115-1學術活動補助(5)學術交流補助申請表

國立中山大學115年度第2次學術活動補助 - 學術交流補助申請表

National Sun Yat-sen University Application Form for Academic Exchange Subsidy - The 2nd Academic Activity Subsidy, Year 115 (2026)
一、本次受理申請時間為115年10月1日(星期四)至10月15日(星期四)。

The application period for this round is from October 1 (Thursday) to October 15 (Thursday), 115 (2026).

二、本次受理申請方式：

Application method for this round:

(一) 申請人請「填妥」本申請表、「上傳附件」後，再按「提交」。

Applicants please "fill in" this application form, "upload attachments," and then click "Submit."

請注意：本表格「無」暫存功能，敬請備齊所有相關檔案後再行填寫作業。Please note: This form does "not" have a temporary save function. Please prepare all relevant files before filling out the form.

(二)第11項「上傳附件」：請將下列佐證文件彩色掃描並依序合併成PDF檔後上傳。Item 11 "Upload Attachments": Please color scan the following supporting documents, merge them into a single PDF file in order, and upload.

1. 簽約、認養姊妹校、提升國際競爭力(爭取辦理國際會議)等實質國際學術交流活動之證明文件Documentation of signing agreements, sister university partnerships, or enhancing international competitiveness (striving to organize international conferences), showing actual international academic exchange activities.

2. 經費預算表(提升國際競爭力(爭取辦理國際會議)者應提供校外補助單位之回函)Budget planning (for those enhancing international competitiveness (striving to organize international conferences), official subsidy letters from external funding sources shall be provided).

(三)提交後，線上申請表會自動將「申請表之PDF檔」顯示於【感謝畫面】或【寄至申請人之電子信箱】。敬請申請人將申請表之PDF檔雙面列印並完成第16項「申請人簽章」、「系所主管簽章」及第17項「國際處簽章」後，於115年10月20日(星期二)下午5時前送至研究發展處(行政大樓6F)彙整。After submission, the online application form will automatically display the "PDF file of the application form" on the [Thank You Screen] or [Send to the Applicant's E-mail]. Applicants are requested to print the PDF file of the application form double-sided, complete Item 16 "Applicant's Signature and Seal," "Department/Institute Chair's Signature and Seal," and Item 17 "OIA's Signature and Seal," and then submit it to the Office of Research and Development (ORD, Administration Building 6F) for compilation before 5:00 PM on October 20 (Tuesday), 115 (2026).

三、紙本申請表送至本處後，如欲更新表單，請重新填寫線上申請表，並於第12項勾選「更新申請表」，無須重新遞送紙本申請表。After the hard copy application form is submitted to the ORD, if you wish to update the form, please re-fill out the online application form and check "Update Application Form" in Item 12. There is no need to resubmit the hard copy application form.

四、聯絡人：陳小姐，分機2608。Contact Person: Ms. Chen, Extension 2608.
1. 申請人姓名Name of Applicant
職稱Job Title / Title
所屬系所/組Department / Institute / Division
申請人校內分機 / 電話Campus Extension / Telephone Number
申請人e-mail Applicant's E-mail
(俾利收取申請表電子檔)
申請人備用e-mail Applicant's Alternate E-mail
(俾利收取申請表電子檔)
2. 其他聯絡人姓名 Other Contact Person's Name
其他聯絡人校內分機 / 電話Other Contact Person's Campus Extension / Telephone Number
其他聯絡人e-mail Other Contact Person's E-mail
3. 學術交流項目Item of Academic Exchange

Other
4. 簽訂交流協定學校/姊妹校名稱Name of Partner University / Sister School for Academic Cooperation Agreement
5. 活動名稱Name of Activity
6. 活動開始時間 Start Date of Activity

年月日期
4 digit year, 2 digit month, 2 digit day
活動結束時間End Date of Activity

年月日期
4 digit year, 2 digit month, 2 digit day
活動地點Activity Venue
7.預計申請其他補助經費（包括院系所配合款）Estimated External and Internal Subsidized Funds (Including Departmental/College Matching Funds)
其他補助經費來源 / 補助金額 / 補助情形(已獲補助、申請中、未獲補助)Source of Other Subsidized Funds / Subsidy Amount / Application Status (Approved, Pending, Not Approved)

