中国科学院与澳大利亚联邦科工组织项目申请表 
CAS-CSIRO Collaborative Research Project 
Application Form
(2012-2013)

SECTION A – APPLICANT DETAILS	
1.	Project Name（项目名称）	
(i) Full Project title in Chinese（中文全称）	     	
(ii) Full project title in English（英文全称）	     	
2.	CAS applicant organisation details (the lead CAS-affiliated participant)	
Organisation 
(Full legal name)	     	
Street address 	     	
Postal 
address	     	
	     	Postcode	     	
Legal Representative （法人）	     	Valid Term
（任职期限）	     	
Organisation type:	  CAS-affiliated Institute	  CAS-affiliated University	  CAS-Invested Company	
3.	CAS lead researcher（ 中方项目负责人）	
Title	     	Given name(s)	     	Surname	     	
Email	     	Phone	     	

4.	CAS project contact/office of research contact（中方项目联系人）	
Title	     	Given name(s)		     	Surname	     	
Email	     	Phone	     	
Mobile	     	Fax	     	
5.        CSIRO applicant organisation details (the lead participant) 合作方单位	
CSIRO Division/Flagship	     	
Street address 	     	
Postal 
address	     	
	     	Postcode	     	
ABN	     	Date registered for GST	     	
6.	CSIRO lead researcher （外方项目负责人）	
Title	     	Given name(s)	     	Surname	     	
Email	     	Phone	     	

7.	CSIRO project contact（外方项目联系人）	
Title	     	Given name(s)		     	Surname	     	
Email	     	Phone	     	
Mobile	     	Fax	     	

8.	CSIRO-based project partners（其他外方合作伙伴）	
Organisation	     	Location	     	
Organisation	     	Location	     	
Organisation	     	Location	     	

8.	CAS-based project partners（院内合作伙伴）	
Organisation	     	Location	     	
Organisation	     	Location	     	
Organisation	     	Location	     	

SECTION B – PROJECT  SUMMARY项目概要	
1.	Executive summary	
(a)	CSIRO-CAS priority research areas	
	  sustainable agriculture and crop breeding
	  climate science impacts
	  nanotechnology, and new materials for energy
	  health science and technology
		
(b)	Start date of project 	     	End date of project*	     	
(c)	Key aims and objectives of the project (non-technical terms, maximum 200 words)	
     	
(e)	Expected economic, social and/or environmental outcomes for Australia and China (non-technical terms, maximum 200 words)	
     	
2.	Application history	
(a)  	Has this or a similar application been submitted to a CAS-funded program or other program in the past 12 months?
 	 Yes                        No
If Yes, provide details and explain how this application differs from the previous submission.	
     	
(b)	Has this application been prepared with assistance / advice / feedback from an officer from the CAS Bureau of International Cooperation?
  	 Yes                        No
If Yes, provide the name(s) of the officer(s).	
     
	
*Project duration should be no longer than three years.

3.	Project cost and funding summary经费预算	
Exchange rate used for application and all attachments	A$ 1 : RMB      	
		Project cost	Australian $ 	Chinese RMB	
(a)	Total cost of project	A$      	RMB      	
	Project funding	Cash	In-kind	Total	Cash	In-kind	Total	
(b)	CAS lead applicant	     	     	     	(     )	(     )	(     )	
(c)	CAS-based partners	     	     	     	(     )	(     )	(     )	
(d)	CAS funding sought	     	N/A	     	(     )	(N/A)	(     )	
(e)	Total CAS contribution	     	     	     	(     )	(     )	(     )	
(f)	CSIRO lead applicant	(     )	(     )	(     )	     	     	     	
(g)	CSIRO partners	(     )	(     )	(     )	     	     	     	
(h) 	CSIRO funding sought	the total amount of funding provided by the applicant	(     )	(N/A)	(     )	     	N/A	     	
(i)	Total CSIRO contribution	(     )	(     )	(     )	     	     	     	
(vi)	(j)	Total funding for project	     	     	     	     	     	     	

SECTION C - ASSESSMENT CRITERIA 评审标准	
1.	Scientific merit / innovation （科学性和创新性）	
Provide below (or attach) a detailed project proposal that demonstrates the project’s scientific merit.  This should: 
•	outline the challenges to be addressed by the project and how these relate to the existing state of knowledge internationally 
•	outline the project goals, proposed methodologies and proposed work-program and explain how these approaches are feasible given the available funding, facilities and other resources, and timeframe
•	detail how the project will significantly advance knowledge in the field 
•	describe the extent to which the project will foster ongoing mutually beneficial collaboration with international partner(s) and identify any specific collaborative opportunities.
(No more than four A4 pages in 11 point font.)  	
     	
