grant application

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For FY 2015

Grant Program for Promotion of Cultural Collaboration Application Instruction

1. Objectives This program provides grants to partially cover expenses incurred by specialists/specialist organizations in

the fields of arts and culture, sports, or intellectual exchange in Asia which aims to conduct collaborative projects such as co-productions, joint researches, and projects to disseminate the results of these collaborative projects. The goal of the grant is to foster an awareness of empathy and coexistence among the people of Asia, including Japan, through collaboration.

(1) To expand the range of interaction and cultural exchange to better improve mutual understanding In order to expand the base of exchanges among the people of Asian, the Asia Center supports and

will implement a variety of projects that encourage more opportunities for exchanges and dialogues and that promote further mutual respect and understanding of the diverse cultures in Asia.

(2) To promote the development of human resources and “Soft” infrastructure for the support of culture

The Asia Center supports programs that nurture future cultural figures and institutions in Asia through exchange and/or collaborative projects which would become the foundation for the development of future cultural exchanges.

(3) To form strong networks of experts from a diverse range of cultural fields, and lay the foundation to build

platforms for sustainable cultural exchanges The Asia Center promotes programs that create networks and platforms which bring together experts

from various fields to share, build and continue dialogues and collaborations that endeavor to achieve common goals or address common issues in Asia.

(4) To generate new values and movements in Asia by raising new issues and proposals for future progress

The Asia Center promotes collaboration projects such as co-productions in arts and culture or joint researches that address common concerns to propagate new values or movements which will be spread to and shared by many in and outside of Asia.

Among the above four goals, the Asia Fellowship Program offers support especially for those venturing in

activities described in (2) - (4), and who have clear project objectives and plans.

2. Eligible Projects (1) Eligible fields:

Activities in the fields of arts and culture, intellectual exchange and sports are eligible.

(2) Eligible activities: Eligible activities are collaborative projects involving mainly ASEAN countries and Japan. Collaborative

projects involving Japanese organizations or individuals, such as co-productions and joint researches, and projects to disseminate the results of such collaborative projects are eligible.

Though collaborative projects among multiple countries including those other than ASEAN countries or Japan are eligible, priority in screening may be low for applications with highly involved specialists/organizations from outside ASEAN countries or Japan.

Example eligible projects:

・Joint production of cinematographic works, theatrical performance, dance, music and the like by stage

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directors, scriptwriters and performers from the countries concerned

・Holding exhibitions on the basis of joint curation and relevant symposia

・Holding symposiums for resolving common issues, and publishing of reports

・Conducting joint researches on cultural heritage with local organizations, holding conferences for

deliberating on preservation and restoration methods, and implementing restoring operations for ruins

・Continuous workshops by experts for nurturing next-generation leaders in the field of sports

(3) The project must meet the following requirements to be eligible for the grant:

a. The project will commence between April 1, 2015 and May 31, 2016. If the contents of the project prove necessary, the project is eligible for the grant for multiple years, though the upper limit is, in principle, for three years and the screening of the project takes place every year.

b. Japanese organizations or individuals are involved. c. The project contains an element of collaboration or mutual exchange among multiple countries. d. The plan and method for the project are adequate to reach its objectives and are expected to lead to

sufficient outcomes. e. The grant must not be used for religious or political purposes. f. The project must not be implemented for profit.

Points to be noted The following projects are NOT eligible for this grant:

・A project specializing in the field of natural science or technology

・A project aiming for missionary or political activities, or for dissemination of a specific ideology, assertion or

policy

・A project whose outcome is found to contribute only to a particular group

・A project relating to solicitation for capital or fund, debt relief, donation, advertisement, or the

establishment of a new grant or award

・A project relating to the designing and construction of a building, a monument, etc.

・A project for the purpose of purchasing facilities, equipment, land, etc.

・A project whose main purpose is Japanese language education or Japanese study

・A project without an element of collaboration or mutual exchange and with a sole purpose of introducing

Japanese culture 3. Eligibility Requirements (1) The applicant is required to fulfill the following requirements.

a. The applicant must be an organization based in Japan or an ASEAN country. b. The applicant must have the capability required to execute its project in accordance with the plan. c. The applicant is not held to violate any law or regulation of the applicant’s country by receiving a grant

from the Japan Foundation. d. The applicant must possess a bank account in the name of the applicant’s organization to receive

remittance from Japan (the Headquarters of the Japan Foundation). Alternatively, the applicant must be able to open such an account by the time of receipt of remittance.

e. The applicant has no difficulty in preparing all the documents to be submitted and in communicating with the Japan Foundation in English or Japanese.

(2) The organizations listed below are not eligible for this grant.

a. The Japanese Government (including national agencies), local public organizations (including public universities, public junior high schools and public high schools and other public institutions), government-affiliated organizations, incorporated administrative agencies, local incorporated

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administrative agencies, and national university corporations (including national junior high schools and national high schools)

b. Foreign governments (including administrative organs, such as ministries and agencies, but excluding research and educational agencies) or foreign diplomatic missions in Japan

c. International organizations (intergovernmental organizations to which the Japanese Government contributes)

Points to be noted

・An application for other grant programs of The Japan Foundation or its overseas offices cannot be made

concurrently for the same project.

・If the representative of the applicant organization is a minor, a consent form (designated format) filled in by

his/her statutory agent (the person who has parental authority or the guardian) must be submitted. 4. Grant Coverage

Among the five categories (A~E) in (1) below for which the grant is available, the grant will be provided to the maximum of three categories for which the applicant organization applies. Please state the amounts and breakdowns of up to three categories for which the grant is requested in the

application form and the budget sheet, and attach estimate sheets for each expense. No application for four categories or more can be made. Furthermore, the grant amount to be requested cannot exceed 70% of the total project budget. (1) Categories covered by the grant:

A Traveling expenses (international travel expenses and domestic travel expenses) and accommodation expenses

・International travel expenses mean fares incurred for international traveling by air, land and sea. In

the case of a flight ticket, the fare includes accompanying necessary expenses such as extra premium for air insurance, fuel surcharge, departure tax, airport tax and passenger facility charges. If required, traveling for purposes other than the implementation of the project, such as a preliminary survey, is covered.

・ Domestic travel expenses mean fares incurred for traveling other than the aforementioned

international travel expenses.

・The upper limit of an international travel expense and a domestic travel expense is the amount for the

relevant economy-class discount fare.

・A fee for a visa is not covered.

・Accommodation expenses cover the number of stays required.

B Fees for venue use and fees for loan of equipment

・Expenses incurred for use of venues, loan of equipment, etc., for project implementation are covered.

・Expenses incurred for purchase of equipment, consumables, etc., are not covered.

・Costs for drink and food in the venue (costs for reception, lunch, snack, etc.) are not covered.

C Fees for translation, interpretation and lecture

・Fees for interpreters and translators and honorarium for lecturer of symposia, seminars are covered.

・Other honorarium or performance fee other than mentioned above is NOT covered.

D Expenses for preparation of materials, reports, PR materials, etc.

・Costs for printing, designing and editing incurred in the preparation of catalogs, posters, flyers, leaflets

and reports are covered. E Freight transportation expenses (air freight / sea freight)

・Expenses for freight transportation necessary for project implementation (including packaging costs,

customs fees and necessary storage costs), and excess baggage charges incurred in the travel of project participants (only for charges incurred for the equipment, tools and the like necessary for

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project implementation) are covered.

・Fees incurred for obtaining an ATA carnet and cargo insurance premium are not covered.

・It is possible to include expenses for freight transportation (for example, a flight ticket purchased for

transporting large musical instruments). However, whether the grant can be awarded for such expenses will be determined through screening/evaluation.

Points to be noted

・The grant amount for each category will be determined on the basis of the budget sheet submitted at the

time of application and the criteria of the Japan Foundation. Even when the application is approved, this does not mean that all of the requested grant amount will be provided.

・Please make sure to state the breakdown of each category (unit price × quantity etc.) in the budget sheet,

and to attach an estimate sheet. If it is not possible to attach an estimate sheet, please attach a document verifying the relevant unit price.

・The Japan Foundation does not provide a grant to cover the entire budget of the project. Please plan your

fund-raising by actively and concurrently seeking contribution from private companies, supporting funds and subsidies from private supporting organizations and local public agencies. If funds are provided from other organizations, please fill in the “Income” section of the application form.

・The amount of the grant will not exceed the amount of actual expenses. At the time of submission of a

report, it is necessary to submit appropriate documentary evidence of payments made for each of the categories for which the grant has been awarded. Please note that if, at the time of reporting, an actual payment made is found to be less than the amount granted, the grant amount will be reduced, and you will be required to refund return the remaining amount.

