口腔医学国家重点室-口腔疾病研究国家重点室.doc

附件三 State Key Laboratory of Oral Diseases (SKLOD), Sichuan University Open Fund Application Form Title of Project: Principle Applicant First Name: Last Name: Academic Affiliation: Project Title of project (1-2 lines): Key words (max. 8): Funds requested for the project in RMB: Starting date (mm/dd/year): End date (mm/dd/year): Principle Investigator First Name: Last Name: Title: Nationality: Academic Affiliation: Address: Street: City: ZIP Code: State: Country: Phone: Fax: Email: Co-Principle Investigator First Name: Last Name: Title: Nationality: Academic Affiliation: Address: Street: City: ZIP Code: State: Country: Phone: Fax: Email: Research Team Name Title Degree Specialty Institute Summary of research project (500 word limit)  Research plan Specific aims (500 word limit) Background and significance (3000 word limit) Preliminary data (3000 word limit) Experimental design and methods (3000 word limit) References Biosketch of the applicant (1000 word limit) Declaration of the applicant The undersigned approve of this research project and accept responsibility for compliance with all regulations, laws, policies, as well as the use of space, salary verification, cost-sharing and disclosure of conflicts of financial interest. Principal Investigators who plan to work on this proposed project are also agreeing to the mandatory Assurance Certification, per the SKLOD Open Fund Regulation which states: I certify that the statements herein are true, complete and accurate to the best of my knowledge. I am aware that if I could not put required effort into the applied project, I must find a co-PI to guarantee the completion of the proposed project. I agree to accept responsibility for the scientific conduct of the project and to provide the required progress reports if a grant is awarded as a result of this application. I am also aware that the SKLOD