Travel Application Project Title ________________________________________________________________________________ Start Date ____________________________ End Date ____________________________________ GWRDC Program Area Please select one program area only (i.e. 2b) from this list. For additional information about the GWRDC Program Areas please refer to the GWRDC 5 Year Strategic R,D&E Plan 2012-2017 available from the GWRDC website at www.gwrdc.com.au 1. Environment and sustainability a. Climate adaptability b. Germplasm (grapevine) c. Vineyard profitability d. Pest and disease management e. Biosecurity 3. Improving products and processes a. Objective measures of quality and assessment systems b. Germplasm (yeast and bacterial) c. Process efficiency d. Vineyard characteristics 2. Consumers and markets a. Consumer insights b. Market access 4. Enabling adoption a. Adoption b. Developing people c. Evaluation Program Area ___________ Project Supervisor Contact Details The Project Supervisor is the person responsible for the overall project. Title ________________________ Research Organisation Name ________________________________________________________ _______________________________________________________________________ Address _______________________________________________________________________________________ Phone _______________________ Mobile _______________________ Email ____________________________ Chief Investigator Contact Details The Chief Investigator is the person performing the research under the supervision of the Project Supervisor. Title ________________________ Research Organisation Name ________________________________________________________ _______________________________________________________________________ Address _______________________________________________________________________________________ Phone _______________________ Mobile _______________________ Email ____________________________ Administration Contact Details The Administration Contact is the person responsible for all administrative matters relating to the project. Title ________________________ Research Organisation Name ________________________________________________________ _______________________________________________________________________ Address _______________________________________________________________________________________ Phone _______________________ Fax _________________________ Email ____________________________ How will this travel benefit you? How will this travel benefit the wine sector? How will this travel contribute to current or potential RD&E? What previous funding have you received from the GWRDC Project Number Title Amount What funding have you received from other sources for this travel? Please provide your travel itinerary including the date, location, institution, personnel meeting etc PLANNED PROJECT OUTPUTS Output Principal activity Networking / relationship building Extension Performance Targets Date TRAVEL BUDGET To view this sheet (embedded Excel document) please ensure that you select the Print Layout mode from the VIEW section of your toolbar. Double clicking within the embedded Budget sheet will allow you access to complete this section of the Schedule. Grey shaded cells perform automatic calculations. If you experience any difficulties, please contact the GWRDC office. Agency Contribution Agency Name Agency Name (GST exc) (GST exc) Indicative Budget (GST Exclusive) GWRDC (GST exc) Domestic fares International fares Hire car/taxi expenses Accommodation Living allowance TOTAL ADD GST (10% of the Total) TOTAL FUNDS REQUESTED FROM GWRDC 0 0 0 0 0 TOTAL PROJECT COST Agency contribution & funds from GWRDC ex GST 0 Yes Do you require payment in advance of Project Start Date? If Yes, please stipulate the latest date to which payment is required: No / / Checklist In signing this, I acknowledge that I have read and understood the GWRDC’s Guidelines for Applications and Reporting available from the GWRDC website at www.gwrdc.com.au. Signed PS ______________________________________________ Date _______________________ Signed CI ______________________________________________ Date _______________________ Signed AC ______________________________________________ Date _______________________ Application Submission Please post or courier to the GWRDC: One (1) signed (original signatures only) hard copy of your Travel Application Form And email to [email protected]: A Microsoft Word (must not be a PDF) copy of your Travel Application Form.
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