2.	Collaboration / capability to deliver the project（互补性及知识产权共享方案）	
Outline below (or in an attachment) the leading-edge and complementary research capabilities of the CSIRO-based and CAS-based partners, including specialised knowledge, expertise and access to key facilities and equipment.  Explain how this is critical to the success of the project.  
If it is intended to commercialise the outputs of the project, detail the proposed IP management plan.
(No more than two A4 pages in 11 point font)	
     	
3.	Project outcomes  （目标产出即项目执行可能带来的环境、经济或社会效益）	
Outline below (or in an attachment) how the knowledge gained through the project will be applied, for example, as a commercial product or public good.  
Outline the expected project outcomes and benefits including the likely economic, social and/or environmental benefits for Australia and China.
(No more than three A4 pages in 11 point font)	
     	

SECTION D – MILESTONES, FUNDING AND EXPENDITURE 	
(a)	Use the major project milestones and activities table (attachment 1) to provide a breakdown of the key milestones and activities to be satisfactorily completed in order to achieve the overall aims of the project. 	
(b)	Provide a detailed project budget (excluding GST) using the summary of project expenditure template (attachment 2).  	
(c)	Identify the total funding secured (cash and in-kind) for the project and the CSIRO-CAS Fund funding sought using the summary of project funding template (attachment 3). 	

SECTION E – APPLICANT DECLARATIONS	
1.	CAS applicant (申请单位)	

Project name:      
With reference to the application to the CSIRO-CAS Fund, for the project, 
I,      ,   (NAME)
President / Director General of the applicant organisation:
1.	authorise 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:
(a)	the information supplied in this application is true, accurate and not misleading to the best of my knowledge;
(b)	the applicant organisation and/or its partner(s) have received no guarantees or assurances that the application will be approved by the the Bureau of International Cooperation, CAS;
3.	acknowledge that an offer of funding under the CSIRO-CAS Fund will be subject to the applicant organisation signing a Formal Letter of Agreement for Collaboration under CSIRO-CAS Fund within 30 days of receipt of the offer, or the offer will lapse.

-------------------------------------------------------------------------------
NAME

SIGNATURE OF THE PRESIDENT / DIRECTOR GENERAL OF THE APPLICANT ORGANISATION

     
------------------------
DATE	

a.	This information will be made available to the assessment panel.

SECTION E – APPLICANT DECLARATIONS	
2.	CSIRO applicant (申请单位)	

Project name:      
With reference to the application to the CSIRO-CAS Fund, for the project, 
I,      ,   (NAME)
Flagship Director/Division Chief of the applicant organisation:
4.	authorise CSIRO Global Engagement to undertake any necessary checks subject to any written notification as to confidentiality provided to the Bureau(s);
5.	declare that:
(c)	the information supplied in this application is true, accurate and not misleading to the best of my knowledge;
(d)	the applicant organisation and/or its partner(s) have received no guarantees or assurances that the application will be approved by CSIRO Global Engagement.
6.	acknowledge that an offer of funding under the CSIRO-CAS Fund will be subject to the applicant organisation signing a Formal Letter of Agreement for Collaboration under CSIRO-CAS Fund within 30 days of receipt of the offer, or the offer will lapse.

-------------------------------------------------------------------------------
NAME

SIGNATURE OF THE FLAGSHIP DIRECTOR / DIVISION CHIEF OF THE APPLICANT ORGANISATION

     
------------------------
DATE	

a.	This information will be made available to the assessment panel.

