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Cover Page

NSC-TFRI International Collaborative Research

Proposal

Title of Proposal (Chinese)

_______________________

Title of Proposal (English)

_______________________

Project Period: _____________________

Principal Investigator (Chinese)

____________________________

Principal Investigator (English)

_____________________________

Participating Institutions:

_____________________________

Project Discipline________________________

F form NSC-TFRI-00

Table of Contents

Cover Page (Form NSC-TFRI 00)

I.

General Information (Form NSC-TFRI01) a.

Canadian Lead Investigator (Form NSC-TFRI01A)

II.

Requested Budget for Entire Term of Project (Taiwan) (Form NSC-TFRI 02) a.

Requested Budget for Entire Term of Project (Canada) (Form NSC-TFRI 02A) b.

Budget Justification (Form NSC-TFRI02B)

III.

List of Research Projects (Form NSC-TFRI 03)

IV.

Lay Abstracts and Keywords (Form NSC-TFRI 04). a.

Scientific Abstract (Form NSC-TFRI04A) b.

Collaboration Rationale (Form NSC-TFRI04B)

V.

Detailed Description of Proposed Research (Form NSC-TFRI05)

VI.

Curriculum Vitae (Form NSC-TFRI 06)

VII.

Research Projects Executed within the Past Three Years (Form C013)

VIII.

International Cooperative Research (Form I001~I003)

NSC-TFRI International Collaborative Research

Proposal

I. General Information

Type of Project

NSC-TFRI Joint Research Project in Cancer

Mode of Research

Area of Research

Individual Research Project

Dept. of Natural Sciences

Integrated Research Project

Institution/Department

Principal Investigator (PI) Position Identification

Number

Research Project Chinese

Title

English

Integrated Research Project

Title

Chief Investigator of

Integrated Research Project

Project Period

Project Discipline Discipline Code

Identification

Number

Discipline

Type of Research

Pure basic research

Oriented basic research

□ Applied research □ Experimental development

Number of grant proposals submitted this year (including pre-approved projects and excluding proposals submitted by co-PIs): __________

Of all grant proposals submitted this year (as indicated above), indicate priority ranking for this proposal (do not repeat ranking):

This is an international collaborative research project, Please complete Forms I001 through I003

Does this project require the use of ocean research vessels?

 No  Yes (Please complete Form C014)

Does this research project include the following? (Check as applicable and attach relevant consent forms.)

Human Studies/ Human Specimen

Human Embryo/ Human Embryonic Stem Cell

Gene Recombination / GMO Field Trial /Microbes in Risk Group 2,3,4

Animal Studies

Contact Information Name: Telephone: (Office) (Home/Mobile)

Mailing Address

Fax Number E-mail

Form NSC-TFRI 01 Page ____of ____pages

Signature of Principal Investigator (applicant): Date:

NSC-TFRI International Collaborative Research

Canadian Lead Investigator

Ia. General Information

Type of Project

NSC-TFRI Joint Research Project in Cancer

Mode of Research

Area of Research

Individual Research Project

Integrated Research Project

Institution/Department

Principal Investigator (PI) Position

Research Project

Title

Chinese

English

Integrated Research Project

Title

Chief Investigator of Integrated

Research Project

Project Discipline Discipline Code

Identification

Number

Discipline

Type of Research □ Pure basic research □ Oriented basic research

□ Applied research □ Experimental development

Does this research project include the following? (Check as applicable and attach relevant consent forms.)

Human Studies/ Human Specimen

Human Embryo/ Human Embryonic Stem Cell

Gene Recombination / GMO Field Trial /Microbes in Risk Group 2,3,4

Animal Studies

Contact Information Name: Telephone: (Office) (Home/Mobile)

Mailing Address

Fax Number E-mail

Form NSC-TFRI 01A Page ____of ____pages

Signature of Principal Investigator (applicant): Date:

Signature of Institutional Representative: Date:

Ⅱ . Requested Budget for Entire Term of Project Period (Taiwan):

Budget Categories

Project Year

Unit: TWD 1,000

1 st Year 2 nd Year 3 rd Year

(2013/01/01

(2014/01/01

(2015/01/01

2013/12/31) 2014/12/31) 2015/12/31)

Total for Entire

Term of Project

Period

General Expenses

Personnel in Taiwan

Consumables in Taiwan

Travel Expenses to Canada

Equipment

Travel Expenses for International

Destinations

Overhead

Total for Each Year

(1,000 TWD = CDN$33)

Postdoctoral Research Fellows

____ persons ____ persons ____ persons ____ persons

Form NSC-TFRI 02

Page ____of ____pages

Support Available / Requested from other Taiwanese Sources for

Entire Term of Project Period:

Indicate support from the participating institutions or other funding agencies (including industrial support).

