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APPLICATION FORM

BILATERAL COOPERATION FORM

Guangdong(China)-Israel Cooperation Program

双边合作项目申请表

中国广东-以色列合作计划 

 
 

How to complete and submit this form?

Both partners applying for the program should fill in this form together in English (Or English and Chinese) and submit it to the two counterpart agencies. 

Please check the Guangdong-Israel Program Guidelines before completing this form.

It will provide valuable information and tips on how to answer each section.  

Both partners applying for the program should fill this form in together and submit it to the two counterpart agencies. Please include along with this form a signed letter of intent (LOI) outlining the IP plans, as well as resumes/CVs of key personnel.

说明:申请该计划的双方都应当填写本表格,并提交给两个对应机构。请随本表格附上双方签署的意向书,简要列出IP计划以及关键人员的简历。 

Israeli Applicants, please contact Ms. Talia Goshen (Talia.Goshen@innovationisrael.org.il) for further information.

Guangdong Applicants please contact Ms. Xu Zhe (Stella) (xuz@gdstc.gov.cn) for further information.

 
 
1. General Information 总体信息
   
    1. Project Title
    项目名称                
(Do not exceed 120 characters)(不超过120个字)  
     
    1.2  Submission Date         提交日期
   
   
    1.3 Summary                     项目摘要
(Do not exceed 240 characters) (不超过240个字)  
 
 
 
 
 
 
 
 
 
    1.4 Technology Sector & Subsector of Project (Select 1 sector and 1 corresponding subsector) 

    项目的技术部分以及分项  (选择一个部分和对应的一个分项)                                                                                  

Clean-Tech 清洁技术
 
    Agrobiotech               农业生物技术
    Energy                      能源
    Environment              环境
    Materials                   材料
 
    Water Technologies水技术
       
Communications通讯
 
    Broadband Access      宽带接入
    Broadcast                  广播
    Enterprise Networking企业网络
    Home Networking      家庭网络
 
    Mobile Applications     移动应用
NGN & Convergence   下一代网络与融合
    Optical Networking     光纤网络
    Telecom Applications   电信应用
 
    VoIP & IP Telephony VoIPIP电话技术
    Wireless Applications   无线应用
    Wireless Infrastructure无线基础设施
 
Internet互联网
 
    Content Delivery         内容传递
    Content Management  内容管理
    e-Commerce              电子商务
    E-Learning                 电子学习
 
    Internet Applications   互联网应用
    Internet Infrastructure互联网基础设施
    Online Advertising      在线广告
    Online Entertainment  在线娱乐
 
    Search Engines           搜索引擎
    Social Networks          社交网络
   
IT & Enterprise Software信息技术与企业软件
 
    Business Analytics      商务分析
    Security                     安全性
    Enterprise Applications企业应用
    Enterprise Infrastructure企业基础设施
 
    Miscellaneous Software各种软件
    Design and Development Tools设计与开发工具
   
Life Sciences生命科学
 
    Agrobiotech               农业生物技术
    Bioinformatics            生物信息学
    Biologicals                 生物制剂
    Diagnostics                诊断学
 
    Healthcare IT             医疗保健信息技术
    Industrial                   工业
    Medical Devices          医疗器材
    Telemedicine              远程医疗
  Therapeutics治疗学
Miscellaneous Technologies 其它技术 
 
    Defense                     防御
    Hardware                  硬件
    Industrial Technologies工业技术
    Miscellaneous             其它
  Nanotechnology纳米技术
Semiconductors半导体
 
    Fabrication and Testing制作与测试
Manufacturing Equipment & EDA                制造设备与EDA
    Memory & Storage      内存与存储
Miscellaneous Semiconductors                       各种半导体
 
    Network Processors    网络处理器
    Processors & RFID      处理器与RFID
    Security Semiconductors安全半导体
    Video, Image & Audio  视频、图像与声频
 
1.5 Participants’ Contributions  参与单位的贡献
 
Company Name

公司名称

Country

国别

Role of Participant

在项目中的作用

Contribution * (%)

贡献率(%

Budget ($US)

预算(美元)

Duration (Months)

服务时间(月)

 
 
China e.g. Development of the chip See (*) below Please fill in the budget that is requested for the entire project (not just for 1 year) Please fill in the entire duration of the project (e.g. 12, 18, 24 months)
 
 
Israel        
 
 
         
 
 
         
Total:

总计

         
 
 
 
*Contribution (%): Please demonstrate the balanced technological contribution between the partners from both countries. This recommended contribution should be no less than 30% to one partner and no more that 70% to the other partner in case there are two companies involved.
 
