Science and technology support program project application
year
Project name:
Applicant:
Applicant:
Mailing address:
Contact telephone number:
Date of declaration:
Ningxia huizu autonomous region science and technology bureau
In 20 12 years
Fill in and explain
First, before filling out the application form, please carefully refer to the Interim Measures for the Management of Support Programs in Ningxia Hui Autonomous Region and the Notice of Reporting Science and Technology Support Programs for this year (Guide).
Two, the application content should be practical and realistic, fill in carefully, express clearly, and print and fill in the form. Loanwords should be expressed in both the original text and Chinese, and the abbreviations that appear for the first time should be in full names.
Three, the application form shall not appear blank, if there is no content, you can fill in "none".
Four, the cover of the project number of the applicant does not fill in, by the development planning department of the autonomous region science and technology department to fill in.
Five, the application form is printed on A4 paper, the font is Song Zixiao No.4, and the left side is bound. After being stamped with the official seal, it shall be submitted in triplicate to the Development Planning Department of the Science and Technology Department of the autonomous region.
Six, the project reporting unit should be submitted by the centralized management department, failed.
The application submitted by the centralized management department will not be accepted.
I. Basic information
The applicant's situation
surname
gender
date of birth
Learning calendar
Major in science
professional title
Contact number
mobile phone
Reporting unit information
Nominal name
gender
postal address
Post-editing
Accessory function
Main participating units
Belonging to the technical field
□ Information □ Automation □ Materials □ Energy □ Manufacturing □ Transportation □ Agriculture □ Resources
□ Ecology and environment □ Biomedicine □ Population and health □ Urbanization and urban development □ Others
Main research contents and economic and technical indicators (about 150 words)
The connection between the project and the "Twelfth Five-Year" scientific and technological development plan of the autonomous region
-clearly included in the "planning" priority theme.
□ It basically belongs to the category of priority themes in the field of planning.
□ Others (please specify)
The relationship between the project and the scientific and technological needs of the department (local)
□ Demand submission department (location):
□ Others (please specify)
Innovative type
□ Independent innovation □ Integrated innovation □ Introduction, digestion, absorption and re-innovation
When the project is completed
Application type of
□ Form independent research and development capacity □ Form large-scale production capacity.
□ Local pilot demonstration □ Wider popularization and application
Total budgetary estimate
ten thousand yuan
Apply for the autonomous region science and technology support plan 1 10,000 yuan.
Start and end dates of the study
Year by year and month by month
I. The significance of the project (focusing on the necessity of project implementation and the urgent need for economic and social development in the autonomous region at present, the connection with the key areas and priority themes determined in the Twelfth Five-Year Plan for the development of science and technology in the autonomous region, the combination with key industries or local needs in the autonomous region, and the supporting role for economic and social development in the autonomous region, etc. )
(A separate page can be attached)
II. Present situation and development trend of technology at home and abroad in related fields (mainly explaining the present situation of technology at home and abroad, patents and other intellectual property rights, and development trend of technology at home and abroad, etc.). ).)
(A separate page can be attached)
III. Project objectives (The coverage of the project objectives should correspond to the project name; The established project objectives should effectively support the significance of project establishment; The goal should be clear and specific, which is convenient for assessment; Its goal can be achieved within the planned implementation cycle. )
(A separate page can be attached)
Four, the main tasks of the project (mainly including research focus and development content, projects, talents, base planning, technical key, technical difficulties, innovation. Its content should have a direct supporting relationship with the project objectives, and it should not omit the key research content that should be carried out to achieve the project objectives, nor should it contain the content that is not closely related to the project objectives. )
(A separate page can be attached)
Five, the expected technical, economic and social benefits of the project and the prospect of popularization and application and industrialization (including technical, economic and social benefits analysis, popularization and application prospect analysis, possible patents, especially invention patents and intellectual property rights analysis, risk analysis of project implementation. )
(A separate page can be attached)
Six, the existing research work of the project (mainly on the maturity of the project. Including the research and development experience, scientific research achievements, scientific research conditions, talent team, organizational mechanism and preliminary work of the project applicant. )
(A separate page can be attached)
Seven. Necessary support conditions, organizational measures and implementation plan (mainly explaining the relevant safeguard measures, organizational implementation plan, management measures and implementation period for completing the project; Enterprise participation, Industry-University-Research joint mechanism, etc. )
(A separate page can be attached)
Eight. Associated actions of the project (mainly capital construction, technological transformation, technology introduction,
Implement international cooperation, etc. , this project and other related national and autonomous region science and technology projects, etc.
Contact and division of labor with construction projects. )
Nine, the main work and scientific research experience of the project leader
X. List of key participants
surname
gender
date of birth
postal service
professional title
Major in science
Now engaged in professional.
Someone's workplace
In this project,
Undertake a task
XI. Project Budget, Financing and Source Channels
family
Precalculation
Autonomous region support plan appropriation
ten thousand yuan
Other funds allocated by the autonomous region.
ten thousand yuan
Appropriation by competent department
ten thousand yuan
Unit self-raised funds
ten thousand yuan
bank loan
ten thousand yuan
other
ten thousand yuan
general budget
ten thousand yuan
XII. Opinions of the applicant
Person in charge: (official seal)
date month year
Thirteen, the relevant departments of the Science and Technology Department of the autonomous region or the county (city) Science and Technology Bureau.
Person in charge: (official seal)
date month year