National Science Council, Taiwan 
NSC	Russian Foundation for Basic Research
RFBR	

Russia-Taiwan Research Cooperation 
APPLICATION FORM

Application Number:		

•	Joint Research Project【From       /     /        To      /     /       】(dd/mm/yyyy)

1.	General Information on Research Project
1.1.	Research Project Title
1.1.1.	Title in English: 
1.1.2.	Title in Russian:
1.1.3.	Title in Mandarin:
1.2.	Which best describes the fields of this project: (please select by filling “ v ” )
_______ Natural Sciences    _______ Life Sciences    _______ Engineering and Applied Sciences
_______ Science Education  _______ Humanities and Social Sciences
1.3.	Key words: 

2.	Information on Russian Principal Investigator (PI)
2.1.	Full Name (Please write in the order of Family Name, Given Name, Patronymic Name)
2.1.1.	In English:
2.1.2.	In Russian: 		
2.1.3.	Date of Birth:
2.2.	Institution/Department:
2.3.	Position: 
2.4.	Contacts
2.4.1.	Telephone numbers
2.4.1.1.	 Office:
2.4.1.2.	 Home/ Mobile:
2.4.1.3.	 Fax Number:
2.4.2.	Postal Address:

2.4.3.	E-mail Addresses (2 addresses if possible): 

2.5.	I confirm that the information given here is correct to the best of my knowledge.  Taiwanese PI and I agree to notify NSC and RFBR promptly of any changes of which we become aware and which might significantly affect the grant, if made.
Signature of Russian PI: ______________________     Date: ______________________

3.	Information on Taiwanese Principal Investigator (PI)
3.1.	Full Name (Please write in the order of Family Name, Given Name) 
3.1.1.	In English:
3.1.2.	In Mandarin: 	
3.1.3.	Date of Birth:	 
3.2.	Institution/Department:
3.3.	Position: 
3.4.	Contacts
3.4.1.	Telephone numbers
3.4.1.1.	 Office:
3.4.1.2.	 Home/ Mobile:
3.4.1.3.	 Fax Number:
3.4.2.	Postal Address:

3.4.3.	E-mail Addresses (2 addresses if possible): 

3.5.	I confirm that the information given here is correct to the best of my knowledge.  Russian PI and I agree to notify RFBR and NSC promptly of any changes of which we become aware and which might significantly affect the grant, if made.
Signature of Taiwanese PI: ______________________     Date: ______________________

4.	Information on Russian Research Team
4.1.	Number of Researchers: 
4.2.	Indicate “Staff Type”: full-time research assistant, part-time research assistant or postdoctoral research fellow.
Staff
Type	Name	Institution/
Department	Position	Role in Project	

					

					

5.	Information on Taiwanese Research Team
5.1.	Number of Researchers: 
5.2.	Indicate “Staff Type”: full-time research assistant, part-time research assistant or postdoctoral research fellow.
Staff
Type	Name	Institution/
Department	Position	Role in Project	

					

					

6.	Mutual Visit 
6.1.	Visit by Russian Researchers 
Visitor’s Name		Position		
Duration of Visit	From       /      /        To       /      /              (dd/mm/yyyy)	
Places to visit		
Visitor’s Name		Position		
Duration of Visit	From       /      /        To       /      /              (dd/mm/yyyy)	
Places to visit		
Visitor’s Name		Position		
Duration of Visit	From       /      /        To       /      /              (dd/mm/yyyy)	
Places to visit		

6.2.	Visit by Taiwanese Researchers
Visitor’s Name		Position		
Duration of Visit	From       /      /        To       /      /              (dd/mm/yyyy)	
Places to visit		
Visitor’s Name		Position		
Duration of Visit	From       /      /        To       /      /              (dd/mm/yyyy)	
Places to visit		
Visitor’s Name		Position		
Duration of Visit	From       /      /        To       /      /              (dd/mm/yyyy)	
Places to visit		

7.	Abstract of Research Project