1.6    Start Date:  项目开始时间:   Month/Year         End Date:项目结束时间 Month/Year
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
     
2. Project Outline 项目概要
   
2.1  Project Description       项目描述      
 
In approximately 1 page, describe the joint project, outlining the activities of the partners and expected outcomes. Ideally, also attach/include a Joint Project Plan showing project tasks and milestones for BOTH partners (as a Gantt chart) in order to outline the task flow/cooperation throughout the project.  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
2.2 Technological Development Envisaged (Level of Innovation) 技术先进性(创新性)
 
In approximately 1-3 pages, describe the technological development and innovation taking place during the project. Clearly address each of the following items:
  • The level of innovation and novelty of the product;
  • The technological barriers, risks and opportunities of the development;
  • The creation of intellectual property;
  • The ability of the collaboration to achieve the intended results.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
2.3 Market Potential and Commercialization Plan 市场前景和商业化计划
In approximately 1-3 pages, describe the market potential of the project outcome (product or service), and describe the commercialization roadmap for taking the project outcome (product or service) to market. Clearly address each of the following items:
  • The commercial potential;
  • The planned path to commercialization/application and how it will achieve the identified outcomes;
  • How the funding sought will generate a return on investment;
  • How the solution answers market needs;
  • The domestic and global market size are identified and detailed;
  • The expected market share for the product;
  • Significant competitive advantage for the product/service based on a comparison of competitor companies and products.
 
2.4 Cooperation between Participants (Synergies, advantages, complementarities, etc.)

   双方合作开展的工作(如:协同效应、优势、互补性等)

In approximately 1-2 pages, describe the intended cooperation and expected benefits for the project outcome from working together; the benefits for each partner from working together; and the partners’ respective strengths. Also, clearly address each of the following items:
  • The position of the companies in the sector; 
  • The capabilities of the management and research and development teams;
  • Financial capability of each company;
  • Past performance
 
2.5 Expected Outcome of Project项目预期成果
In approximately 1-2 pages, describe the final expected outcome of the project. Describe the range of project outcomes but provide one specific final outcome or project end-goal - for example, “First generation product achieving sales in China/Israel OR Manufactured Product exported to “x/y/z” countries OR Service installed for six domestic companies, Export installations being investigated OR “Alpha” Prototype successfully trialed in both Israel and China,  etc.  

Also, clearly address each of the following items in terms of the project’s contribution:

  • The potential contribution of the technology to the economy and society;  
  • How project outcomes will contribute substantially to Israel & China’s industrial, commercial and economic growth;
  • Commercialization activities to occur in the country;
  • New patents or inventions registered / protected;
  • Additional employment positions created or opportunities;
  • Anticipated contribution to Israel & China (or province's) exports;
  • Support of an industry sector or user group to make productivity gains;
  • The development of new markets or achievement of institutional benefits.
 
 
2.6 IP Ownership Agreement   知识产权归属安排
 
Please attach a separate “Letter of Intent” signed by both partners. 请另附一份已签署的意向书  

This letter, of approximately 1 page, should detail the early, pre-project agreement with your partner on how you will treat your respective IP entering the project, IP being developed within the project and IP after the project. Indicate any early agreement with your partner on splitting export markets/sales/ revenue/licensing etc.

Note that this is a pre-project agreement and a separate Collaboration Agreement is put in place before any funding is received by successful applicants. (This Collaboration Agreement will likely build on the Letter of Intent.)

