Project of  collaboration
2010 – 2011
Czech Republic – Poland
	
Date of receipt:                                                     Identification No:	
1. General information	
1.1.	Title of the project:

	
1.2.	Scientific co-ordinator of the project:

•	Name :
•	Profession – Duties/Proffession-Poste
•	Organization :

•	Mailing address :
•	Telephone No:
•	E-mail
•	Percentage of work participation in the project :
	
2. Name of institution or research team in  Poland	
•	Organization :

•	Mailing address :
•	Telephone No:
•	E-mail
•	Name of person to be addressed
	
3. Financial date (Czech side) : 	
(in Czech crowns)

3.1 Participation of institution from its own sources -  total/per year :

3.2 Participation of MEYS1  -  total/per year :
3.3 Other financial sources -  total/per year :
3.4 Total cost of the project :
	
1 Ministry of Education, Youth and Sports of the Czech Republic	

4. Functional data:	
4.1 Duration of the project : 	
4.2 Proposed date of commencement :	
5.Description of the project 

* When  needed  you can continue on the sheet attached	

6. Composition of the  research team (Czech side):

	
7. Ways and means of recording and announcing the results:
(know how, reports, publication, conferences …)

	
8. Time schedule:

	
	I agree to the project and declare that its financing is provided according to the above description	
10. Name and signature  (Czech side)
Main researcher

Date :	 Name and signature  (Czech side)
 Statute Depute

Date:	

11. Name and signature  (Poland)
Main researcher

Date :	 Name and signature  (Poland)
 Statute Depute

Date: