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Application form for overseas grant under the 27

th

term of Pro Natura Fund

1. PROJECT TITLE

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)

6. AMOUNT OF SUBSIDY

       YEN ( US$        )

(2)

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).

Write down the scope of the project and project area. IMPORTANCE

URGENCY

(3)

(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.

(4)

(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.

(5)

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

(6)

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

implementati on 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.

(7)

10. COLLABORATORS

Name, affiliation, address, and scope of work to be shared

In case of visit to Japan, name and address of the Japanese host

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.

(8)

参照

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