・Even where the contents of the project are changed after the decision of awarding the grant has been

made, or where the actual expenses exceed the grant amount determined, the grant amount will not be increased.

・ Even if the project is for multiple years, in this round of grant offering, the project will be

screened/evaluated, and a decision to award the grant will be determined with regard to the grant amount for the first year.

(2) Payment method:

In principle, the grant will be paid before and after the project implementation. With regard to payment of the grant before project implementation, 70% of the determined grant amount

will be paid upon submission of the designated “Payment Request Form” from the grantee after the acceptance of the application. However, when the implementation of the project continues for six months or more, grant payment may be made in installments.

Grant payment after the project implementation will be made when the Japan Foundation has received and confirmed a proper report upon the completion of the project. In the case where proper documentary evidence of payments is not submitted at the time of the submission of an accounting report, the grant amount awarded will be reduced to the extent of the relevant part, and you will be required to refund the difference in amount.

5. Selection Policy Screening is conducted mainly from the following perspectives on the basis of submitted application

documents, and involves consultation with outside experts if necessary, through which acceptance of the application will be determined.

(1) Whether there are clear objectives and goals of the activity concerned (2) Whether there are elements of cross-border collaboration/cooperation (3) Whether it is possible to disseminate the outcome of the project and return it to the general public. (4) Whether the project has the potential for leading to, or developing into, a new future project (5) Whether the theme or contents of the project contain a pioneering element or originality with some

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experimental characteristics (6) Whether the project does not end as a one-off project and its outcome will remain continuously and

independently etc. 6. Application Procedure The offer of the grant is made twice a year as follows. (1) Deadline /timing for notification of results

a. The first round offer: projects which will commence between April 1, 2015 and May 31, 2016 are eligible. Deadline: applications must arrive by December 1, 2014 Schedule for result notification: April 2015 *Please note that for projects which commence from April 2015, the notification of result may be sent out after the commencement of such projects.

b. The second round offer: projects which will commence between December 1, 2015 and May 31, 2016

are eligible. Deadline: applications must arrive by June 1, 2015 Schedule for result notification: August 2015

(2) Application Documents

The documents necessary for application are as below.

[1] Application form (designated format, Form Ⅰ)

In principle, fill in the form by using a computer, and submit the printout version of the form. If it is inevitably necessary to fill in the form by handwriting, please make sure the letters are legible. For details on how to fill in the application form and how to create application documents, see the “Points on Preparation of Application Documents” mentioned hereafter.

[2] Budget sheet (designated format) Please attach documents (such as estimate sheets) evidencing the estimation of each category the grant is requested.

[3] Support letters/ letters of consent from co-organizer(s) and/or cooperator(s) indicated in 3. (1). [4] CVs of the authorized official and the project director. [5] Document(s) that outline the bylaws, terms, etc., of the applying organization [6] Document(s) that outline the past activities and finances of the applying organization (can be

substituted with annual reports and pamphlets) [7] Document(s) that outline the past activities of co-organizers and/or cooperators indicated in 3. (1) (can

be substituted with annual reports and pamphlets) *If there are similar documents for co-organizer(s) and/or cooperator(s) indicated in 3. (2), please also attach them to your application.

[8] Consent form (in the case where the representative is a minor) (designated format) [9] Declaration of Commitment (only in the case of non-statutory organization) (designated format)

(3) Place for submission (the deadline is as stated in 6. (1) above) a. Application from Japan Please submit one original and one copy of the set of application documents to the Asia Center, Tokyo

Headquarters, the Japan Foundation by registered mail or delivery service. Submission by e-mail, fax or in person is not acceptable.

To: Grant Program for Promotion of Cultural Collaboration, Arts, Culture and Exchange Section, Asia Center, The Japan Foundation 4-4-1 Yotsuya, Shinjuku-ku, Tokyo 160-0004 Tel. +81-3-5369-6025

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b. Application from outside Japan The address for submission differs depending on your country of residence. Please submit one

original and one copy of the set of application documents to the following address. Submission by e-mail, fax or in person is not acceptable.

Country Place for submission The Japan Foundation overseas offices in ASEAN countries Indonesia The Japan Foundation, Jakarta

Address: Summitmas I, 2-3F, Jalan Jenderal Sudirman, Kav. 61-62 Jakarta Selatan 12190, Indonesia Tel: +62-21-520-1266

Philippines

The Japan Foundation, ManilaAddress: 23F, Pacific Star Building, Sen. Gil Puyat Avenue, corner Makati Avenue, Makati City, Metro Manila, 1226, Philippines Tel:+63-2811-6155

Malaysia The Japan Foundation, Kuala LumpurAddress: 18th Floor, North point Block B, Mid-Valley City, Medan Syed Putra, 59200, Kuala Lumpur, Malaysia Tel: +60-3-2284-6228

Thailand The Japan Foundation, BangkokAddress: Serm Mit Tower, 10F, 159 Sukhumvit 21 (Asoke Road), Bangkok 10110, Thailand Tel: +66-2-260-8560

Vietnam The Japan Foundation Center for Cultural Exchange in Vietnam Address: No. 27 Quang Trung Street, Hoan Kiem District, Hanoi, Vietnam Tel:+84-4-3944-7419

The Embassy of Japan in ASEAN countries Brunei The Embassy of Japan in Brunei Darussalam

Address: House No. 33, Simpang 122Kampong KiulapBandar Seri Begawan BE1518 Brunei Darussalam Tel:+673-222-9265

Cambodia

Embassy of Japan in Cambodia Address: No.194, Moha Vithei Preah Norodom, Sangkat Tonle Bassac, Khan Chamkar Mon, Phnom Penh, Cambodia Tel: +855-23-217161

Laos Embassy of Japan in the Lao PDR Address: Sisangvone Road, Vientiane Tel: +856-21-414400

Myanmar Embassy of Japan in Myanmar Address: No.100 Natmauk Road, Bahan, Township, Yangon, Myanmar Tel: +95-1-549644

Singapore The Embassy of Japan in Singapore Address: 16 Nassim Road, 258390 Singapore Tel: +65-6235-8855

(4) Points to Consider a. Any application form prepared other than in the designated format will not be screened. b. Any application form submitted after the deadline will not be accepted. c. The submitted application form and accompanying documents will not be returned. Please make sure

to keep your own copies in hand when applying.

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d. If any detail in the application form has changed after the submission of the application form, please promptly inform us of such change.

7. Notification of Results (the timing for notification of results is as shown in 6.(1) above) The applicant organization will be notified of the result of its application by letter. Please note that we cannot

answer any question regarding the progress of screening or the reason for the result. 8. Obligations of the Grantee After the decision of awarding the grant, the following obligations are imposed on the organization receiving

the grant. Please be aware that if these obligations are not found to be observed, the grant may be terminated or canceled in some cases.

(1) When implementing the project for which the grant is awarded, state clearly that the project has received the grant from the Asia Center, the Japan Foundation, and print its logo in publications and reports such as websites, posters, flyers, catalogs, and minutes of meeting. Further, submit two copies of such publications and reports to the Asia Center, the Japan Foundation.

(2) Take sufficient measures, such as confirmation of the security situation of the destination, to ensure the safety of project participants.

(3) Make a report on the overview and outcome of the implemented project and the details of income and expenditure in the designated format, and submit it within two months after the completion of the project.

(4) The Japan Foundation is intolerant of any fraudulent activity from the application process through the grant duration. Once a grant has been provided, committing any form of fraud with regard to the Japan Foundation grant funds could result in penalty measures such as revocation of decision to provide a grant in whole or in part, required return of rescinded portions of the grant including additional charges, late payment charges, suspension of the grant for a certain period of time, and/or other legal actions.

9. Disclosure of Information Regarding the Project

(1) Details of projects supported by the Japan Foundation (e.g., the name of the applicant and project descriptions) will be made public in the Kokusai Koryu Kikin Jigyo Jisseki (Detailed Annual Reports of the Japan Foundation), on the Japan Foundation’s website and in other public-relations materials.

(2) When a request for information based on the “Law Concerning the Disclosure of Information Held by Independent Administrative Institutions, etc.” (Law No. 140 of 2001) is received, materials such as submitted application forms will be disclosed (unless stipulated by laws as not to be disclosed).

