Spanish Participants

1.1Main Participants / Spain
Japan
1.2 Title
Acronym / (Title: Do not exceed 120 characters)
(Acronym: 1 word)
1.3 Summary / (Do not exceed 240 characters)
1.4Technological Area
(Choose only one) / Energy & Environment
Nanotechnology & Materials
Electronics & Information
MachinerySystem
Biotechnology & Medical
Others
1.5Budget and Duration / Year 1 / Year 2 / Year 3
(if applicable) / TOTAL
Duration (months):
Start Date:
Budget
Spain – 1000 Euro
Japan – 1,000,000 Yen / Spain / Japan / Spain / Japan / Spain / Japan / Spain / Japan
Total in Euro
Total in Yen
Exchange rate
2.1 Description
2.2 Proposed Research and Development
2.3 Market Application and Exploitation

Spanish Participants

3.1 Main Participant
Full Name
Organization Address / Telephone number
Fax number
Contact person data / Function
E-mail
Activity
3.2 Other Participant(1) (If applicable)
Full Name
Organization Address / Telephone number
Fax number
Contact person data / Function
E-mail
Activity
3.3 Other Participant(2) (If applicable)
Full Name
Organization Address / Telephone number
Fax number
Contact person data / Function
E-mail
Activity

JapaneseParticipants

Spanish Participants

Name of organizations and a brief description of their activities in the project
Main Participant
Other Participant (1)
Other Participant (2)

JapaneseParticipants

Name of organizations and a brief description of their activities in the project
Main Participant
Other Participant (1)
Other Participant (2)

Spanish Participants

Name of organizations and a brief description of their experience in relation to the project
Main Participant
Other Participant (1)
Other Participant (2)

Japanese Participants

Name of organizations and a brief description of their experience in relation to the project
Main Participant
Other Participant (1)
Other Participant (2)
Indicate if the main and other participants have signed a Consortium Agreement of the proposed project or any other collaborationagreement and note the signing date if applicable.

Signed Consortium Agreement of the proposed project,Date:
Other type of collaboration agreement, Date:
Brief description about the other type of collaboration agreement:

This application form must be signed by all applicants before submission to NEDO and CDTI in order to obtain JSIP status.

The participants signing below intend to cooperate as described herein with the aim of realizing the technical development as set forth throughout this document, and they hereby formally apply for JSIP status for this project. In addition, the participants have or intend to execute a formal collaboration agreement.

The participants will provide their respective JSIP National Managers with updates to this form whenever a significant change occurs, or at least once a year.They will also submit a brief final report when the project is completed and then provide information on the exploitation of project results on a periodic basis.

Signature of the Main Participant from Spain
Organization name
Full name
Name of the person signing
Last name / First name
Function in Organization
Signature
Date;

Important Notice

The informationprovided in this application formwill beexchanged betweenNEDO andCDTI to evaluatewhether the proposed projectmeets the requirements for international collaboration under the Japan (NEDO)-Spain (CDTI) Innovation Program (JSIP). Informationwill only be usedbythe JISP National Managers and related specialists withinNEDO and CDTIfor the purpose of proposal evaluation and selection. For further information, please contact the National Manager for Japan or the National Manager for Spain at .

After a proposal has obtained JSIP status, new interested applicants can officially be recognized as participants when they satisfy JSIP criteria and after they have added their signature to this application form with the supplements to item 3, item 4, item 5, and item 6.

This application form must be signed by all applicants before submission to NEDO and CDTI in order to obtain JSIP status.

Signature of Other Participant (1) from Spain
Organization name
Full name
Name of the person signing
Last name / First name
Function in Organization
Signature
Date;

Important Notice

The informationprovided in this application formwill beexchanged betweenNEDO andCDTI to evaluatewhether the proposed projectmeets the requirements for international collaboration under the Japan (NEDO)-Spain (CDTI) Innovation Program (JSIP). Informationwill only be usedbythe JISP National Managers and related specialists withinNEDO and CDTIfor the purpose of proposal evaluation and selection. For further information, please contact the National Manager for Japan or the National Manager for Spain at .

