学者出国研究访问英文申请书
行政院國家科學委員會雙邊科技合作
學者出國研究訪問英文申請書
National Science Council
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21Floor 106 Ho-ping East Road Sec. 2 Phone:(02)2737-7558
Taipei 106, Taiwan Republic of China FAX:(02)2737-7607
Application Form
Exchange of Scientists under
Agreements of Scientific Cooperation
1.Surname (姓):_______________________________________________________
First name (名):_________________________________________________
(中文)___________________________________________________________
2.Academic degrees (學歷):
Current Institutional Affiliation (服務單位):
Position at the institute (職稱):
3.Professional experiences including major certificates, honors, appointments, and
positions held (學術經歷):
表
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I102
4.Major publications (max. 6 entries, indicate year and place of appearance, and
co-authors, etc.) (代表性著作,六篇):
5.Proficiency in the languages spoken in the host countries (外語能力):
Please give detailed information (Are interpreters required or necessary?)
6.Field of research under which the visit is planned (研究領域):
7.Purposes for research visit: please give detailed information about
topic and nature of research work (訪問目的):
8.Duration of visit: please indicate exact date of expected start of visit
(訪問期限):
9.Detailed programme of the planned research visit (訪問計畫):
(Academic Institutions and colleagues to meet; topics of discussions;
topics of lectures to offer, duration of stay at each institution)
10.Requests for other visiting activities outside the scientific programme
(順道訪問活動):
表 I102