10. Handling of Personal Information 1) The Japan Foundation handles personal information appropriately and in accordance with the “Law

Concerning Access to Personal Information Held by Independent Administrative Institutions” (Law No. 59 of 2003). Details of the Japan Foundation’s personal information protection policy can be reviewed at the following website:

http://www.jpf.go.jp/e/privacy 2) The Japan Foundation uses personal information on the application materials for screening, implementation,

and evaluation procedures of the project. They may also be used for the following purposes: - Details of the successful applicants, such as names, gender, job and position, affiliation, project duration, and project description , etc., are published in the Kokusai Koryu Kikin Jigyo Jisseki (Detailed Annual Reports of the Japan Foundation), the Annual Report, on the Japan Foundation’s website, and in other public-relations materials. They are also used in compiling statistics and released to the press for publicity purposes.

- There may be cases in which the information is released to the Ministry of Foreign Affairs of Japan, Embassies or Consulates-General of Japan, etc., at the place where a project is undertaken.

- There may also be cases in which copies of applications, including documents containing some personal

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information are provided to outside consultants in order to facilitate the screening process and the evaluation of the results of projects.

- There may also be cases in which the Japan Foundation sends questionnaires to the addresses written on this form after the project has ended.

- There may also be cases in which the Japan Foundation uses the information written on the application form to contact the applicants to inform them of other Japan Foundation activities.

3) Applicants are requested to inform all individuals whose personal information appears on the application materials of the above-mentioned policy.

4) There may be cases in which the project reports and other related publication are released to the public. 11. Contact Information

Grant Program for Promotion of Cultural Collaboration, Arts, Culture and Exchange Section, Asia Center, The Japan Foundation 4-4-1 Yotsuya, Shinjuku-ku, Tokyo 160-0004 Tel. +81-3-5369-6025 Email: [email protected]

If you are unsure of which program is applicable for the project you plan, or if you would like to inquire as

to general activities of The Japan Foundation, please direct your inquiry to the following contact. Communication Center, The Japan Foundation: Tel.+81 3-5369-6075

The format of the application form can be obtained from the website below. http://www.jpf.go.jp/e/program/index.html

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General Points to Note 1. When submitting the application form, please submit the original and one copy of the set of application

document. As submitted application documents will not be returned, please make sure to keep a copy for yourself before submission.

2. In principle, please fill in the application form by using a computer, not by handwriting, for submission. If it is inevitably necessary to fill in the form by handwriting, please make sure that the letters are legible.

3. Please fill in all application documents in Japanese or English. 4. If any detail in application documents has changed after submission, please promptly inform us of such

change. Guidelines on Details in Application Documents

All the application documents listed below must be submitted.

Points on Preparation of Application Documents

[1] Application form (Form Ⅰ)

[2] Budget sheet (Form Ⅱ)

*Please attach documents (such as estimate sheets) evidencing the estimation of each expense for

which the grant is requested in the application form.

[3] Cooperation agreements (copies allowed) from the main cooperative organizations and

collaborators listed in Application Form, 3 (1)

[4] CVs of the authorized official and the project director.

[5] The articles of incorporation, constitution, bylaws or other equivalent documents of the applicant

organization

[6] Documents showing the activities, past achievements and financial status of the applicant

organization

(Substituting documents such as annual reports and pamphlets are allowed)

[7] Documents stating the activities and past achievements of the main cooperative organizations and

collaborators listed in Application Form, 3 (1)

(Submitting documents such as annual reports and pamphlets are allowed)

*Please also attach any document regarding the cooperative organizations and collaborators listed

in the Application Form, 3 (2), if available.

[8] Consent form (designated format)

Only in the case where the representative of the applicant organization is a minor.

[9] Declaration of Commitment (designated format)

Only in the case where the applicant organization is a non-statutory organization.

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[1] Application Form (Use the designated format, Form Ⅰ)

1. Project Title:

・Please enter the name of the project to be used externally in Japanese or English.

・If the original name of the project is in a language other than Japanese or English, please fill in the

(Other Languages) section.

・If only the English/Japanese name of the project is available, please leave the (Other Languages)

section blank. 2. Applicant Information:

・Only one organization must be entered as applicant. Please state other co-organizers in the section

3.(1) Core co-organizations/collaborators.

・If the organization has its own seal, affix it to the right side of the section.

・The authorized official means the person who assumes the ultimate responsibility for the management

of the applicant organization, guarantees that the organization has officially applied to the Japan Foundation for the grant concerned, and is in the position to be responsible for this application.

・The project director means the person in charge of actual implementation and management of the

project.

・The treasurer means the person who assumes responsibility for accounting treatment of the applicant

organization and for the management and spending of the grant. The authorized official or the project director cannot concurrently serves as the person responsible for accounting.

・Authorized official, the project director and the treasurer must affix their seals or sign next to their

names.

3. Co-organizer(s), Cooperator(s): (1) Core co-organizations and collaborators of the project

・With regard to other main organizations and individuals for project implementation (for example, joint

hosting organizations, directors, etc.), please enter such organizations and individuals’ names, countries, roles in the project, and record of activity achievements. In the case of individuals, please place ( ) after their names and enter their affiliations in the ( ).

・ With regard to the core co-organizations and collaborators, please attach their cooperation

agreements. Photocopies of these agreements are accepted.

・In the “Role in the Project” section, please make sure to indicate what cooperative organizations (or

individuals) will be in charge of, whether they bear any financial burden, and whether they arrange venues, equipment, etc., in the implementation of the project.

・In the “Record of Activities and Achievements” section, enter only main past activities, and attach a

separate material showing detailed activity achievements.

・Please add a line as required when the lines are not sufficient.

(2) Collaborator(s), cooperation(s) other than the above

・Enter those organizations/individuals involved in the project that are not listed in (1).

4. Project outline:

・Please indicate a simple outline of the project (the purpose, contents, targets and expected outcome

of the project). Describe the detailed contents of the project in “10. Project details” 5. Budget of the project and Requested budget In the section of “Currency Unit:_____”, please state the currency used in the implementation of the

project (= the same currency as the one used in the budget sheet) (1) Total budget of the project / Amount of requested grant

・In [Total budget:__], enter the total budget incurred from the preparation to the completion of the

implementation.

・The grant amount cannot exceed 70% of the total budget of the project.

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・If the project is for multiple years, please enter the project budget for each year.

・If the project is to be completed within one year, please enter details to match the total project expense

with the project budget for the first year.

・ In this round of grant offering, the grant amount for the first year of the project will be

screened/assessed. Please enter the details of the budget only for the first year in the separate budget sheet.

(2) Breakdown of Requested Budget

・Fill in the categories (maximum of three categories) for which the applicant request the grant, among

the available categories (A~E) for the grant, Do not apply more than three categories.

・If you are planning to make an application for years, please enter the categories and amounts

assumed at the time of application. 6. The period of the project

・Please enter the project start and end years and months. When you set a period of project

implementation, please allow sufficient time before and after the implementation, for example, by taking account of the time necessary for the preparation of preliminary and ex-post reports, even where the project concerned is to behind in a short period of time.

7. Schedule of the project:

・Enter the date and venue in each of the “Preparation for project” “Implementation of the Project” and

“After the project Implementation” sections in chronological order.

・Please state clearly the venue name, city and country.

8. Past grant receipts from the Japan Foundation:

・If the applicant organization has received a grant from The Japan Foundation in the past, please enter

the year of the grant receipt, the grant program name, the relevant project name, and the amount of the grant.

9. Publicity plans and materials for public relations:

・Please state the publicity plan for the project and any publicity material planned to be prepared.

・Please be sure to specify in publicity materials that the project has received a grant from the Japan

Foundation, and to publish the Japan Foundation’s logo on such materials. 10. Project details

・Explanation of project contents will be assessed as the most important part of the application in

deciding whether to award the grant. Please note that even where the theme of the project is of novelty and the implementation method of the project is effective, its priority level for a decision of acceptance is low if the explanation on the project contents is insufficient. In entering project contents (details), make sure to include the following points. The format is not designated as long as following contents are indicated. (1) How and why the project was launched:

Please describe what lead the applicant to plan the project, and how the applicant has built the relationships with its main cooperative organizations/collaborators.

(2) Purpose of the project: Please describe the “objectives” that the project aims to achieve as specifically as possible (significance and goals), not its “contents”.

(3) Expecting outcome/achievements and plans on how to spread them : Please describe the contents of specific outcomes hoped to be achieved in Japan and Asian countries, and the ways to publish and disseminate such outcomes.

(4) Details of project: Please describe in detail the contents of the project, including the program on the implementation day. If such detail has not been decided at the time of preparing the application form, please describe the contents as of the planning phase.

