二九年度國家技術發(fā)明獎申請書

1、二oo九年度國家技術發(fā)明獎申請書application form for2009 state technological invention award【項目基本情況 general description of the project1. 項目名稱 project title2. 主要完成人 principal persons who complete the project（主要完成入的姓名應按貢獻大小從左至右順序列出names of principal persons should be listed according to their contributions to the pro

2、ject）3. 項目名稱可否公布 can the projects title be disclosed 可 yes否 no保密期限 duration of confidentiality（年/year）4. 所屬或民經濟行業(yè) the national economy industry sector that the project belongs to（請參照本申請書塡寫說明的項目基本情況please see "general description of the project" of the notes on how to complete the applicati

3、on form for classification） a b c d e f g h i j k l m n o p q r s t5. 任務來源 source of task a.國家計劃 state plans （dai.國家科技攻關計劃 stated key technologies r&d programa2. 863 計劃 program ja3. 973 計劃 program jm.其他 others）n b.部委計劃 plans of ministries or commissions c.省、市、自治區(qū)計劃 plans of provinces, municipali

4、ties, or autonomous regions i d.基金資助 foundation （od1.國家自然科學基金 national natural science foundationd2.其他基金others） e.企業(yè) enterprises f.國際合作 international cooperationi_ g.非職務 not within one's own job responsibilities h.自選 self-chosen i.其他 others6. 項目起止時間 project commencement and completion dates起始於 s

5、tarted from完成於 completed by（h/月/年 dd/mm/yy）（fi/月/年 dd/mm/yy）illi. 項目簡介 brief introduction of the project項目所屬科學技術領域、主要技術內容、授權專利情況、技術經濟指標及推廣應用情況the scientific and technological area to which the project belongs to, major technological content, grant of patents and licensing condition, techno-economic

6、indicator, as well as promotion of application and effectivenessiil 主要技術發(fā)明點 major technological inventionsiviv.項目詳細內容 detailed information of the project1. 立項背景 background of setting up the project2. 科學技術內容 scientific and technological content3. 與當前國內外同類技術主要參數、效益、市場競爭力的比較；存在的問題及經採用的有效改 進措施comparison

7、 with the major technological elements, efficiency and market competitiveness of similar technologies prevailing in the mainland and abroad; improvement made to existing problems after implementing the technology4. 知識產權授權情況 proof of intellectual property rights5. 應用情況 application（不超過 15 頁 not more t

8、han 15 pages ）6. 經濟效益（社會公益類、國家安全類項目可以不塡此欄）economic benefits （this part may not be required for public welfare and national security projects）單位:萬元（港幣）unit: in ten thousand （hkd）回收期（年）yield （years）項目總投資額 total investment amount of the project年份year新增利潤newly created profits新增稅收newly created tax創(chuàng)收外匯（港幣

9、）foreign exchangeearned （hkd）節(jié)支總額total expenses beingcut down累計total各欄目的計算依據 the basis of calculation for each item（中文不超過 200 字;english not exceeding 100 words ）7. 社會效益 social benefits本項目曾獲科技獎勵情況information on science and technology awards given to this project獲獎項目名稱name of awarded projects獲獎時間dates

10、 ofaward prcscntation獎項名稱name of awards獎勵等級grades ofawards授獎部門(單位)departments (units) whichconferred awardsvi. 主要證明目錄 list of major document proof1. 知識產權證明目錄 proof of intellectual property rights (ipr)授權項目名稱project title知識產權類別categories ofipr國別country申請?zhí)朼pplication no.授權號patent no.2. 應用單位目錄 list of

11、organizations applying the project應用單位應用起始時間應用單位使用本發(fā)明產生提交應用organizations（年/月）聯絡人姓名及電話的經濟效益（萬港元）單位證明time of commencingname and phone no. ofeconomic benefitsproof of applyingapplication of thecontact person of theachieved by applyingorganizationprojectapplying organisationthe project()(mm/yy)(ten thou

12、sand hkd)3. 技術評價證明及國家法律法規(guī)要求行業(yè)審批文件目錄proof of technological assessment and approving documents on the industries required by the state's laws and regulations（中文不超過 800 字；english not exceeding 400 words）vii. 主要完成人情況*information on principal person who completes the project*姓名name性別m / fgender出生日期 d

13、ate of birth (mm/yy)出生地(省/市) place of birth (municipality/ province)民族ethnicgroup身份證號碼id card no國籍nationality行政職務 occupation工作單位unit in which principal person works完成單位unit in which the project completed通訊地址 correspondence address聯絡電話contact phone no.住宅電話phone no.(home)手提電話 mobile no.竜子信箱e-mailaddre

14、ss畢業(yè)學校school graduated畢業(yè)時間date of graduation文化程度education level技術職稱 technical title專業(yè)、專長 professional field or specially最高學位 academic degree曾獲科技獎勵情 況technologyawards received參加本項目起止時間自from至tocommencement and completion date of project participation(mm/yy)對本項目技術創(chuàng)造性貢獻 contributions to the major techno

15、logical content of the project（中文不超過 300 字;english not exceeding 150 words）日期date本人簽名signature of principalperson*據第一頁所塡寫的主要完成人'如超過一人完成項冃'所有完成人必須塡寫這份資料。如有需 要可影印此頁。referring to ”principal persons who complete the projectm on page 1, if more than one person complete the project, each of the pe

16、rsons involved has to fill in a form. this page can be photocopied if necessar y.viii. 附件目錄 table of contents of appendicesi 知識產權證明 proof of intellectual property rights2. 應用證明 proof of applications3. 技術評價證明及國家法律法規(guī)要求行業(yè)審批文件proof of technological assessment and approving documents on the industries re

17、quired by the statens laws and regulations4. 其他證明 other proving documents5. 所有完成人的有效身份証明文件(如香港身份証、中國護照等)copy of the identity documents of all applicants (e.g. hong kong identity card, prc passport, etc.)註： 附件要求請參閱申請書塡寫說明第viii部分，並提供目錄，順序排列及標記note附件，以方便核對。for submission requirements on the appendices,

18、 please refer to part viii of the “notes on how to complete the application forrrt. the appendices should be labeled according to the order of the content page(2)所有提供的資料，將用作申請國家科學技術獎。all information provided will be used for processing the entries.ixe 呈交申請書 submission of application申請書主件必須以中文及英文分別塡寫。請把已塡妥的申請書主件的軟複本(word format)連同一式四份的申請書主件及附件(活頁釘裝)親身或以專人派遞交回下列地址:the main application form should be completed in both chinese and english (in separate copy). please send one softcopy of the main application form (in word format) and four hardcopies of the main application form