Leave space blank if not applicable.

1.

Supporting Institution

(including participating institutions

and other funding agencies)

Items Funded

(personnel, equipment, etc.)

Amount of Funding Funding Period

Signature of the administrator of supporting institution: __________________________

(Or attach other evidence of support)

2.

Signature of the administrator of supporting institution: __________________________

(Or attach other evidence of support)

3.

Signature of the administrator of supporting institution: __________________________

(Or attach other evidence of support)

4.

Signature of the administrator of supporting institution: __________________________

(Or attach other evidence of support)

Form NSC-TFRI 02

Page ____of ____pages

IIa. Requested Budget for Entire Term of Project Period (Canada):

Budget Categories

Project Year

Unit: CDN$

1 st Year 2 nd Year 3 rd Year

(2013/01/01

(2014/01/01

(2015/01/01

2013/12/31) 2014/12/31) 2015/12/31)

Total for Entire

Term of Project

Period

General Expenses

Research Personnel in Canada

Research Consumables in Canada

Travelling Fellowship(s) to Taiwan

Travel Expenses to Taiwan

Travel Expenses for International

Destinations

Total for Each Year

1CDN$=30TWD

Postdoctoral Research Fellows

____ persons ____ persons ____ persons ____ persons

Use asterisk(s) above (*) to identify budget items which will be covered from other sources than TFRI, and provide more details of the funder on the next page. The TFRI request should not exceed CDN$50,000 per year.

Form NSC-TFRI 02A

Page ____of ____pages

Support Available / Requested from other Canadian Sources for

Entire Term of Project Period:

Indicate support from the participating institutions or other funding agencies (including industrial support).

Leave space blank if not applicable.

1.

Supporting Institution

(including participating institutions

and other funding agencies)

Items Funded

(personnel, equipment, etc.)

Amount of Funding Funding Period

Signature of the administrator of supporting institution: __________________________

(Or attach other evidence of support or status of that support)

2.

Signature of the administrator of supporting institution: __________________________

(Or attach other evidence of support or status of that support)

Form NSC-TFRI 02A

Page ____of ____pages

IIb. Budget Justification

Provide a short justification for each budget line item (Taiwan/Canada)

Form NSC-TFRI 02B

Page ____of ____pages

Ⅲ . List of Research Projects

Categories

Principal

Investigator

Institution/

Department

Position

Main Project

Research Project Title

Sub-project 1

Sub-project 2

Sub-project 3

Percent of

Effort*

Sub-project 4

.

*

Percent of effort is defined as the percentage of the hours devoted to this project to the total working hours per week. For instance, 50% means this individual will devote a half of his/her working hours to this research project each week.

Form NSC-TFRI 03

Page ____of ____pages

Ⅳ . Lay Abstracts and Keywords

( Please use the font type of Times New Roman, 12 points, single-space, limited to 1 page)

Keywords:

Form NSC-TFRI04 Page ____of ____pages

IVa. Scientific Abstract

(Please use the font type of Times New Roman, 12 points, single-space, one page maximum)

Provide a scientific summary of the proposed research. Describe the scientific objectives of the project(s), the methodology to be used, and plans to integrate the results of the collaboration)

Form NSC-TFRI04A Page ____of ____pages

IVb. Collaboration Rationale

(Please use the font type of Times New Roman, 12 points, single-space, one page maximum)

Provide reasons (1) why the applicants propose to work together, and what are the advantages of working together towards the goals? (2) what will each applicant bring to the collaboration and what work will be done together? (3) how will the work be done, and by whom? (4) define key performance indicators and milestones against which project progress can be measured.

Form NSC-TFRI04B Page ____of ____pages

Ⅴ . Detailed Description of Proposed Research

(Please use the font type of Times New Roman, 12 points, single-space, maximum of 15 pages)

Overall description of the proposed research project: please explain why this research project should be funded. The contents should include, but not limit to, the background of the proposed studies, the scientific significance, the specific aims and the research approaches of the proposed project. Please also state the research capacities of the involved research personnel and institutes. State the milestones and deliverables for each project.

