application form- c s c(申请表- c s c).docVIP

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Partenariat Hubert Curien avec la Chine Program Cai Yuanpei (蔡元培) 2010-2012 Application Form 1 – Project Title Scientific domain (select one discipline from Annex 2 that best describes your project) 2 – Partners French team Chinese team Project leader Name Position Address ZIP Code City Phone number Fax number Email Web site Laboratory Name-acronym Address ZIP Code City Fax number Web site Mother Institution Address ZIP Code City Country Web site Director’s or President’s Name 3 - Description of the project National and International context Scientific and/or technological objectives Description of the project Research Methodology Expected results Mutual benefits List of attached documents to be provided together with this application form . Any other information may be provided by the applicants, such as accommodation facilities of the host university, etc. For Researchers: ( CV ( list of publications related to the project (up to 10) ( copy of ID card (for Chinese applicants) For PhD students: ( CV ( list of publications related with the project, if any ( 2 recommendation letters (1 recommendation letter only for French PhD applicants) ( official university transcripts (for Chinese applicants) ( copy of highest degree and diploma (for Chinese applicants) ( certification of study (for Chinese applicants). 4 – Equipment and people to be involved in the project People involved in the project French laboratory : Name Date of Birth (dd/mm/yyyy) Position Title Purpose of visit Proposed time of stay overseas PhD Thesis (for students) Chinese laboratory : Name Date of Birth (dd/mm/yyyy) PositionTitle Purpose of visit Proposed time of stay overseas PhD Thesis (for students) Avaliable equipment expected to be used in the project French laboratory : Chinese laboratory : 5 - Other funding Other fundin

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