Bilateral Cooperation Information Form
Norway-Jiangsu Industrial R&D Program
General Information
Project Title
Jiangsu Principal Applicant
Norway Principal Applicant
Project Duration
(
N months
)
*Total Estimated Project Cost
(
USD
)
* Total estimated costs including JSTD and
Innovation Norway
support and private resources of all participants
Instructions:
Both lead applicants from Jiangsu and
Norway
applying for the program should work together to fill in this form and submit the same proposal to
Innovation Norway
and JSTD respectively before the submission deadline.
Please include along with this form a signed letter of intent (LOI) outlining the IP plans, as well as resumes/CVs of key personnel
.
CONSORTIUM PARTNERS
Affidavit
:
Organizations listed under Consortium Partners herein below (collectively referred to as the
“
consortium
”
) confirm as follows:
•
The consortium intends to collaborate on the above mentioned R&D project.
•
No organization in the consortium is in liquidation, and insolvency, or impending bankruptcy is not being dealt
w
ith
in insolvency proceedings.
•
No organization in the consortium is in financial difficulty.
1a) Principal Applicant / Lead Organization
(on the Norway side)
1b) Principal Applicant / Lead Organization
(on the Jiangsu side)
Name of
E
nterprise:
Name of
E
nterprise:
Address:
Address:
Phone:
Phone:
Fax:
Fax:
Website:
Website:
Contact Person
Contact Person
Name:
Name:
Position:
Position:
Division/Department:
Division/Department:
Phone:
Phone:
Email:
Email:
2a) Participating Organization
(on the Norway side)
2b) Participating Organization
(on the Jiangsu side)
Name of
E
nterprise:
Name of
E
nterprise:
Address:
Address:
Phone:
Phone:
Fax:
Fax:
Website:
Website:
Contact Person
Contact Person
Name:
Name:
Position:
Position:
Division/Department:
Division/Department:
Phone:
Phone:
Email:
Email:
3a)(add more as necessary)
3b)
…
2. Finance
A.Total Project Budget of the Principal Applicant
a
nd participating orga
附件2：江苏—挪威产业研发合作计划合作项目信息表（Bilateral+Cooperation+information+Form）.docx