中加合作项目—英文申请书.doc

PAGE 1APPLICATION FORMCHINA-CANADA Joint Health Research Initiative ProposalApplication Form The complete and identical application must be submitted to both CIHR and NSFC which includes the Application Form and the following attachments.The Canadian Nominated Principal Applicant must complete the following and provide a copy to their Chinese Principal Applicant to include in their package to NSFC: (1) pages 1,2,5,6 and 7 from the CIHR Research Module, (Please insert the Chinese researcher as a Principle Applicant on page 2 of the Research Module by obtaining a CIHR PIN -https://cihr-irsc.fcar.qc.ca/pls/crm/CRMEN.inscrip) (2) the Operating Budget Module (Please include the full budget breakdown and justification between Canadian and Chinese costs in the budget justification.)(3) a completed Common CV of the Canadian Principal applicants. A1Title of Proposed ProjectA2Main Subject Area 1 FORMCHECKBOX Neurosciences, Mental Health and Addiction 2 FORMCHECKBOX Human Development, Child and Youth Health3 FORMCHECKBOX Cardiovascular 4 FORMCHECKBOX Diabetes and Obesity5 FORMCHECKBOX Genetics6 FORMCHECKBOX Infection and Immunity 7 FORMCHECKBOX AgingA3Applicant Information ChinaCanadaOrganizationOrganizationName of the Project LeaderName of the Project LeaderAddressAddressTel/FaxTel/FaxE-mailE-mailA4Other Collaborating Participants and Institutions ChinaCanadaA5Project Periodfrom to (month) (year) (month) (year) A6Budget Request ChinaCanada1st year RMB1st year CDN $2nd year RMB2nd year CDN $3rd year RMB3rd year CDN $total RMBTotal CDN $B. Project Details (see Request for Applications)B1. Project Abstract (not to exceed this page)B2. Pro