 
 
3. Project Participants – Partner 1 项目参与单位1合作方
3.1. Participant Profile 参与单位的信息
  3.1.1 General Profile 基本信息
  Full Name of Company公司的全名   Registration #

注册号

 
         
  Prior name of Company

公司的曾用名

     
         
  Type of Company

公司的类型

HT

高新企业

R&D

研发企业

Research Institute

  研究机构

University

 高校

Other

 其它

             
  Stage

企业发展所处阶段

Seed

 种子期

R&D

 研发期

Initial Revenues

  初始收入期

Revenue Growth

  收入增长期

           
  Ownership                 所有权 Public       国营 Private 私营 Governmental 事业单位 Other               其它
         
  Year Established

成立年份

  No. Employees

职工人数

 
         
  No. R&D Personnel

研发人员的数量

     
         
  3.1.2 Company Contact Info  公司的联系信息
  Street Address

街道地址

 
         
  City

城市

               P.O. Box

邮政信箱

 
         
  Country

国家

               Zip Code

邮编

 
         
  Telephone

电话

                     Fax 传真  
         
  Website

网址

                  E-mail电子信箱  
         
  3.1.3 Contact Person 联系人
  First Name

           Last Name  
       
  Title

职称

              Function 职务  
       
  Phone

电话

       Mobile Phone手机  
       
  Email

电子信箱

 
 
 
  3.1.4 Organization Background 公司背景
  General Business Description & Area of Expertise 业务概述与专业领域
   
 
 
 
 
 
     
  Technology Description (Main Products/Services) 技术描述(主要产品/服务)
   
 
 
 
 
 
     
  Targeted Customers 目标客户
   
 
 
 
 
     
  IP 知识产权
   
 
 
     
  Sales (for last 3 years) 最近3年的销售业绩
  Current year (i)

本年

  i-1

去年

  i-2

前年

 
 
 
  Comments 其它说明
   
 
 
 
 
 
 
 
 
    3.1.5 Technology Sector & Subsector of Company (Select 1 sector and 1 subsector )

      公司的技术部分以及分项  (选择一个部分和一个分项)                                                        

Clean-Tech 清洁技术
 
    Agrobiotech               农业生物技术
    Energy                      能源
    Environment              环境
    Materials                   材料
 
    Water Technologies水技术
       
Communications通讯
 
    Broadband Access      宽带接入
    Broadcast                  广播
    Enterprise Networking企业网络
    Home Networking       家庭网络
 
    Mobile Applications     移动应用
NGN & Convergence   下一代网络与融合
    Optical Networking     光纤网络
    Telecom Applications  电信应用
 
    VoIP & IP Telephony VoIPIP电话技术
    Wireless Applications   无线应用
    Wireless Infrastructure无线基础设施
 
Internet互联网
 
    Content Delivery         内容传递
    Content Management  内容管理
    e-Commerce              电子商务
    E-Learning                 电子学习
 
    Internet Applications   互联网应用
    Internet Infrastructure互联网基础设施
    Online Advertising      在线广告
    Online Entertainment  在线娱乐
 
    Search Engines           搜索引擎
    Social Networks          社交网络
   
IT & Enterprise Software信息技术与企业软件
 
    Business Analytics      商务分析
    Security                     安全性
    Enterprise Applications企业应用
    Enterprise Infrastructure企业基础设施
 
    Miscellaneous Software各种软件
    Design and Development Tools设计与开发工具
   
Life Sciences生命科学
 
    Agrobiotech               农业生物技术
    Bioinformatics            生物信息学
    Biologicals                 生物制剂
    Diagnostics                诊断学
 
    Healthcare IT             医疗保健信息技术
    Industrial                   工业
    Medical Devices          医疗器材
    Telemedicine              远程医疗
  Therapeutics治疗学
Miscellaneous Technologies 其它技术 
 
    Defense                     防御
    Hardware                  硬件
    Industrial Technologies工业技术
    Miscellaneous             其它
  Nanotechnology纳米技术
Semiconductors半导体
 
    Fabrication and Testing制作与测试
Manufacturing Equipment & EDA                制造设备与EDA
    Memory & Storage      内存与存储
Miscellaneous Semiconductors                       各种半导体
 
    Network Processors    网络处理器
    Processors & RFID      处理器与RFID
    Security Semiconductors安全半导体
    Video, Image & Audio视频、图像与声频
 
  3.1.6  Company Settings (For Israeli Companies ONLY) 公司设置(仅针对以色列公司)
  Would you like your company profile to appear in the public, online Company Database?

是否愿意贵公司的信息被公开在online Company Database(在线公司数据库)?

  Would you like to receive emails about news & events?