8. 申請本處補助項目及金額Items and Amounts Requested from the ORD
本校教師至國外學術單位簽署經國際事務處核可之合作協定：Faculty of the University traveling abroad to sign academic cooperation agreements with overseas academic institutions, with approval from the Office of International Affairs: 
(1)交通費：金額/明細Travel Expenses: Amount / Details
(2)生活費：金額/明細Per Diem: Amount / Details


國外學者至本校參訪：
(1)演講費：金額/明細Speech Honorarium / Details
(2)住宿費：金額/明細Accommodation Fees/ Details
(3)餐費：金額/明細Meal Expenses / Details


提升國際競爭力(爭取辦理國際會議)者：For Enhancing International Competitiveness (Striving to Organize International Conferences):
(1)交通費：金額/明細Transportation Expenses / Travel Expenses: Amount / Details
(2)生活費：金額/明細Living Expenses / Per Diem Allowance: Amount / Details
※申請者應事先向校外單位(如：經濟部、國科會)申請經費補助，並於申請時提供校外單位之回函。Applicants must apply for subsidies from external organizations (e.g., Ministry of Economic Affairs, National Science and Technology Council) in advance, and submit the response letter from the external organization upon application.


(1)核銷項目請參考本處學術活動補助要點審查規定 (2)核銷相關注意事項請參考本校主計室網頁(https://acc.nsysu.edu.tw/p/412-1012-19227.php?Lang=zh-tw。
9. 申請本處補助總金額 Total Amount Applied for ORD Subsidy
單位：新台幣(限填數字)
本案若獲補助，經費授權至台端之代碼(會計室網路請購管理系統)If granted, the project authorization code assigned to you (Accounting Office Online Purchasing System)

經費授權代碼Project Authorization Code經費授權代碼擁有人之姓名Name of Code Holder
10. 歷年申請情形(如無則免填)Application History (leave blank if not applicable)
1. 申請次數：1. Number of Applications / Application Frequency
2. 如曾獲得本處補助：
(1)獲補助年別及金額
(2)獲補助成果概述
2. If Previously Subsidized by the ORD:
(1) Year and Amount Granted
(2) Overview of Results / Summary of Achievements
11. 請勾選欲上傳之附件項目

Other
上傳附件：請將前述勾選之附件彩色掃描並依序合併成PDF檔後上傳。Upload Attachments: Please color scan the checked attachments above, merge them sequentially into a single PDF file, and upload.

Upload a File
檔案類型：PDF, 上限10MB。 Cancelof
12. 申請人已重新檢查表單，確認填寫無誤並已上傳附件。Applicant Declaration: I have reviewed the form, confirmed all information is accurate, and uploaded all required attachments.
13. 申請人備註Applicant Remarks
附件不齊者請於本欄說明原因及預計補件日期。If the attachments are incomplete, please explain the reason and state the expected submission date in this field.
14. 再次提醒：提交後，線上申請表會自動將「申請表之PDF檔」寄至申請人之電子信箱。敬請申請人將申請表之PDF檔雙面列印並完成第16項「申請人簽章」、「系所主管簽章」及第17項「國際處簽章」後，於115年10月20日(星期二)下午5時前送至研究發展處(行政大樓6F)彙整。Important Reminder: Upon submission, the online application form will automatically send a PDF copy to the applicant's email address. Applicants must print the application form double-sided, obtain the necessary signatures for Section 16 ("Applicant Signature" and "Department Chair/Director Signature") and Section 17 ("OIA Signature"), and submit the hard copy to the Office of Research and Development (Administrative Building, 6th Floor) by 5:00 PM on Tuesday, October 20, 2026.
15. 依據本校學術活動補助要點審查規定之第二點第六款：獲經費補助者若有同時申請或領取其他校外或校內補助，應主動提出，未主動提出者，將由研發處簽請校長核定註銷或酌減已獲補助經費。In accordance with Subparagraph 6, Paragraph 2 of the University's Academic Activity Subsidy Guidelines:"Recipients of financial subsidies who simultaneously apply for or receive other external or internal subsidies must proactively declare them. Failure to do so will result in the Office of Research and Development submitting a request for approval from the President to cancel or reduce the granted subsidy."
16. 申請人簽章Applicant Signature
系所主管簽章Institute Director Signature
Should be Empty:

國立中山大學115年度第2次學術活動補助 - 學術交流補助申請表