After a proposal has obtained JSIP status, new interested applicants can officially be recognized as participants when they satisfy JSIP criteria and after they have added their signature to this application form with the supplements to item 3, item 4, item 5, and item 6.

This application form must be signed by all applicants before submission to NEDO and CDTI in order to obtain JSIP status.

Signature of Other Participant(2) from Spain
Organization name
Full name
Name of the person signing
Last name / First name
Function in Organization
Signature
Date;

Important Notice

The informationprovided in this application formwill beexchanged betweenNEDO andCDTI to evaluatewhether the proposed projectmeets the requirements for international collaboration under the Japan (NEDO)-Spain (CDTI) Innovation Program (JSIP). Informationwill only be usedbythe JISP National Managers and related specialists withinNEDO and CDTIfor the purpose of proposal evaluation and selection. For further information, please contact the National Manager for Japan or the National Manager for Spain at .

After a proposal has obtained JSIP status, new interested applicants can officially be recognized as participants when they satisfy JSIP criteria and after they have added their signature to this application form with the supplements to item 3, item 4, item 5, and item 6.

This application form must be signed by all applicants before submission to NEDO and CDTI in order to obtain JSIP status.

Signature of the Main Participant from Japan
Organization name
Full name
Name of the person signing
Last name / First name
Function in Organization
Signature
Date;

Important Notice

The informationprovided in this application formwill beexchanged betweenNEDO andCDTI to evaluatewhether the proposed projectmeets the requirements for international collaboration under the Japan (NEDO)-Spain (CDTI) Innovation Program (JSIP). Informationwill only be usedbythe JISP National Managers and related specialists withinNEDO and CDTIfor the purpose of proposal evaluation and selection. For further information, please contact the National Manager for Japan or the National Manager for Spain at .

After a proposal has obtained JSIP status, new interested applicants can officially be recognized as participants when they satisfy JSIP criteria and after they have added their signature to this application form with the supplements to item 3, item 4, item 5, and item 6.

This application form must be signed by all applicants before submission to NEDO and CDTI in order to obtain JSIP status.

Signature of Other Participant(1) from Japan
Organization name
Full name
Name of the person signing
Last name / First name
Function in Organization
Signature
Date;

Important Notice

The informationprovided in this application formwill beexchanged betweenNEDO andCDTI to evaluatewhether the proposed projectmeets the requirements for international collaboration under the Japan (NEDO)-Spain (CDTI) Innovation Program (JSIP). Informationwill only be usedbythe JISP National Managers and related specialists withinNEDO and CDTIfor the purpose of proposal evaluation and selection. For further information, please contact the National Manager for Japan or the National Manager for Spain at .

After a proposal has obtained JSIP status, new interested applicants can officially be recognized as participants when they satisfy JSIP criteria and after they have added their signature to this application form with the supplements to item 3, item 4, item 5, and item 6.

This application form must be signed by all applicants before submission to NEDO and CDTI in order to obtain JSIP status.

Signature of Other Participant(2) from Japan
Organization name
Full name
Name of the person signing
Last name / First name
Function in Organization
Signature
Date;

Important Notice

The informationprovided in this application formwill beexchanged betweenNEDO andCDTI to evaluatewhether the proposed projectmeets the requirements for international collaboration under the Japan (NEDO)-Spain (CDTI) Innovation Program (JSIP). Informationwill only be usedbythe JISP National Managers and related specialists withinNEDO and CDTIfor the purpose of proposal evaluation and selection. For further information, please contact the National Manager for Japan or the National Manager for Spain at .

After a proposal has obtained JSIP status, new interested applicants can officially be recognized as participants when they satisfy JSIP criteria and after they have added their signature to this application form with the supplements to item 3, item 4, item 5, and item 6.

JSIP Application Form