(5) Preparation plan for the project: Please specifically describe the preparation status up until you apply for the grant and your

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future plan in relation to participant application, selection of venues, estimation of income budget as well as the status of communication with cooperative organizations and collaborators.

(6) Plans for after the completion of the project (in the case of multi-year projects, the plans for the following year):

If the project is to continue over years, please state the details as specifically as possible on the project budget, period and host countries of subsequent implementations, and to the extent that such details are known at the time of preparing the application form.

(7) Assessment standards for achieving goals of project a) Quantitative goals:

Please state the target numbers of visitors, participants, etc. b) Plans for third-party evaluations

Please specify how to evaluate the outcome of the project by third-party, such as the results of questionnaire surveys involving participants and visitors, the number of participants, and evaluations conducted by third parties.

c) Other criteria: Please provide any other evaluation criteria than a) and b), if available.

[2] Budget Sheet (Use the designated format)

・Please state clearly the breakdown of each categories of the budget plan.

・Please be sure that the total budget coincides with that of income.

・In the section of Currency Unit: _____, please state the currency used in the implementation of the

project (= the same currency as the one used in the budget sheet) Expenditure:

・The number of categories for which the grant application is available is maximum three categories

among the five categories below (A~E). In relation to expenses not falling under the three categories for which this application is made, please do not enter the amounts of such expenses in the “Grant Amount Requested to the Asia Center” section.

A Traveling expenses (international travel expenses and domestic travel expenses) and accommodation

expenses

・International travel expenses mean fares incurred for international traveling by air, land and sea. In

the case of a flight ticket, the fare includes accompanying necessary expenses such as extra premium for air insurance, fuel surcharge, departure tax, airport tax and passenger facility charges. If required, traveling for purposes other than the implementation of the project, such as a preliminary survey, is covered.

・ Domestic travel expenses mean fares incurred for traveling other than the aforementioned

international travel expenses.

・The upper limit of an international travel expense and a domestic travel expense is the amount for the

relevant economy-class discount fare.

・A fee for a visa is not covered.

・Accommodation expenses cover the number of stays required.


・Expenses incurred for use of venues, loan of equipment, etc., for project implementation are covered.

・Expenses incurred for purchase of equipment, consumables, etc., are not covered.

・Costs for drink and food in the venue (costs for reception, lunch, snack, etc.) are not covered.


・Fees for interpreters and translators and honorarium for lecturer of symposia, seminars etc., are

covered.

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・Other honorarium or performance fee other than mentioned above is NOT covered.


・Costs for printing, designing and editing incurred in the preparation of catalogs, posters, flyers, leaflets

and reports are covered. E Transportation expenses

・Expenses for freight transportation necessary for project implementation (including packaging costs,

customs fees and necessary storage costs), and excess baggage charges incurred in the travel of project participants (only for charges incurred for the equipment, tools and the like necessary for project implementation) are covered.

・Fees incurred for obtaining an ATA carnet and cargo insurance premium are not covered.

・Though it is possible to include expenses for freight transportation (for example, a flight ticket

purchased for transporting large musical instruments) in the application, whether the grant can be awarded for such expenses will be determined through screening/evaluation.

・Please make sure to provide a breakdown of the budget for each expense (unit price × quantity etc.) in

the budget sheet, and to attach estimate sheets.

・If it is impossible to get estimates for honorarium / personnel expense, its unit price and quantity (the

number of days, the number of times, time, etc.) must be indicated.

・The upper limit of an international airfare or a domestic airfare which the grant from the Asia Center

covers is the amount for the relevant economy-class discount fare.

・If the automated calculation function of Excel is used, please make sure to check that numbers are

correct. Numbers may be rounded off automatically in some cases.

・Please add a line if necessary.

・With regard to expenses to be covered by financial resources from any other party than the Asia Center,

please state all of such expenses currently assumed to be incurred.

Income:

・If you have made an application for a subsidy from a party other than the Asia Center, please make sure

to choose one of (Secured, Application in Progress, Application Planned) in the Notes section.

・Please add a line to the “Other Financial Resources” section and the “Income Expected from the

Applicant’s Project” section, if necessary. * Not the entire budget of the project will be covered by the grant from The Japan Foundation. Please arrange funds concurrently by seeking subsidies from other foundations and using your own financial resources.

[3] Support Letters/Letters of consent from co-organizer(s) and/or cooperator(s) indicated in Application Form. (1)

Please attach documents showing agreements of the main cooperative organizations/participants on their cooperation in the applicant’s project and on the details of their cooperation (photocopies allowed) (for instance, joint hosting agreements, agreements and statements of mutual agreement).

[4] CVs of the Authorized official and Project director

Please submit the CVs of the authorized official and the project director. [5] Document(s) that outline the bylaws, terms, etc., of the applying organization Please submit the articles of incorporation, constitution, bylaws or other equivalent documents of the

applicant organization. Documents such as annual reports and pamphlets can be used as substitutes.

‐14‐

AC-CC

[6] Document(s) that outline the past activities and finances of the applying organization (can be substituted with annual reports and pamphlets)

Please submit materials showing the structure (the composition of officers and personnel, and the number of other members, etc.) history, activities, past achievements and financial status of the applicant organization (for last three years). Documents such as annual reports and pamphlets may be used as substitutes.

[7] Document(s) that outline the past activities of co-organizers and/or cooperators indicated in 3. (1) (can be substituted with annual reports and pamphlets) *If there are similar documents for co-organizer(s) and/or cooperator(s) indicated in 3. (2), please also attach them to your application if available. Please submit materials showing the history, activities and past achievements (for last three years) of the

main cooperative organizations listed in Application Form 3.(1). In the case of associations, documents such as annual reports and pamphlets may be used as substitutes. In the case of individuals, please submit their personal histories.

*Please also attach any material for reference regarding the cooperative organizations/collaborators listed in the Application Form 3.(2).

[8] Consent form (in the case where the representative of the applicant organization is a minor)

Submit this form if the representative of the applicant organization is under 20 years of age at the time of applying. If the organization is run by youths such as students, please attach a photocopy of a document from which the age of the representative can be confirmed (for instance, driver’s license, insurance card for health insurance and student identification card [an identification document stating the date of birth]).

[9] Declaration of Commitment (only in the case where the applicant organization is non-statutory organization) In the case where the applicant organization is a non-statutory organization, submit a “Declaration of

Commitment “signed by the authorized official.

End

国際交流基金アジアセンターアジア・文化創造協働助成申請書 Grant Program for the Promotion of Cultural Collaboration

APPLICATION FORM 基金使用欄

1 / 7

日本国内在外事・大・総

For FY 2015

※手書きではなく、PC等で入力したものを印刷して提出してください。 *please print or type

1. 事業名称 Project Title

和文／英文 Japanese or English

その他の言語 ※ある場合のみ

Other language (if any)

2. 申請団体概要 Applicant Information

団体名称 Name of organizer

（和文／英文）Japanese or English （その他の言語）※ある場合のみ

other language (if any)

住所、連絡先 Address / contact info.

〒 Tel: Fax: e-mail:

設立年 Year of establishment

主な収入源と年間の活

動予算 Main source of income & General budget of the year

団体のウェブサイト

Website

申請団体代表者 Authorized official

Mr./Ms. Prof. / Dr.

氏名name in print 職名job title 印又は署名 signature

メールアドレス： e-mail address

生年月日：年月日（歳）※未成年の場合、別添の同意書が必要。

date of birth Month / Day / Year (age: ) *Minor Applicants must also submit a Consent Form

事業実施責任者 Project director

Mr./Ms. Prof. / Dr.



日付：年月日

Date: Month / Day / Year

印ある場

合のみ

[様式第1号］［FormⅠ］

2 / 7

経理責任者 Treasurer

※経理担当者は、申請団体代表

者若しくは事業実施責任者と

兼任できません。 *Treasurer must be a different person from authorized official or project person.

Mr./Ms. Prof. / Dr.

氏名name 職名job title 印又は署名 signature


団体の主な活動実績 Record of Activities and Achievements of Organizer

3. 協力団体、協力者 Co-organizer(s), Cooperator(s)

(1)主要な協力団体、協力者 Core co-organizer(s) or cooperator(s) of the project

団体名／個人名（所属先）、国名 Name(affiliation), country

事業における役割 Role in the project

主な活動実績 Record of Activities and Achievements ※詳細な活動実績を別途添付してく

ださい。（必須） *Documents of details must be attached.

