RFBR – DFG – CNRS Trilateral Scientific Seminar	

Proposal form
	
Basic data
	
Type of application [1] 	•	New application or	 Follow-on application No. ____
	
Title of the seminar [2]	 	
Funding agency [3]	 	
Requested funding [4]	From the Russian Foundation for Basic Research (RFBR):	RUB	__________	
	From the German Research Foundation (DFG): 	EURO_________	
	From the National Centre of Scientific Research (CNRS):: 	EURO_________	
Venue of the seminar [5]	 	
Date of the seminar [6]	 	
Russian co-organizer [7] Surname, first name Institution		
German co-organizer [7] 
Surname, first name
Institution 		
French co-organizer [7]  Surname, first name Institution	 	
		
Appendices	•	Curriculum vitae of the Russian co-organizer [8]
•	Curriculum vitae of the German co-organizer [8] 
•	Curriculum vitae of the French co-organizer [8]	
	•		
	•		
 	•	Other: [9]	
			
I hereby confirm that all the details given in this application are correct, including the appendices. They were prepared in agreement with the other co-organizers involved.	

Place, date:  	Signature of the co-organizer:		

Information on the Russian applicant (Russian co-organizer)
	
Professional address		
Surname, first name	 	
Academic degree	 	
Place of work	 	
Nationality	 	
 	 	
Phone: Direct number		
Phone: Office number		
Fax		
E-mail	 	
Social security  number	 	

Information on the German applicant (German co-organizer)
	
Professional address		
Surname, first name	 	
Academic degree	 	
Place of work	 	
Nationality	 	
 	 	
Phone: Direct number		
Phone: Office number		
Fax		
E-mail	 	
Social security  number	 	

Information on the French applicant (French co-organizer)
	
Professional address	 	
Surname, first name	 	
Academic degree	 	
Place of work	 	
Nationality	 	
 	 	
Phone: Direct number		
Phone: Office number		
Fax		
E-mail	 	
Social security  number	 	

Budget [10]
	
Item	Russian part in Rouble [11]	German part in Euro [12]	French part in Euro [13]2	

 			 	

 			 	

 			 	
 Total  Rouble/ Euro			 	

Scientific and further details
	
Contents	
1. Summary [14]	
2. Objectives of the seminar [15]	
3. Importance of the seminar for future bilateral scientific co-operation [16]	
4. Expected scientific impact resulting from the seminar [17]	
5. Preliminary programme of the seminar	
6. Participants [18]