Application form for overseas grant under the 27
thterm of Pro Natura Fund
1. PROJECT TITLE
Title should be simple. Do not use subtitle.
2. APPLICANT
Title(Prof.,Dr.,Mr./Ms.) First name Family name
Institution/Organization
Address
(Home, Institution) Post code Country
Telephone no. Facsimile no. E-mail address Web site address (Home, Institution) Academic background (Educational background and Scholarly achievements)
3. TYPE OF PROJECT (Tick one of the following.)
□Conservation of biodiversity □Conservation of land or aquatic area
□Development of method for conservation □Environmental education □Others
4. RELEVANCE TO JAPAN (Tick “YES” if the project is relevant to Japan.)
□YES
□NO
5. OUTLINE OF PROJECT (100 words)
Clarify the purpose of this project, as well as the outline.
6. AMOUNT OF SUBSIDY
YEN US$
Example: over-deforestation and development of land by Japanese companies, and/or destruction and contamination of natural resources due to the development of products exporting to Japan
7. PROJECT PROPOSAL (1) PURPOSE OF PROJECT
Write down briefly the importance and/or urgency of this project, in terms of conservation. (50 words)
Describe the relation between the issue and Japan (e.g. over-deforestation and development of land by Japanese companies, and/or destruction and contamination of natural resources due to the development of products exporting to Japan).
Explain concretely if Japan has any direct or indirect impact on the issue.
Write down the scope of the project and project area.
You can attach photos and pictures, but this form will be printed black and white and passed to judges, so they should be recognizable even when printed in black and white.
IMPORTANCE:
URGENCY:
(2) METHODS
Write down briefly the methods of this project.
Write down the brief schedule of this project.
Write down the specified request concerning budget planning, if necessary.
Write down the specified mention regarding the member(s) involved in this project, if necessary.
There is no limitation of words in each question. DO NOT ADD PAGES.
(3) EXPECTED OUTCOMES
Write down briefly the expected outcomes of this project. (50 words)
Write down more specifically, including how this outcome can be applicable in other research or activity projects in the future.
8. ROADMAP OF THE PROJECT
Mo./YR Schedule of the project Oct.
2016
Decision of grant
Submission of the Receipt to the Secretariat of Pro Natura Foundation Japan
Nov.
Dec.
Jan. 2017
Feb.
Mar. Submission of the Interim Report to Recommender
Apr. Submission of the Receipt to the Secretariat of Pro Natura Foundation Japan
May.
Jun.
Jul.
Aug.
Sep. End of the grant period
Oct. Submission of the Final Report and the Account Report to Recommender
Nov. or Dec. 2017
Result Presentation in Tokyo
9. AMOUNT OF SUBSIDY
Total US$
10. EXPENDITURE PLAN
Detail Subtotal (US$)
Personnel*1
Traveling*2
Equipment (Specify name or specifications of equipment to be procured at an implementation stage)
Others
*1 Expenses to be paid to workers, OTHER THAN THE PROJECT MEMBERS, employed for carrying out the project. (Any fees for the project member(s) should not be included).
*2 The international traveling expenses to attend result presentation is not included.
10. COLLABORATORS
11. ACHIEVEMENTS
Publication, events and projects related to this application a)
b)
c)
12. STATUS OF OTHER GRANT APPLICATION
Specify the name(s) of and amount(s) applied to other institution(s) or agency(ies), if you intend to apply or have already applied to.
Name, affiliation, address, and scope of work to be shared Write the details and roles of the project members.
In case of visit to Japan, name and address of the Japanese host