担当する業務： Role in the project：

経費負担：有／無 Financial support (if any): Yes / No

会場、機材等の提供：有／無 Provision of venue, equipment etc (if any)：Yes/No

担当する業務 Role in the project: 経費負担：有／無 Financial support(if any): Yes / No 会場、機材等の提供：有／無

Provision of venue, equipmen…etc (if any)：Yes/No

※欄が足りない場合は増やして下さい。 *Please add rows accordingly

(2) (1)以外の協力団体、協力者、参加者 Collaborator(s), cooperator(s) other than the above.



主な活動実績 Record of Activities ※詳細な活動実績について資料があれ

ば、別途添付してください。（任意）Attach details if any.

3 / 7

※(1)には、事業実施において中心となる団体・個人（共催団体等）を記入してください。 ※(2)には、(1)以外の団体・個人を記入してください。 ※欄が足りない場合は増やして下さい。 *In (1), please fill in the principle co-organizer(s) and/or cooperator(s) in the project. *In (2), please fill in co-organizer(s) and/or cooperator(s) other than those listed in (1). *Please add rows accordingly

4. 事業の概要（和文150～200文字程度）Project outline (approx. 150 words in English)

5. 事業経費・助成申請額 Budget of the project and Requested Budget

通貨単位 currency unit：＿＿＿＿＿＿＿＿

(1) 総事業費・助成申請額 Total budget of the project / Amount of requested grant

総事業費 Total budget of the project

複数年計画の場合は、現時点で想定している内訳を記入してください。 If the project continues for over a year, fill in fields below.

1年目 1st year

総事業費 Total budget

助成申請額

Requested Budget

2年目 2nd year


助成申請予定額

Requested Budget (tentative)

3年目 3rd year


助成申請予定額


※アジアセンターへの助成申請額は、総事業費の70％以下としてください。

4 / 7

※1年目の助成申請額について審査・査定を行い、助成を決定します。 *The Requested Budget amount cannot exceed 70% of the Total Budet *Budget plans will undergo screening each year.

(2) 助成申請額内訳 Breakdown of Requested Budget

助成申請項目 categories 金額 Amount

1年目 1st year

2年目 2nd year （複数年計画の場合、現時点で想定して

いる項目と金額を記入） * If the project continues over a year,

please fill tentative categories and amount.

3年目 3rd year （複数年計画の場合、現時点で想定して

いる項目と金額を記入） * If the project continues over a year,

please fill tentative categories and amount.

※助成対象となる5項目のうち、助成を希望する大3項目と金額を記入してください。

※予算書に1年目の助成申請金額及び内訳を記載し、必ず見積書を添付してください。4項目以上の申請はできません。 *Please fill in maximum 3 categories from among intended 5 categories. *Please specify breakdown of amount for 1st year on budget sheet and make sure estimates are attached for each expense. It is not acceptable to apply more than 4 categories.

6. 事業実施予定期間 The period of project

自：年月日～至：年月日 Start from : Month / Day / Year ~ Ends at : Month / Day / Year

※詳細な日程が決まっていない場合は、余裕を持って期間を設定してください。 If specific schedule is not fixed yet, please set the period with leeway.

7. 事業実施日程 Schedule of the project

日程 Dates 活動内容 Activities

場所（会場名、都市、国名） Venues (name, city, country)

事

前

準

備 P

reparations for project

5 / 7

事

業

実

施 Imple

mentatio

n of project

事

業実

施

後 A

fter the project

8. 過去の事業における国際交流基金の関与 Past grant recipts from the Japan Foundation 過去に国際交流基金の助成を受けたことがある場合、基金と協力して事業を行なったことがある場合、もしくは基金事業と何

らかの関与があった場合には、そのプログラム名、事業名、実施年、助成額、及び事業概要： If you have ever received (a) grant(s) from, co-organized a project with, and/or participated in one of the programs of the Japan

Foundation, describe the name of the program/project, the year, the amount of the grant awarded, and the outline of the project.

6 / 7

9. 広報計画、作成予定の広報物（チラシ、ポスター、ウェブサイト等） Publicity plans, materials for public relations such as flyers, posters, websites…etc.

10. 事業内容（詳細）Project details ※下記(1)～(7)について記載してあれば、書式は任意のものでも構いません。 *Any format is acceptable as long as the contents below are indicated. (1) 事業実施に至る経緯／How and why the project was launched. (2) 事業の目的／ Purpose of the project (3) 期待される成果とその普及方法／ Expecting outcome/achievements and plans on how to spread them (4) 事業内容／ Details of project (5) 準備状況／ Preparation plan for the project (6) 事業終了後の計画（複数年事業の場合、次年度以降の事業計画）／

Plans for after the completion of the project (in the case of multi-year projects, the plans for the following year) (7) 事業目的達成の評価基準／ Assessment standards for achieving goals of project A）目標数値／Quantitative goals B）第三者による評価の方法／ Plans for third-party evaluations C）その他／ other criteria 11.予算書（様式第2号に記入）Budget sheet その他の提出資料 □ 予算書（所定の書式）※各項目の見積書（コピー可）を添付

□ 申請書3.（1）に記入した主要な協力団体、協力者からの協力同意文書（コピー可）

□ 申請団体代表者、事業実施責任者の経歴

□ 申請団体の定款、規約、会則又はこれらに準ずる書類

□ 申請団体の活動内容、過去の事業実績及び財政状況を記した書類（年報やパンフレット類などでの代替も可）

□ 申請書3.（1）に記入した主要な協力団体・協力者の活動内容、事業実績等を記した書類（年報やパンフレット

類などでの代替も可）

※申請書3.（2）に記入した協力団体・協力者の資料についても、あれば添付してください。

□ （申請団体代表者が未成年の場合のみ）同意書（所定の書式）

□ （申請団体が任意団体の場合のみ）誓約書（所定の書式）

※上記添付書類は必ず全てご提出ください。

Other documents to be submitted

□ Budget Sheet (FORMⅡ) *Estimate forms of each categories (copies allowed)

□ Support Letters/Letters of consent from co-organizer(s) and/or cooperator(s) indicated in 3. (1).

□ CVs of the Authorized official and Project director indicated in 2

□ Document(s) that outline the bylaws, terms, etc, of the applying organization

□ Document(s) that outline the past activities and finances of the applying organization (can be substituted with

annual reports and pamphlets)

7 / 7

□ Document(s) that outline the past activities of co-organizers and/or cooperators indicated in 3. (1) (can be substituted with annual reports and pamphlets) *If there are similar documents for co-organizer(s) and/or cooperator(s) indicated in 3. (2), please also attach them to your application.

□ Consent Form in the case of minor applicants (designated form)

□ Declaration of Commitment in the case of non- non-statutory organizations (designated form)

All documents indicated above must be submitted.

以上

Currency Unit:＿＿＿＿＿＿＿　　　　　　　＿

Expense Items

Schedules forExpenses

(Month andYear)

Breakdowns Subtotals

Grant AmountsRequested to the

Asia Center*Fill in only three

categories among A ~E

ApplicantOrganization's

Own Funds

Other FinancialSources (including

planned grantapplications)

Expenses to be covered by financial resources other than those from the Asia Center

(1) (2) (3)

Amount

　　Name of the granting organization:　　Name of the granting organization:

　[Contribution, Donation, etc.]

　[Income Expected from the Project (earning from entrance fees, participation fees, etc.)]

Notes:[Expenditure]・Please fill in Grant Amount Requested to the Asia Center [(1)] with a value limited to 70% of the total budget.・Please choose only three categories among A to E, and enter the amount to request in "Grant Amount Requested to the Asia Center."・In relation to expenses not falling under the three cagtegories for which this application is made, please do not enter the amounts of such expenses in the "Grant Amount Requested・Please make sure to provide the breakdown of each expense items (unit price × quantity etc.), and to attach estimate sheets (photocopies allowed).・If no estimate sheet is available for fees for translation, interpretation and lecture, please state their unit prices and quantities (the number of days, the number of times, time, etc.).

[Income]・If you have made an application for a subsidy from a party other than the Asia Center, please make sure to specify one of (Secured, Application in Progress, Application Planned) in

・Please add a line to the "Other Financial Resources" section and the "Income Expected from the Applicant's Project" section, if necessary.

*Please be sure that the total amount of expenditure coincides with that of income.

Total of expenses for preparation of materials, reports, etc.

Asia Grant Program for Promotion of Cultural Collaboration 2015, Asia Center, Japan FoundationBUDGET SHEET





Expenditure

Total of traveling expenses and accommodation expenses

*Please fill in only the total budget and grant amount requesteed fot the first year in the Application Form, 5 (1).

