附件1-UCAHP.docVIP

2016中国（昆山）国际创新创业大会 参会申请表 Application Form for 2016 ICIE (Kunshan) 中文名Chinese Name 性别 Gender 出生年月Birthdate 英文名 English Name 护照或身份证号码 Passport No./ID No. 国籍 Nationality 最高学历 Highest Academic Degree 最高学历毕业院校 School of Graduation 专业 Major 任职机构 Organization/Company 职 务 Job Title 电话号码 Tel No. 传真号码 Fax No. 电子邮箱 Email Add. 通讯地址 Mailing Address 所属社团 Society Affiliated 拟对接 项目 Target Project （如能与附件2中项目对接，请填写附件2中对应项目名，如无请不必填写）(If you are interested in the project(s) provided in Attachment 2, please write down the name(s) of the target project(s) here. If not, just leave the space blank) 个人简历 Curriculum Vitae （请注明留学经历及取得国外学位时间、国外工作经历）(Please state your educational experiences abroad, the year when the degree was granted by foreign universities, and the overseas work experiences) 项目名称 Project Name 所属领域 Project Field □信息Information Technology □能源环保Energy Environmental Protection □智能制造 Intelligent Manufacturing □生物医药 Biomedicine □新材料 New Materials □现代金融Modern Finance □文化创意Culture Creativity □现代农业Modern Agriculture □其他Others 项目简介 Brief Introduction about the Project （技术特点、应用范围、市场前景、效益分析）（字数不少于1000字）(technical characteristics, range of applications, market prospect, benefit analysis, etc. with no less than 1000 words) 对投资和合作方式的要求及目前技术所处阶段 Requirements in Mode of Investment and Ways of Cooperation, Phase of Current Technology 备注 Notes: 填表说明：Notes 1) 每位报名者填写一份报名表，请将报名表保存为WORD文件，并以报名者中文名作为文件名，如：张三.doc (Each applicant fills in just one application form and then saves the file in the form of Word-format with the Chinese name of the applicant as the document name, for example, 张三.doc.); 2) 为便于各方交流，参会者填报的人才项目信息（除真实姓名、证件号码和联系方式等个人信息外）将在会议网站、展厅及会议刊物上发布(For the convenience of multi-lateral exchanges, the information related to the talents and projects provided by the conference participants will be released on the conference website, in the exhibition rooms and