Cover Page
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
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