Select the most appropriate topic for your project (Single selection)

Transcription

1 Mitsui & Co., Ltd. Environment Fund Fiscal 2013 Application Form for Research Grant * Please read the Guideline for Completing the Application Form before entering the following details. (A) Summary of the Application (a) Reception No. OS R13- Name of Organization Registered Address Name of Superior in Organization (Please fill in family name in CAPITAL letters) Name of Representative Applicant (Please fill in family name in CAPITAL letters) Contact Title of Research Project Areas of Research Research Topics Period of Research Amount (in local currency) Tel: Address: Personal name: Job title: Tel: Job title: Job title: Fax: After reading Page 2 of the Application Guidelines, select the following field of research (Multiple answers allowed). A. Interdisciplinary, comprehensive or policy research Select the most appropriate topic for your project (Single selection) Select the other appropriate topics for your project, If you have (Multiple answers allowed) A. Global climate change D. Energy problem G. Construction of sustainable society Website address: Corresponding Alphabet (s): B. Joint international research C. Futuristic research B. Preservation of marine resources and food security E. Preservation of water resources Corresponding Alphabet: (Single selection) Corresponding Alphabet(s): (Multiple answers allowed) C. Preservation of surface soil, and forest F. Preservation of bio-diversity and ecosystem (From April 2014 to (month) (year) ) years Grant amount Amount of own fund Only for NPOs and NGOs Own funds (a) Estimated total research budget (b) Own fund ratio (a b 100) 0.0% In Japanese Yen To be filled out by Mitsui 1/11

2 (A) Summary of the Application (b) Summary of whole Research: Summary of Research in each item Purpose of Research: Brief Description of the Project Details of Research: Expected Accomplishments of Research: 2/11

3 (B) Description of Organization Name of Organization Date of establishment Number of Full-time employees Number of Part timer Number of Members Scale of operation of recent fiscal year Fiscal year Income Expenditure *If the organization belonging to applicants is university, there is no need to describe this section. Background of establishment/principle *If the organization belonging to applicants is university, there is no need to describe this section. Contents of activities/achievement 3/11

4 (C) Details of the Project ( a ) P u r p o s e o f R e s e a rch (Describe the background, purpose and necessity of the project as well as its characteristics of the project.) This application form will be printed in black and white. Please ensure that all texts and graphics are readable. 4/11

5 (C) Details of the Project ( b ) D et a i l s o f Re s e a r ch (Describe the details of research by using what, when, where, who and how.) 5/11

6 (C) Details of the Project ( c ) E x p e c t e d A ccomp l i s h me n t o f R e s ea r c h (Describe the expected Accomplishments of research within grant period.) 6/11

7 (C) Details of the Project ( d ) D e s c r i p t io n o f R e se a r c h a f t e r t h e G r a n t period (From the view point of continuity and extendibility and expansion of research areas and participants emphasized in the Grant, describe the research as to how they will develop and continue, and the social impact of the research after the grand period including the way of fund-raising.) 7/11

8 (D) Implementation Schedule ( a ) E x p e c t e d A c c o mp l i s h me n t s o f R e s ea r c h 1st year 2nd year 3rd year ( b ) I mp l e me n t a t i o n Sc h e d u l e Year / Month Research to be implemented Please describe the schedule about every 3 months 8/11

9 (E) Implementation System of Research * Please describe the implementation framework with cooperative organization. * If a third party is to be entrusted with part of the research, please write it down in this section. If there is no such mentioning on the form and a third party is entrusted after the selection, the applicant is asked to obtain anew the approval of Mitsui. Please describe within two A4 pages. This application form will be printed in black and white. Please ensure that all texts and graphics are readable. 9/11

10 (F) Career of Research Participants (a) Career of the representative of organization Name Job title Age Years of experience in this research Domain of expertise Academic community Career (employment history/academic degree) Actual achievement, Research paper 10/11

11 (F) Career of main participants of the project Application Form for Research Grant from the Mitsui & Co., Ltd. Environment Fund for FY2013 ( b ) O t h e r m a i n m e m b e r s Name Age Job title Career Actual achievement, Research paper Name Age Job title Career Actual achievement, Research paper Name Age Job title Career Actual achievement, Research paper *Please add the table as needed. However, describe within 3 pages. 11/11