CSIRO-CAS Fund 	Attachment 1
Major project milestones and activities

Proposed project start date:      	Proposed project completion date:      
Milestone 1:       	Commencement date: date of collaborative agreement
	[insert milestone name]	Completion date: 6 months (less one day) from the collaborative agreement date	
Key personnel responsible	     	
Description of activities	     	
Milestone 2:       	Commencement date: 6 months from the collaborative agreement date	
	[insert milestone name]	Completion date: 12 months (less one day) from the collaborative agreement date	
Key personnel responsible	     	
Description of activities	     	
Milestone 3:       	Commencement date: 12 months from the collaborative agreement date	
	[insert milestone name]	Completion date: 18 months (less one day) from the collaborative agreement date	
Key personnel responsible	     	
Description of activities	     	
Milestone 4:       	Commencement date: 18months from the collaborative agreement date	
	[insert milestone name]	Completion date: 24 months (less one day) from the collaborative agreement date	
Key personnel responsible	     	
Description of activities	     	
Milestone 5:       	Commencement date: 12 months from the collaborative agreement date	
	[insert milestone name]	Completion date: 18 months (less one day) from the collaborative agreement date	
Key personnel responsible	     	
Description of activities	     	
Milestone 6:       	Commencement date: 18months from the collaborative agreement date	
	[insert milestone name]	Completion date: 24 months (less one day) from the collaborative agreement date	
Key personnel responsible	     	
Description of activities	     	

Summary of project cash expenditure	Attachment 2

Please use the summary of project cash expenditure worksheet provided in Microsoft Excel 2003 format. 

Project funding	Attachment 3

Please use the project funding worksheet provided in Microsoft Excel 2003 format. 

Attachment 4
Suggested template for letter of support from CAS-based collaborative partners

[date]

Bureau of International Cooperation
Chinese Academy of Sciences
52 Sanlihe Road, Beijing 
Post Code: 100864

Commitment of funds [project name]

[name of contributing organisation / company] is pleased to support [name of project sponsor] in their efforts to implement the project [project name].

As a partner in this endeavour we commit to providing the following resources and services towards the project as our contribution to the application for financial assistance from the CSIRO-CAS Fund.

[contributing company/organisation name] contribution
	Cash
A$	Salaries as cash
A$	In-kind
A$	Total
A$	
Year 1	$xxxx	$xxxx	$xxxx	$xxxx	
Year 2	$xxxx	$xxxx	$xxxx	$xxxx	
Total	$xxxx	$xxxx	$xxxx	$xxxx	

The in-kind contribution consists of:
•	 [Bulleted list describing the cash and/or in-kind services to be provided]

We have provided [number of declarations] salary as cash contribution declarations to the total of AU$[xxxx].

The above items have a total contribution of A$[total cash] cash and A$[total in-kind] in-kind.

Yours sincerely

[name]
[title]

Attachment 5

CSIRO-CAS Collaborative Research Project 
Salary as cash contribution

DECLARATION

The following declaration is made with respect to the project titled {insert project title}      , and specifically in regard to the applicant’s intention to utilise salary related costs of a dedicated researcher as a component of the project’s cash contribution.

We certify that with respect to the employment of {insert researcher’s name}       on the above mentioned project, that he/she:
•	is employed by either the applicant organisation or a collaborative partner to the project on either a full-time or part-time arrangement
•	will be assigned to this project for at least 20 per cent of their work responsibilities
•	is not currently funded through a CAS or Government funding arrangement for another project from which that person is now transferring to take up this position.

We also certify as to the following project related information:
•	the amount of time dedicated by the researcher to the core business of the project is estimated to be {insert estimated figure}       per cent of their contracted weekly work hours
•	the value of these research services is estimated to be{insert estimated amount} A$      / RMB      
•	appropriate records will be maintained to substantiate the actual time spent on the project and these records will be available for review by CSIRO / CAS

     				
{Insert researcher’s name}	Signature		Dated	

				
{Insert employer’s name and
certifying officer’s name and title}	Signature		Dated	

Checklist 
(complete before finalising and submitting application)	Yes	
The application includes a lead applicant that is CAS(China)-based and a lead applicant that is CSIRO-based		
The application demonstrates that the partner(s) based in CSIRO will match the CAS (China) cash contribution, in cash, at a rate of no less than A$1:1		
Included with CAS application are:		
–	one original application signed by the CAS-based applicant with attachments and supporting documents (unbound) 		
–	five copies of the application with attachments and supporting documents (spiral bound)		
–	a copy of the application with attachments – Microsoft Word/Excel format on compact disc