Applicant Organization's Own Funds *coinciding with Income (2)

Income

(Secured/Application in Progress/Application Planned) ← Choose one

Financial resourcesGrant Amount Requested to the Asia Center *coinciding with Income (1)

E Ttransportation expenses

Total

Total[(1)+(2)+(3)]

Notes

(Secured/Application in Progress/Application Planned) ← Choose one

Total of fees for venue use and fees for loan of equipment

Total of expenses to be covered by other financial resources than the Asia Center's

　Total of freight transportation expenses

Other Financial Sources *coinciding with Income (3)

　[Subsidies from other organizations ]

Total of fees and personnel expenses

Only three item

s among A

to E can be entered in "G

rant Am

ount Requested to the A

sia Center."

With

regard toany other item

, please enter the details of such item in the "A

pplicant Organization's O

wn

Funds" section or the "O

ther Financial R

esources" section. *D

elete this text box when inputting data or printing out this sheet.

[Form Ⅱ]

1/1

Letter of Consent

Month/Day/Year

Messrs. The Japan Foundation

Name of Legal Representative: Seal or Signature

Relation:

Address:

Telephone:

I, the undersigned, agree, as the legal representative (or as the representative of joint custodians if there are

other joint custodians) of the organizer mentioned below, to perform each of the following acts:

Name:

Date of Birth: Age:

Address:

To take (or have taken) the office as the authorized official of the organizer mentioned in the column 1 below;

To apply, as the authorized official of the said organizer, for the grant to be awarded under the program mentioned

in the column 2 below in connection with the project mentioned in the column 3 below;

To accept the funding decision of the grant or to withdraw the grant application filed, as the authorized official of

the organizer, if the Japan Foundation decides to award the grant in response to the grant application filed; and

To execute the project in good faith, as the authorized official of the organizer, in compliance with the

instructions given in the notice for funding decision as well as the conditions for awarding the grant and to fulfill

the duties and obligations as provided for in the notice for funding decision and in the funding conditions, if I

accept the funding decision awarded by the Japan Foundation.

Details of Application for Grant

1 Name of Organizer:

2 Name of Program

3 Name of Project for Which the Grant is Applied:

END

Declaration of Commitment

Month/Day/Year To The Japan Foundation

I, ________________, as the authorized official of ____ (Name of the Applying Organizer) ____ (hereinafter referred to as the “Applying Organizer”), hereby certify that I comply with the following articles in receiving the grant and executing the project if the project is adopted for the grant under the Grant Program for the Promotion of Cultural Collaboration by the Asia Center Japan Foundation (hereinafter, the “Asia Center”).

Article 1 Upon acceptance of the funding decision, I shall comply, as the authorized official of t Applying Organizer, with the terms and conditions for awarding the grant.

Article 2 Upon acceptance of “Notice of Grant Approval”, I will use the grant awarded to us only for the purpose of the project selected for the grant.

Article 3 If the organizer to which the grant is awarded is dissolved during the course of the project or after the completion of the project, I will notify in advance to that effect to a contact person of the Asia Center.

Article 4 If the organizer to which the grant is awarded is dissolved after the completion of the project in relation to which the grand is awarded, I, as the authorized official of the organizer, will act in good faith to the Asia Center in connection with the duties and obligations under the funding decisions of the grant and the conditions incidental thereto.

Article 5 Should the organizer to which the grant is awarded fail to fulfill any financial obligations having connection with the execution of its project, I will guarantee any and all financial obligations of the organizer as a person having a duty to fulfill such obligations.

Article 6 If there arises any matter not stipulated in the terms and conditions for awarding the grant, I will discuss in good faith with the Asia Center and comply with the decisions made by the Asia Center.

END

Address: ______________________________

Name: ______________________________

Signature: ______________________________

国際交流基金アジアセンターアジア・文化創造協働助成申請書 Grant Program for the Promotion of Cultural Collaboration

APPLICATION FORM 基金使用欄

1 / 7

日本国内在外事・大・総

For FY 2015

※手書きではなく、PC等で入力したものを印刷して提出してください。 *Please print or type

1. 事業名称 Project Title

和文／英文 Japanese or English

Japan, Thailand, Singapore Art×Design×Craft collaboration project

その他の言語 ※ある場合のみ

Other language (if any)

2. 申請団体概要 Applicant Information

団体名称 Name of organizer

（和文／英文）Japanese or English

（その他の言語）※ある場合のみ

other language (if any)

○○○ Museum of Art

住所、連絡先 Address / contact info.

〒***-**** * - * - *, Higashi-shinjuku, Shinjuku-ku, Tokyo

Tel: +81 (0)3-****-**** Fax: +81(3)-****-**** e-mail: info@*****.co.jp

設立年 Year of establishment

1998

主な収入源と年間の活

動予算 Main source of income & General budget of the year

Main source of income: donations, sales of admission, sales of illustrations, etc. Annual budget: *,***,*** JPY

団体のウェブサイト

Website http://www.~~~~~~~.com

申請団体代表者 Authorized official

Mr./Ms. Maeda ○○ Director Prof. / Dr.


メールアドレス： maeda@*****.co.jp e-mail address

生年月日：年月日（歳）※未成年の場合、別添の同意書が必要。

date of birth Oct / 1st / 1960 (age: 54 ) *Minor Applicants must also submit a Consent Form

事業実施責任者 Project director

Mr./Ms. Murakami ○○ Chief curator Prof. / Dr.


メールアドレス： murakami@*****.co.jp e-mail address

日付： 2014 年 11 月 1 日

Date: November / 1st / 2014

印ある場

合のみ

[様式第1号］［FormⅠ］ Example

2 / 7

経理責任者 Treasurer

※経理担当者は、申請団体代表

者若しくは事業実施責任者と

兼任できません。 *Treasurer must be a different person from authorized official or project person.

Mr./Ms. Sano ○○ Chief accountant Prof. / Dr.

氏名name 職名job title 印又は署名 signature

メールアドレス： sano@******.co.jp e-mail address

団体の主な活動実績 Record of Activities and Achievements of Organizer

Exhibitions of Contemporary Art of Southeast Asia (1999) East Asian Art Show (2001) Symposium on History of Contemporary Art in Southeast Asia (2005) ○○○○ Solo Exhibition (2010) Artist-in-Residence Project for Asian artists (2012)

3. 協力団体、協力者 Co-organizer(s), Cooperator(s)

(1)主要な協力団体、協力者 Core co-organizer(s) or cooperator(s) of the project



主な活動実績 Record of Activities and Achievements ※詳細な活動実績を別途添付してく

ださい。（必須） *Documents of details must be attached.

***** Center for Contemporary Art, Thailand

担当する業務：Extensive roles involved in holding the exhibition in Bangkok as well as communication and coordination with Thai artists Role in the project：

経費負担： Financial support (if any): Yes

会場、機材等の提供： Provision of venue, equipment etc. (if any): Yes

○○○ Solo Exhibition (2009) Japanese Manga Exhibition (2010) Exhibition of Contemporary Art of Thailand and Japan (2011)

NPO ***** Artist’s collective

担当する業務 Role in the project: Making arrangements for Thai and Singaporean artists to participate in the Artist-in-Residence program 経費負担： Financial support (if any): No 会場、機材等の提供：

Provision of venue, equipment etc. (if any): Yes (Provision of accommodation and space for production of works)

Have been involved in the Artist-in- Residence programs since 2005 up to now, so far inviting 80 artists from around the world. In 2008 held a joint exhibition of artists who participated in the program in the past.

Singapore ***** Museum

担当する業務 Role in the project: Extensive roles involved in holding the exhibition in Singapore as well as communication and coordination with Singaporean artists 経費負担： Financial support (if any): Yes 会場、機材等の提供： Provision of venue, equipmen etc.(if any): Yes

○○○ Exhibition (2010) Published in 2009 “The History of Contemporary Art in Southeast Asia” as the achievements out of the joint research project by specialists in Southeast Asia.

※欄が足りない場合は増やして下さい。 *Please add rows accordingly

3 / 7

(2) (1)以外の協力団体、協力者、参加者 Collaborator(s), cooperator(s) other than the above.



主な活動実績 Record of Activities ※詳細な活動実績について資料があれ

ば、別途添付してください。（任意）Attach details if any.

Daniel ○○（ Curator, Singapore ***** Museum）

Selection of candidate Singaporean artists, planning and management of the exhibition to be held in Singapore.

Curated ○○ Exhibition (2008) Contemporary Art in Southeast Asia (published in 2009)

Prachaya ○○ (Curator, ***** Center for Contemporary Art, Thailand)

Selection of candidate Thai artists and planning and management of the exhibition to be held in Bangkok.

