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Preliminary Large Research Project Application Form

1

Office of the Vice Chancellor for Research and Graduate Studies

Relevant Institute:

Research Institute For Medical and Health Sciences Research Institute For Sciences and Engineering Research Institute For Humanities and Social Sciences

1- Project Title:

:ثحبلا ناونع

Expected Project Duration:

Researchers Participation:

One Department

More than One Department in One College

Several Colleges in UoS

External Participants

Principal Investigator (PI)

Full Name: Signature: University ID:

Academic Rank: Assistant Prof Associate Prof Professor

College: Department:

Telephone : Fax : email:

Field of Specialization:

Co Investigator (PI)

Full Name: Signature: University ID:

Academic Rank: Assistant Prof Associate Prof Professor

College: Department:

(2)

College: Department:

Telephone : Fax : email:

Field of Specialization:

Co Investigator (PI)

Full Name: Signature: University ID:

Academic Rank: Assistant Prof Associate Prof Professor

College: Department:

Telephone : Fax : email:

Field of Specialization:

2- Project Summary:

:هيبرعلا هغللاب ةاصلخلا

3- Project Importance and Objectives

(3)

4- Potential Sponsors

5- Potential Outcomes and benefits to the community

6- Investigator’s Team: (Please provide us with at least 3-5 publications relevant to the proposed project of each investigator).

No .

Investigator

Name Rank Department/Colleg

e Publications

1-

(4)
(5)

7- Other activities / experiences related to the project

8- Proposed Estimated Budget (human resources- equipment- consumables- infrastructure- etc,...)

No

. Item Amount

Required

1 Human Resources (Research Assistants, Postdocs, etc,…)

2 Equipment/ Software

3 Testing, Analysis, and Field Work 4 Consumables

5 Other Items (Include details) Total

Chair of Academic College Research Committee.

Name Signature: Date:

Academic Department Chair

Name Signature: Date:

Referensi

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UP DILIMAN OFFICE OF THE VICE CHANCELLOR FOR RESEARCH AND DEVELOPMENT Copyright Information Form TECHNOLOGY TRANSFERAND BUSINESS DEVELOPMENT OFFICE Confidential Kindly attach

Research : IUPUI http://research.iupui.edu/[7/5/2012 2:09:49 PM] Office of the Vice Chancellor for Research Strategic Initiatives Research Development Internal Funding

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