ࡱ> ~  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}Root Entry F`M?(SummaryInformation(DocumentSummaryInformation8WordDocument/V Oh+'0, @ L X d p|APPLICATION FORMYIFATNormalmerav6@@*1@8@N-Microsoft Office Word՜.+,D՜.+,h$   MATIMOP  (\dlKSOProductBuildVer2052-6.6.0.26710TableData  P(,KSKS/V'VV  8Vj( h j5} China-Korea Industrial Technology R&D Cooperation Application Form Submission Date: Contact Person: (name) (tel) (cell) _____________ 1. General Information  1.1 Project Title (Do not exceed 120 characters) 1.2 Summary (Do not exceed 240 characters) 1.3 Main Technological Area  1.4 Organization NameRole of ParticipantCountry Contribution ( %)Budget ($US)Duration (months)  Total budget to the project : 1.5 Start Date 1.6 End Date  2. Project Outline  2.1 Description (Approximately one A4 page)  2.2 Technological Development Envisaged (Level of innovation) (Approximately one A4 page)  2.3 Market Potential and Commercialization Plan   2.4 Cooperation Between Participants (synergies, particular advantages, etc.)  2.5 Expected Outcome of Project  2.6 IP Ownership Arrangements  If there are additional "other Chinese participants", please copy the following page 3. Work plan Chinese Participant 3.1 Participant Contact Details: 3.1.1 Organization Name Full Name  Parent Organization  Type of Organization SME Large company Other 3.1.2 Organization Address Street   Zip or Postal Code  City  Country   Telephone Fax3.1.3 Contact Person Data Last Name  First Name  Function  Title  Direct Telephone and Mobile Phone   Fax  E-mail 3.1.4. Website3.1.5 Organization Background Year Established No. of EmployeesNo. of R&D PersonnelStage (Seed, Revenue, Pre-Clinical, Clinical)General Information Core Business and Area of Expertise  IP Main Products/ Services Markets and Customers  Sales (for the Last 3 Years) Current year (i)i-1i-2Comments  3.2 Work- Description and Contributions to the Project  3.3 Work Plan and Timeline  3.4 Budget and Resources 3.5 Other Sources of financial Support Related to Proposed ResearchIs this, or related research/development, presently being supported by other sources? If yes, indicate other sources, amounts, and dates of performing of the R&D under this support Has your company previously received other sources of governmental support ? If yes, list up sources and dates If there are additional "other Korean participants", please copy the following page 4. Work plan Korean Participant  4.1 Participant Contact Details: 4.1.1 Organization NameFull Name  Parent Organization  Type of Organization SME Large company Other 4.1.2 Organization Address Street   Zip or Postal Code  City  Country   TelephoneFax4.1.3 Contact Person Data Last Name  First Name  Function  Title  Direct Telephone and Mobile phone  Fax E-mail 4.1.4. Website 4.1.5 Organization Background Year Established No. of EmployeesNo. of R&D PersonnelStage (Seed, Revenue, Pre-Clinical, Clinical)General InformationCore Business and Area of Expertise  IP Main Products/ Services Markets and Customers  Sales (for the Last 3 Years) Current year (i)i-1i-2Comments  4.2 Work- Description and Contributions to the Project  4.3 Work Plan and Timeline   4.4 Budget and Resources  4.5 Other Sources of financial Support Related to Proposed ResearchIs this, or related research/development, presently being supported by other sources? If yes, indicate other sources, amounts, and dates of performing of the R&D under this support Has your company previously received other sources of governmental support ? If yes, list up sources and dates The participants signing this form intend to co-operate within the project as described in this form with the aim realizing the technical developments as set forth under point 2. In addition the participants have or intend to put in place, a formal collaboration agreement. 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