Exhibition of Contemporary Art of Thailand and Japan (2011)

※(1)には、事業実施において中心となる団体・個人（共催団体等）を記入してください。 ※(2)には、(1)以外の団体・個人を記入してください。 ※欄が足りない場合は増やして下さい。 *In (1), please fill in the principle co-organizer(s) and/or cooperator(s) in the project. *In (2), please fill in co-organizer(s) and/or cooperator(s) other than those listed in (1). *Please add rows accordingly

4. 事業の概要（和文150～200文字程度）Project outline (approx. 150 words in English)

5. 事業経費・助成申請額 Budget of the project and Requested Budget

通貨単位 currency unit：JPY

(1) 総事業費・助成申請額 Total budget of the project / Amount of requested grant

総事業費 Total budget of the project 58,000,000 JPY

複数年計画の場合は、現時点で想定している内訳を記入してください。 If the project continues for over a year, fill in fields below.

1年目 1st year


8,000,000 JPY 助成申請額

Requested Budget

5,000,000 JPY

2年目 2nd year


15,000,000 JPY 助成申請予定額


7,000,000 JPY

3年目 3rd year


35,000,000 JPY 助成申請予定額


10,000,000 JPY

※アジアセンターへの助成申請額は、総事業費の70％以下としてください。 ※1年目の助成申請額について審査・査定を行い、助成を決定します。

Five to eight contemporary artists will be selected from Japan and Southeast Asia. Through accumulation of researches and studies by such artists in the countries other than their own, art works will be created through the use of such materials and techniques that are characteristic in those countries/areas of their residency location. It is planned that, based on such achievements, exhibitions will be held in the three countries.

Those works expected from the program are not only for exhibition, but rather, they will be created on the premisethat they can be used in daily life for example as clothes, furniture and general goods. The ultimate goal is to distribute them as commercial goods in collaboration with local design companies and manufacturers.

As for arrangements for the artists to conduct researches and creative activities including accommodation and space for production of works, we will work in partnership with local NPOs engaging in the Artist-in-Residence projects.

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*The Requested Budget amount cannot exceed 70% of the Total Budet *Budget plans will undergo screening each year.

(2) 助成申請額内訳 Breakdown of Requested Budget

助成申請項目 Item 金額 Amount

1年目 1st year

Traveling expenses (international travel expenses and domestic travel expenses) and accommodation expenses

3,000,000 JPY

Fees for translation, interpretation and lecture

1,000,000 JPY

Expenses for preparation of materials, reports, PR materials, etc.

1,000,000 JPY

2年目 2nd year （複数年計画の場合、現時点で想定して

いる項目と金額を記入） * If the project continues over a year, please fill tentative items and amount.


5,000,000 JPY

Expenses for preparation of materials, reports, PR materials, etc.

2,000,000 JPY

3年目 3rd year （複数年計画の場合、現時点で想定して

いる項目と金額を記入） * If the project continues over a year, please fill tentative items and amount.


3,000,000 JPY

Fees for venue use and fees for loan of equipment

4,000,000 JPY

Transportation expenses 3,000,000 JPY

※助成対象となる5項目のうち、助成を希望する大3項目と金額を記入してください。

※1年目の助成申請項目について、予算書に金額及び内訳を記載し、必ず見積書を添付してください。

※4項目以上の申請はできません。

*Please fill in maximum 3 items from among intended 5 items. *Please specify breakdown of amount for 1st year on budget sheet and make sure estimates are attached for each items.

*It is not acceptable to apply more than 4 items.*

6. 事業実施予定期間 The period of project

自：年月日～至：年月日 Start from : June / 1st / 2015 ~ Ends at : March / 31 / 2018

※詳細な日程が決まっていない場合は、余裕を持って期間を設定してください。 If specific schedule is not fixed yet, please set the period with leeway.

7. 事業実施日程 Schedule of the project

日程 Dates 活動内容 Activities

場所（会場名、都市、国名） Venues (name, city, country)

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事

前

準

備 P

reparations for project

June, 2015 July, 2015 August, 2015 September to December, 2015 January to March, 2016 April to August, 2016 September, 2016 December, 2016

First meeting and research in Japan Research in Thailand (Bangkok, Chiengmai) Researches in Singapore, Indonesia and Philippines Development of the Website. Second meeting: selecting artists and starting conduct to them.

Formulation of a schedule up to the holding of the exhibitions Sounding intentions of potential cooperating companies and co-organizers Research by artist in each country Making proposal of artwork by artist Details of the exhibitions will be fixed

○ ○ Museum of Art, Tokyo. Researches will be conducted in Aomori, Kanazawa and Kyoto. Interviews with artists in Bangkok and Chiengmai. Visit museums in those cities. Researches will be conducted in Singapore, Jakarta, Jogjakarta and Manila. Interviews with local artists. Visit museums in each country. Singapore or Bangkok (Locations not yet fixed)

事

業

実

施 Im

plementatio

n of project

January to April, 2017 May to July, 2017 August to October, 2017 November to December, 2017

Artists stay in each country and create works. Exhibition in Singapore Exhibition in Bangkok Exhibition in Tokyo

(Locations not yet fixed)

Singapore ***** Museum

***** Center for Contemporary Art, Thailand in Bangkok, Thailand ○○○ Museum of Art Tokyo, Japan

事

業

実

施

後

After the project

January to February, 2018 March, 2018

Preparation of a reporting document (in the form of a book) Settlement of accounts and preparation of an accounting report

To be published in Japan and sent to relevant parties in Thailand and Singapore.

8. 過去の事業における国際交流基金の関与過去に国際交流基金の助成を受けたことがある場合、基金と協力して事業を行なったことがある場合、もしくは基金事業と何

らかの関与があった場合には、そのプログラム名、事業名、実施年、助成額、及び事業概要： If you have ever received (a) grant(s) from, co-organized a project with, and/or participated in one of the programs of the Japan

Foundation, describe the name of the program/project, the year, the amount of the grant awarded, and the outline of the project.

Theatrical performance, ○○○○ in Singapore in 2011 under Grant Program for Dispatching Artists and Cultural Specialists Amount of grant received: 1,000,000 JPY Outline of the project: ○○ was staged at ○○ Theater in Singapore. The director was ○○, and the cast included ○○, ○○ etc.

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9. 広報計画、作成予定の広報物（チラシ、ポスター、ウェブサイト等） Publicity plans, materials for public relations such as flyers, posters, websites…etc.

Flyers, posters, banners, catalogues. will be prepared in time for each exhibition in each of the local languages. A common web site in three languages (Japanese, English and Thai) will be developed in order to post, as appropriate, information such as the progress of researches and productions of works by the artists.

10. 事業内容（詳細）Project details ※下記(1)～(7)について記載してあれば、書式は任意のものでも構いません。 *Any format is acceptable as long as the contents below are indicated. (1) 事業実施に至る経緯／How and why the project was launched.

At the exhibition held in 2009, a work created by an Indonesian artist using Nishijin brocade was displayed. And we were contacted by a company expressing interest in commercializing such work with some arrangements added with a hope to cultivate a new market for Nishijin brocade. Because of the difficulties encountered in the commercialization of the work, the idea was not realized. However, it created opportunities for exchanges between the artist and local craftsmen, leading to a new way of expression on the side of the artist. In light of this experience, we are proposing this project with an aim to provide more opportunities to artists. The reason why we have chosen Southeast Asia as the target area is that there can be seen many traditional arts and crafts and craftsmanship such as fabrics and Urushi lacquer similar to those found in Japan as well as that we hope that this project may help to overcome the situation that those traditional arts and crafts are disappearing due to modernization.

(2) 事業の目的／ Purpose of the project Proliferation and expansion of traditional craftsmanship as well as crafts and arts that have been inherited in Southeast Asia and Japan. Promotion of mutual understanding and exchanges among artists in Southeast Asia and Japan through the Artist-in-Residence Program. New artistic expressions through the fusion of contemporary art and traditional arts and crafts as well as craftsmanship.

(3) 期待される成果とその普及方法／ Expecting outcome/achievements and plans on how to spread them

Expected achievements: Diffusion and expansion of arts and crafts characteristic to a particular region and the production methods and techniques. Methods for diffusion:・Progresses up to the holding of the exhibitions will be reported as appropriate on website.

