company: - nedo:国立研究開発法人新エネルギー · web viewspain japan 1.2 title...
TRANSCRIPT
JSIP
Japan (NEDO)-Spain (CDTI) Innovation Program
APPLICATION FORM
1.1 Main Participants Spain
Japan
1.2 Title Acronym
(Title: Do not exceed 120 characters)(Acronym: 1 word)
1.3 Summary (Do not exceed 240 characters)
1.4 Technological Area(Choose only one)
Energy & Environment Nanotechnology & Materials Electronics & Information Machinery System Biotechnology & Medical Others
1.5 Budget and Duration
Year 1 Year 2 Year 3(if applicable)
TOTAL
Duration (months):Start Date:BudgetSpain – 1000 EuroJapan – 1,000,000 Yen
Spain Japan Spain Japan Spain Japan Spain Japan
Total in Euro
Total in Yen
Exchange rate
1. General Information
2.1 Description
JSIP Application Form
2. Project Outline
2
2.2 Proposed Research and Development
2.3 Market Application and Exploitation
Spanish Participants3.1 Main ParticipantFull NameOrganization Address Telephone number
Fax numberContact person data Function
E-mailActivity
3.2 Other Participant (1) (If applicable)Full NameOrganization Address Telephone number
Fax numberContact person data Function
E-mailActivity
JSIP Application Form
3. Participant Information
3
3.3 Other Participant (2) (If applicable)Full NameOrganization Address Telephone number
Fax numberContact person data Function
E-mailActivity
Japanese Participants3.1 Main ParticipantFull NameOrganization Address Telephone number
Fax numberContact person data Function
E-mailActivity
3.2 Other Participant (1) (If applicable)Full NameOrganization Address Telephone number
Fax numberContact person data Function
E-mailActivity
3.3 Other Participant (2) (If applicable)Full NameOrganization Address Telephone number
Fax numberContact person data Function
E-mailActivity
JSIP Application Form 4
Spanish Participants
Name of organizations and a brief description of their activities in the projectMain Participant
Other Participant (1)
Other Participant (2)
Japanese Participants
Name of organizations and a brief description of their activities in the projectMain Participant
Other Participant (1)
Other Participant (2)
JSIP Application Form
4. Contribution to the Project
5
Spanish ParticipantsName of organizations and a brief description of their experience in relation to the projectMain Participant
Other Participant (1)
Other Participant (2)
Japanese ParticipantsName of organizations and a brief description of their experience in relation to the projectMain Participant
Other Participant (1)
Other Participant (2)
JSIP Application Form
5. Expertise of the Participants
6
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:
JSIP Application Form
6. Consortium Agreement
7
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 nameFull name
Name of the person signingLast name First nameFunction in OrganizationSignature
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 [email protected] or the National Manager for Spain at [email protected].
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 nameFull name
Name of the person signingLast name First nameFunction in OrganizationSignature
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 [email protected] or the National Manager for Spain at [email protected].
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 nameFull name
Name of the person signingLast name First nameFunction in OrganizationSignature
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 [email protected] or the National Manager for Spain at [email protected].
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 nameFull name
Name of the person signingLast name First nameFunction in OrganizationSignature
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 [email protected] or the National Manager for Spain at [email protected].
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 nameFull name
Name of the person signingLast name First nameFunction in OrganizationSignature
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 [email protected] or the National Manager for Spain at [email protected].
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 nameFull name
Name of the person signingLast name First nameFunction in OrganizationSignature
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 [email protected] or the National Manager for Spain at [email protected].
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