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Annex 1 Application form of an open international grant competition for supporting the invited leading scientists and experts for a short term in the framework of Visiting Professor Program Tomsk State University Academic D.I. Mendeleev Fund Program ___________________________________________________________ (family name, name, patronymic name (where applicable) of the researcher) hereinafter referred to as “Visiting professor”, submits the present joint application for participation in TSU grant competition for supporting the invited leading scientists and experts for a short term in the framework of Visiting Professor Program financed by Tomsk State University Academic D.I. Mendeleev Fund Program 1. Information about the research Field of science: Mathematic, Informatics and Systems Science Physics and Space Sciences Chemistry and Material Sciences Engineering Sciences Biology and Life Sciences Medical and Psychological Fundamental Research Geosciences and Ecology Humanities and Arts Social Sciences Interdisciplinary Sciences Management Name of the project: ______________________________________________________________________________ 2. Project implementation period and requested grant amount. Project implementation period 2016 (from.. to..) Period of personal presence at TSU (months) 2015 (not less than 0,5 month/year) Requested grant amount (thousand RUB) 2017 (from.. to..) 2016 (not less than 0,5 month/year) Total: 3. The Visiting professor agrees to the following: • he/she did not announce about his/her participation in other forms of activity in the framework of this TSU grant competition of Visiting Professor Program; • declared research project is not a replication of a research conducted by the researcher in the previous period due to the budgets of various levels and other sources. 4. In case the present application is approved the visiting professor shall take the following responsibilities specified depending on a project implementation term and amount of funding, as follows: • within the prescribed period conclude an agreement on the grant allocation; • form a research group for conducting the research. This group shall include at least 1 candidate of sciences (Ph.D.), 1 Ph.D. student and 2 students studying at TSU; • publish at least 1 article per year in the in the journals of an appropriate research field indexed in the Web of Science database; • as a guest speaker participate in international scientific events, conducted at TSU; • take responsibilities for achieving the declared project goals in accordance with an individual work plan (Appendix 3); • in compliance with the Federal law from June 27th, 2007 №152-ФЗ “On the personal information” the visiting professor consents to the processing of the personal data submitted as part of the present application by the competition organizers and an invited third party. This personal information will be used for conducting this competition, for concluding an agreement on the grant allocation, and will be added into TSU database. 5. In case the present application is approved TSU shall take the following responsibilities: • conclude labor agreements with a visiting professor in compliance with the Russian legislation; • provide project financing in accordance with an approved financial plan for its implementation, and carry out obligations to pay taxes to the budgets of all levels and compulsory payments to the state extra-budgetary funds. • provide a workplace, access to the available experimental basis, and to the informational resources for conducting the research and (or) another works. Visiting professor ___________________________________________________ ___________________________________________________________________________ (signature) family name, name, patronymic/middle name (where applicable) of the researcher