    是否愿意接收的有关新闻大事的电子邮件?

   

 

3.2  Work – Description and Contributions to the Project 在项目中承担的工作及对项目的贡献
Please provide information about the company, including the following:
  • Main contribution to the project (mix of technical/financial/plant etc).

The degree to which the proposed project can be absorbed into the existing structure of each company. To what extent are the staff, equipment, facilities, etc., available for the project? Identify the need to hire staff, obtain (purchase, lease or rent) capital equipment, or expand manufacturing operations.

   
3.3   Work Plan and Timeline 项目工作计划和时间表
Provide a clear description of your work program.

Provide a detailed Gantt chart Project Plan which clearly defines project activities and milestones.

 
 
 
 
 
 
 
 
 
 
3.4 Budget and Resources 项目预算和经费来源
Please show the sources and amounts of funding for the project.  
 
 
 
 
 
 
 
 
   
 
 
 
    1. Other Sources of Financial Support Related to Proposed Research 与拟研究项目相关的其它经费来源
3.5.1 Is this, or related R&D, presently being supported by other sources? If yes, indicate other sources, amounts, and dates of performing the R&D under this support 该项目或相关的研发目前是否有其它经费支持?如有,请提供经费来源、数目和经费到位开始研发的时间。
 
 
 
 
3.5.2 Has your company previously received other sources of governmental support? If yes, list up sources and dates. 企业以前是否得到过政府资助?如有,请列出项目经费名称和取得时间。
 
 
 
 
 

 

4. Project Participants – Partner 2    项目参与单位2合作方
4.1. Participant Profile 参与单位的信息
  4.1.1 General Profile基本信息
  Full Name of Company

公司的全名

  Registration #

注册号

 
         
  Prior name of Company

公司的曾用名

     
         
  Type of Company

公司的类型

HT   高新企业 R&D    研发企业 Research Institute研究机构 University高校 Other其它
             
  Stage

企业发展所处阶段

Seed

 种子期

R&D

 研发期

Initial Revenues初始收入期 Revenue Growth收入增长期
           
  Ownership

所有权

Public       国营 Private私营 Governmental  事业单位 Other               其它
         
  Year Established

成立年份

  No. Employees职工人数  
         
  No. R&D Personnel

研发人员的数量

     
         
  4.1.2 Company Contact Info公司的联系信息
  Street Address

街道地址

 
         
  City

城市

               P.O. Box邮政信箱  
         
  Country

国家

               Zip Code邮编  
         
  Telephone

电话

                     Fax 传真  
         
  Website

网址

                  E-mail电子信箱  
         
  4.1.3 Contact Person联系人
  First Name

           Last Name  
       
  Title

职称

              Function职务  
       
  Phone

电话

       Mobile Phone手机  
       
  Email

电子信箱

 
 
 
  4.1.4 Organization Background公司背景
  General Business Description & Area of Expertise业务概述与专业领域
   
 
 
 
 
 
     
  Technology Description (Main Products/Services) 技术描述(主要产品/服务)
   
 
 
 
 
 
     
  Targeted Customers目标客户
   
 
 
 
 
     
  IP知识产权
   
 
 
     
  Sales (for last 3 years) 最近3年的销售业绩
  Current year (i) 本年   i-1去年   i-2

前年

 
 
 
 
 
 
    Comments其它说明
   
 
 
 
 
 
 
 
 
    4.1.5 Technology Sector & Subsector of Company (Select 1 sector and 1 subsector) 

      公司的技术部分以及分项  (选择一个部分和一个分项)                                                                                                                                  

Clean-Tech 清洁技术
 
    Agrobiotech               农业生物技术
    Energy                      能源
    Environment              环境
    Materials                   材料
 
    Water Technologies水技术
       
Communications通讯
 
    Broadband Access      宽带接入
    Broadcast                  广播
    Enterprise Networking企业网络
    Home Networking       家庭网络
 
    Mobile Applications     移动应用
NGN & Convergence   下一代网络与融合
    Optical Networking     光纤网络
    Telecom Applications  电信应用
 
    VoIP & IP Telephony VoIPIP电话技术
    Wireless Applications   无线应用
    Wireless Infrastructure无线基础设施
 
Internet互联网
 
    Content Delivery         内容传递
    Content Management  内容管理
    e-Commerce              电子商务
    E-Learning                 电子学习
 
    Internet Applications   互联网应用
    Internet Infrastructure互联网基础设施
    Online Advertising      在线广告
    Online Entertainment  在线娱乐
 
    Search Engines           搜索引擎
    Social Networks          社交网络
   
IT & Enterprise Software信息技术与企业软件
 
    Business Analytics      商务分析
    Security                     安全性
    Enterprise Applications企业应用
    Enterprise Infrastructure企业基础设施
 
    Miscellaneous Software各种软件
    Design and Development Tools设计与开发工具
   
Life Sciences生命科学
 
    Agrobiotech               农业生物技术
    Bioinformatics            生物信息学
    Biologicals                 生物制剂
    Diagnostics                诊断学
 
    Healthcare IT             医疗保健信息技术
    Industrial                   工业
    Medical Devices          医疗器材
    Telemedicine              远程医疗
  Therapeutics治疗学
Miscellaneous Technologies 其它技术 
 
    Defense                     防御
    Hardware                  硬件
    Industrial Technologies工业技术
    Miscellaneous             其它
  Nanotechnology纳米技术
Semiconductors半导体
 
    Fabrication and Testing制作与测试
Manufacturing Equipment & EDA                制造设备与EDA
    Memory & Storage      内存与存储
Miscellaneous Semiconductors                       各种半导体
 
    Network Processors    网络处理器
    Processors & RFID      处理器与RFID
    Security Semiconductors安全半导体
    Video, Image & Audio视频、图像与声频
 
  4.1.6  Company Settings (For Israeli Companies ONLY) 公司设置(仅针对以色列公司)
  Would you like your company profile to appear in the public, online Company Database?

是否愿意贵公司的信息被公开在online Company Database(在线公司数据库)?

  Would you like to receive emails on news & events?

    是否愿意接收的有关新闻大事的电子邮件?

   
    4.2  Work – Description and Contributions to the Project在项目中承担的工作及对项目的贡献
Please provide information about the company, including the following:
  • Main contribution to the project (mix of technical/financial/plant etc).
  • The degree to which the proposed project can be absorbed into the existing structure of each company. To what extent are the staff, equipment, facilities, etc., available for the project? Identify the need to hire staff, obtain (purchase, lease or rent) capital equipment, or expand manufacturing operations.
 
 
 
 
 
 
 
 
4.3   Work Plan and Timeline项目工作计划和时间表
Provide a clear description of your work program.

Provide a detailed Gantt chart Project Plan which clearly defines project activities and milestones.

 
 
 
 
 
 
4.4 Budget and Resources项目预算和经费来源
Please describe the sources and amounts of funding for the project  
 
 
 
 
 
 
   
    1. Other Sources of Financial Support Related to Proposed Research与拟研究项目相关的其它经费来源
4.5.1 Is this, or related R&D, presently being supported by other sources? If yes, indicate other sources, amounts, and dates of performing the R&D under this support该项目或相关的研发目前是否有其它经费支持?如有,请提供经费来源、数目和经费到位开始研发的时间。
 
 
 
 
4.5.2 Has your company previously received other sources of governmental support? If yes, list up sources and dates. 企业以前是否得到过政府资助?如有,请列出项目经费名称和取得时间。
 
 
 
 
 

 

5. Statement of Cooperation 合作声明
 
The participants signing this form intend to co-operate within the project as described in this form with the aim realizing the technical developments as set forth under point 2. In addition the participants have or intend to put in place, a formal collaboration agreement.

签署本表格的参与单位打算在本表格所述项目内进行合作,目的是为了实现第2点所述的技术开发。另外,参与单位应签订或打算签订一份正式的合作协议。

5.1 Signature of Partner 1   合作方1的签字
  Company Name

公司名称

 
 
  First Name

  Last Name

 
 
  Title

职称

    Function

 职务

 
 
  Signature

签字

PLEASE INSERT A DIGITAL SIGNATURE OR SCAN THE LAST PAGE WITH THE SIGNATURE OF BOTH PARTNERS
   
5.2 Signature of Partner 2   合作方2的签字
  Company Name

公司名称

 
 
  First Name

  Last Name

 
 
  Title

职称

    Function

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