Form NSC-TFRI 05 Page ____of ____pages

VI. Curriculum Vitae

(Required for all PIs and co-PIs of the main and sub-projects; 5-page limit for each CV) (Canadian

Investigators may attach the NCI biosketch of their CV to the proposal

Provide the following information:

1. Personal information.

2. Education.

3. Current position and relevant experience.

4. Fields of specialty (limit to fields related to research).

5. Major awards and honors.

6. Publication list in the past five years, including technical reports, patents, periodical articles, or books related to the project.

7. Research projects executed in the past five years.

Form NSC-TFRI 06 Page ____of ____pages

VII . Research Projects Executed within the Past Three Years

(List all projects conducted within the past three years)

Title of Research Project

(For NSC grant applications, indicate

grant number)

Role/

Position

Duration

(MM/YY~

MM/YY)

Funding or Sponsoring

Institution

Project Status

Total

Expenses

Form C013 page___ of ___ pages

IX. International Collaborative Research Projects

1. General Information about Canadian collaborator :

Principal Investigator

Collaborating Countries

Name of Project at

Cooperating Institution

Principal Investigator at

Cooperating Institution

Institution

Single country: ____________________

Multiple countries, main country:

Other Countries: 1.__________ 2.__________ 3.__________ 4.__________

Chinese

English

Name (English):________________ (Chinese): ________________

Title (English):____________________________________________

Tel:__________________ Fax:_______________ E-mail

___________________

Institution (English): ____________________________

(Chinese): ____________________________

Status of Research Project at

Under review

Authorized, total amount (convert to NT) $ __________ thousand, for _____ years.

Cooperating Institution

Entire Project duration: From to (yyyy/mm/dd)

□ Taiwanese personnel travel abroad for research

Mode of Cooperative

Research

(Check as applicable)

Equipment (please specify): ____________________________

Site (country/city/institution): ______________________________

Type of Cooperative

Research

(Check as applicable)

□ Data collection sharing

Research information exchange

Model of theory establishment and inspection

Copyright

Others (please specify) ________

Not included

Settled (check all that apply):

Joint publication of research results

Joint application for patent rights

Technology transfer

Form I001

page___ of ___ pages

2. Expenses for International Collaborative Research Projects:

1.

Funding will be provided for one overseas trip per year. Please indicate type as A, B, or C:

A.

Request funds for Post-doctoral research fellow or Ph.D. graduate student to travel abroad

B.

Request funds for PI or co-PI to travel abroad

C.

Request funds for foreign principal research or assisting research personnel to travel to Taiwan(for bilateral cooperate projects)

2.

Fill in separate itinerary and travel route for each person, should these be different.

3.

Airplane ticket and living and other expenses must be calculated according to “Dispatching of

Personnel by Central Agencies for Study, Conduct Research, Practical Training Abroad Items and Amount of

Subsidy Form (http://www.nsc.gov.tw/int/public/Data/082711442771.doc),” NSC Standard Per Diem

Subsidies for International Experts and Scholars Visiting Taiwan for Bilateral Cooperation

Activities,” and NSC Bilateral Cooperation Projects guideline.

4.

Convert all currencies to NT$, add up and fill in total, indicate exchange rate.

5.

For multi-year research projects, fill in separate forms for each year.

Name of Research

Personnel

Role in

Project

Type

(A, B, or C)

Country City

Duration of

Stay

Functions and

Duties

Item Type A

Travel Budget

Type B Type C Justifications

Transportation

Living Expenses

Others

Total

Form I002 page___ of ___ pages

3. Abstract of International Collaborative Research Projects:

1.

Briefly state the significance and aim of project.

2.

Describe in detail the division of labor. Additionally, please merge the following documents, including (a) cooperating institute’s project abstract, (b) English application form for bilateral international project, (c) cooperating principal investigator’s CV, and (d) any other reference materials drafted or signed by both sides, into one PDF file and upload from the I004 section for review.

3.

If the sponsoring organization at the cooperating institution does not have a bilateral agreement with the NSC, please provide the organization’s website address or any background information.

4.

If the project is a part of an NSC Program Plan or a Project Plan, indicate the role and status of project within the Program Plan or Project Plan.

5.

Applicants planning to travel abroad in order to utilize special large-scale or valuable equipments must indicate in detail the necessity of the equipment, as well as the equipment name, institution, and address of institution.

6.

Describe the method and aim of research, and equipment use for each research personnel.

Form I003 page___ of ___pages

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