THE MINISTRIES OF RESEARCH, TECHNOLOGY, AND HIGHER EDUCATION

REPUBLIC OF INDONESIA & OF FRANCE

 

APPLICATION FOR AN INTERNATIONAL JOINT RESEARCH GRANT

FRENCH – INDONESIA SCIENCE AND TECHNOLOGY PROGRAM (NUSANTARA)

UNDER THE FRAMEWORK AGREEMENT ON S&T COOPERATION

BETWEEN

INDONESIAN RESEARCHERS WITH THEIR FOREIGN PARTNERS

 

 

PART I: GENERAL INFORMATION

Title of Joint Project:

 

 

Project Start Date: Project End Date:
Field Area:

 

 

Names, Addresses and Affiliations of Principal Investigators

 

INDONESIAN

PRINCIPAL INVESTIGATOR

FOREIGN RESEARCH

PRINCIPAL INVESTIGATOR

Full name:
Title:
Institution :
Departement:
Address:
Telephone No.:
Fax No.:
E-mail:

PART II – DETAILED DESCRIPTION OF THE PROJECT

 

A detailed description should be provided in Arial font-12 and written in the space below (not more than 2 pages).  It should be clearly explaining the scope of works and activities of both partners (Indonesian and her/his foreign partner researcher).

 

The summary should contain a brief explanation of: 1. Introduction; 2. Objectives; 3. Implementation; 4. Middle to long term Expected impacts; 5. Outputs/Deliverable (joint publications, products, patents, etc); 6. Other benefits (i.e. capacity building, socio-economic benefits)

 

Names and affiliations of other researchers/students to participate in the project (add rows where required)

 

Full name Current Academic Qualification Institution

 

 

Signatures (All copies submitted should contain the original signature of the submitting Principal Investigator, that of his/her Head of Department as well as the Research Authorising Officer of his/her institution.

 

 

Principal Investigator Name:

 

Position:
Signature: Date:

 

 

Department Name:
Department Head Name:
Signature: Date:

 

 

Research Authorising Officer Name:
Signature: Date:

 

 

 

 

 

 

 

 

 

PART III – BIOGRAPHICAL AND PROFESSIONAL INFORMATION

 

  1. Principal Investigator – Indonesia

 

This resume concerns the Principal Indonesian Investigator whose name appears in Part 1.

 

Title  
First Names  
Family Name  
Nationality  
Year of Birth  

 

Resume (Relevance of the researcher’s professional background to the proposed research).

 

 

In addition, please enclose abbreviated Curriculum Vitae, which should include the following:

  1. Academic and professional training, including names of institutions, years of study, degrees and diplomas.
  2. Academic and professional experience, including names of institutes and companies, role and period.
  3. Research areas (detailed areas of research in which the researcher has been involved).
  4. Publications and patents (during last two years).
  5. Any additional detail which may assist in evaluating the professional background of the researcher.

 

  1. Principal Investigator – France

 

This resume concerns the Principal (Foreign) Investigator whose name appears in Part 1.

 

Title  
First Names  
Family Name  
Nationality  
Year of Birth  

 

Resume (Relevance of the researcher’s professional background to the proposed research).

 

 

In addition, please enclose abbreviated Curriculum Vitae, which should include the following:

  1. Academic and professional training, including names of institutions, years of study, degrees and diplomas.
  2. Academic and professional experience, including names of institutes and companies, role and period.
  3. Research areas (detailed areas of research in which the researcher has been involved).
  4. Publications and patents (during last two years).

Any additional detail, which may assist in evaluating the professional background of the researcher.