager for Spain at jsip@cdti.es.
2.
After a proposal has obtained JSIP status, new interested applicants can officially be recognized as
participants when they satisfy JSIP criteria and after they have added their signature to this
application form with the supplements to item 3, item 4, item 5, and item 6.
JSIP Application Form
12
This application form must be signed by all applicants before submission to NEDO and CDTI in order to
obtain JSIP status.
The participants signing below intend to cooperate as described herein with the aim of realizing the
technical development as set forth throughout this document, and they hereby formally apply for JSIP
status for this project. In addition, the participants have or intend to execute a formal collaboration
agreement.
The participants will provide their respective JSIP National Managers with updates to this form whenever
a significant change occurs, or at least once a year. They will also submit a brief final report when the
project is completed and then provide information on the exploitation of project results on a periodic
basis.
Signature of Other Participant (2) from Japan
Organization name
Full name
Last name
Function in Organization
Signature
Name of the person signing
First name
Date;
Important Notice
1.
The information provided in this application form will be exchanged between NEDO and CDTI to
evaluate whether the proposed project meets the requirements for international collaboration under
the Japan (NEDO)-Spain (CDTI) Innovation Program (JSIP). Information will only be used by the
JISP National Managers and related specialists within NEDO and CDTI for the purpose of proposal
evaluation and selection. For further information, please contact the National Manager for Japan
at international@ml.nedo.go.jp or the National Manager for Spain at jsip@cdti.es.
2.
After a proposal has obtained JSIP status, new interested applicants can officially be recognized as
participants when they satisfy JSIP criteria and after they have added their signature to this
application form with the supplements to item 3, item 4, item 5, and item 6.
JSIP Application Form
13