Pedoman Insentif Riset Edisi-5 - Lembaga Penelitian dan ...

JOINT RESEARCH GRANT PROGRAM2011APPLICATION FORMDOCUMENT A.2A.2. General Information Part 2-1For SecretariatDate Received : I.D Number :* This form is to be completed in English.Name of joint research team :Title of proposed joint research project :a) Indonesian Member ListResearcher 1Name :Position :Affiliate Institution :Role: Check box (es) ( ) Research Coordinator ( ) Accounting ( ) MemberResearcher 2Name :Position :Affiliate Institution :Role: Check box (es) ( ) Research Coordinator ( ) Accounting ( ) MemberResearcher 3Name :Position :Affiliate Institution :Role: Check box (es) ( ) Research Coordinator ( ) Accounting ( ) MemberResearcher 4Name :Position :Affiliate Institution :Role: Check box (es)( ) Research Coordinator ( ) Accounting ( ) Memberb) International Member ListResearcher 1 Nationality :Name :Position :Affiliate Institution :Role: Check box (es) ( ) International Research Coordinator ( ) MemberResearcher 2 Nationalities :Name :Position :Affiliate Institution :Role: Check box (es) ( ) International Research Coordinator ( ) MemberResearcher 3 Nationality :Name :Position :Affiliate Institution :Role: Check box (es) ( ) International Research Coordinator ( ) Member150