Holding exhibitions in three countries. Some of the resulting art works will be manufactured and marketed as commercial products in

cooperation with local businesses. (4) 事業内容／ Details of project

At the first meeting, discussions will be held with persons in charge of this project at Singapore ***** Museum and ***** Center for Contemporary Art, Thailand about potential venues and candidate artists. Based on the discussions, five to eight contemporary art artists will be selected from Southeast Asia and Japan and ask them about their willingness. Upon determination of artists participating in the project, potential venues for their creation activities will be selected through discussions with the artists and then relevant research will be conducted. The research will be conducted at least in two stages. During those researches, artists and curators will cooperate to find the venues for their activities as well as local organizations willing to support them. As for arrangements for accommodations for artists, cooperation will be asked of local NPOs and NGOs engaging in the Artist-in-Residence activities. Resulting art works will not only for exhibition, but the ultimate goal is to create such art works that can be commercialized as daily-use products or handicraft works. After the exhibitions those products will be actually sold so that many people will use them in their daily lives.

(5) 準備状況／ Preparation plan for the project

So far agreement has been worked out among following four organization, ***** Center for Contemporary Art in Thailand, ***** Artist Collective, and Singapore ***** Museum and us with regard to collaboration in implementing the project. Researches are now under way about potential venues and candidate artists. As for exhibitions, the availability of the necessary space in accordance with the above-mentioned schedule has been confirmed with each of the partners.

(6) 事業終了後の計画／

Plans for after the completion of the project Some of works resulting from the project will be commercialized and marketed in collaboration with trading companies and manufacturers. In addition, there is a plan to hold a symposium where the experiences and achievements of the project will be

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presented for discussions that can lead to a constructive project in the future.

(7) 事業目的達成の評価基準／ Assessment standards for achieving goals of project A）目標数値／Quantitative goals

Exhibition in Singapore: 30,000 visitors Exhibition in Bangkok: 40,000 visitors Exhibition in Tokyo: 50,000 visitors

B）第三者による評価の方法／ Plans for third-party evaluations

Questionnaire surveys will be conducted at each exhibition. We will ask reporters from newspapers, art magazines and design magazines to cover the exhibitions.

C）その他／ other criteria

No particular plan. 11.予算書（様式第2号に記入）Budget sheet

* As indicated in Budget sheet (FormⅡ)

その他の提出資料 □ 予算書（所定の書式）※各項目の見積書（コピー可）を添付

□ 申請書3.（1）に記入した主要な協力団体、協力者からの協力同意文書（コピー可）

□ 申請団体代表者、事業実施責任者の経歴

□ 申請団体の定款、規約、会則又はこれらに準ずる書類

□ 申請団体の活動内容、過去の事業実績及び財政状況を記した書類（年報やパンフレット類などでの代替も可）

□ 申請書3.（1）に記入した主要な協力団体・協力者の活動内容、事業実績等を記した書類（年報やパンフレット

類などでの代替も可）

※申請書3.（2）に記入した協力団体・協力者の資料についても、あれば添付してください。

□ （申請団体代表者が未成年の場合のみ）同意書（所定の書式）

□ （申請団体が任意団体の場合のみ）誓約書（所定の書式）

※上記添付書類は必ず全てご提出ください。

Other documents to be submitted

□ Budget Sheet (FORMⅡ) *Estimate forms of each item (copies allowed)

□ Support Letters/Letters of consent from co-organizer(s) and/or cooperator(s) indicated in 3. (1).

□ CVs of the Authorized official and Project director indicated in 2

□ Document(s) that outline the bylaws, terms, etc. of the applying organization

□ Document(s) that outline the past activities and finances of the applying organization (can be substituted with

annual reports and pamphlets) Document(s) that outline the past activities of co-organizers and/or cooperators indicated in 3. (1) (can be substituted with annual reports and pamphlets) *If there are similar documents for co-organizer(s) and/or cooperator(s) indicated in 3. (2), please also attach them to your application.

□ Consent Form in the case of minor applicants (designated form)

□ Declaration of Commitment in the case of voluntary organizations (designated form)

All documents indicated above must be submitted.

以上

Currency Unit: Japanese Yen

Expense Items

Schedules forExpenses

(Month andYear)

Breakdowns Subtotals

Grant AmountsRequested to the

Asia Center*Fill in only three

categories among A ~E

ApplicantOrganization's

Own Funds

Other FinancialSources

(includingplanned grantapplications)

International flight: Bangkok⇔Tokyo June, 2015 150,000x2 300,000 International flight: Singapore⇔Tokyo June, 2015 150,000x2 300,000 Acomondation fee@Tokyo June, 2015 15,000x5nightsx4people 300,000

International flight: Tokyo→Bangkok→Chiang Mai→Tokyo

July, 2015 250,000x2people 500,000

Acomondation fee@Bangkok, Chiang Mai July, 2015 8,000x8nightsx2people 128,000 Renting car @Bangkok, Chiang Mai July, 2015 800,000ｘ7days 560,000 International flight: Singapore⇔Tokyo August, 2015 150,000x2 300,000

International flight: Singapore→Yogyakarta→Manila→Singapore

August, 2015 250,000x2people 500,000

Acomondation fee@Singapore August, 2015 15,000x3nightsx2people 90,000 Acomondation fee@Yogyakarta August, 2015 8,000x3nightsx2people 48,000 Acomondation fee@Manila August, 2015 8,000x3nightsx2people 48,000 Renting car @ 3 cities above August, 2015 800,000ｘ6days 480,000

3,554,000

Loan fee for equiptments for during reserch July-August, 201 100,000x10days 1,000,000

1,000,000

Interpreter@ Thai July, 2015 50,000x4days 200,000 Interpreter@ Indonesia August, 2015 50,000x4days 200,000 Translation for documents (Japanese → Thai) Nov, 2015 8,000(A4:200words)x20pages 160,000 Translation for documents (Japanese → English) Nov, 2015 7,000(A4:200words)x20pages 140,000 Translation for documents (English→Japanese) Nov, 2015 7,000(A4:200words)x20pages 140,000 Translation for documents (Thai→English) Nov, 2015 8,000(A4:200words)x20pages 160,000

1,000,000

Making ｂrochures Dec, 2015 Design fee 300,000 Making ｂrochures Dec, 2015 Printing fee 700,000

Expenses to be covered by financial resources other than those from the Asia CenterMaking website Dec, 2015 1,500,000 Discretionary reserve 146,000

1646000

8,000,000 (1) 5,000,000 (2) 1,500,000 (3) 1,500,000

Amount5,000,000 1,500,000

　　Name of the granting organization: ***** grant program 1,000,000

　[Contribution, Donation, etc.]Donation 500,000

　[Income Expected from the Project (earning from entrance fees, participation fees, etc.)]

8,000,000

Notes:[Expenditure]・Please fill in Grant Amount Requested to the Asia Center [(1)] with a value limited to 70% of the total budget.・Please choose only three categories among A to E, and enter the amount to request in "Grant Amount Requested to the Asia Center."・In relation to expenses not falling under the three categories for which this application is made, please do not enter the amounts of such expenses in the "Grant Amount Requested to the ・Please make sure to provide the breakdown of each expense item (unit price × quantity etc.), and to attach estimate sheets (photocopies allowed).・If no estimate sheet is available for fees for translation, interpretation and lecture, please state their unit prices and quantities (the number of days, the number of times, time, etc.).

[Income]・If you have made an application for a subsidy from a party other than the Asia Center, please make sure to specify one of (Secured, Application in Progress, Application Planned) in the N

・Please add a line to the "Other Financial Resources" section and the "Income Expected from the Applicant's Project" section, if necessary.

*Please be sure that the total amount of expenditure coincides with that of income.

　Total of freight transportation expenses

Other Financial Sources *coinciding with Income (3)

　[Subsidies from other organizations ](Application in Progress)

-

-

Financial resourcesGrant Amount Requested to the Asia Center *coinciding with Income (1)

Total of expenses to be covered by other financial resources than the Asia Center's

1,146,000 500,000

Total of fees for venue use and fees for loan of equipment

- -

354,000

Total of fees and personnel expenses

1,000,000 -

Total

Total[(1)+(2)+(3)]

Notes

Applicant Organization's Own Funds *coinciding with Income (2)

Income

3,000,000

Asia Grant Program for Promotion of Cultural Collaboration 2015, Asia Center, Japan FoundationBUDGET SHEET





- 1,000,000

Expenditure

Total of traveling expenses and accommodation expenses

*Please fill in only the total budget and grant amount requesteed fot the first year in the Application Form, 5 (1).

Total of expenses for preparation of materials, reports, etc.

1,000,000

E Transportation expenses

-

- -

-

[Form Ⅱ]

1/1

grant application

Documents

asia center

collaboration projects

example eligible projects

variety of projects

eligible fields

eligible activities

asia fellowship program

joint researches