APPLICATION FOR PREVEST ORIGINAL RESEARCH AWARD
 
Only this versOnly this version of the application form will be accepted.
Project
Project Title
Select Project Type   
Keywords (List up to five keywords)  
1. 2. 3.
4. 5.
   
Primary Applicant
Applicant Name
Tile First Name Surname
 
Qualification  
Appointment / Practice Type  
Institution (If Applicable)
Department (If Applicable)
Street Address  
 
City State Pincode
       
E-Mail Id    
Contact Nos.
Phone(Work) Phone(Home) Fax(Work)
     
Please Indicate if this applicant is in one of the following categories:
If Student, Name of the Research Supervisor
Is administration of the grant And correspondence the responsibility of this Applicant?    
Hours Per Week Devote to the project  Hours
Brief Curriculum Vitae  
Associate Applicant 1
 Title         First Name 
Surname
Qualification 
Appointment / Practice Type  
Institution (If Applicable)
Department (If Applicable)
Street Address 
City  
State 
Pincode   
E-Mail Id    
Phone(Work)  
Phone(Home) 
Fax(Work)
Hours Per Week Devote to the project
 Hours
Brief Curriculum Vitae
Associate Applicant 2
 Title         First Name 
Surname
Qualification 
Appointment / Practice Type  
Institution (If Applicable)
Department (If Applicable)
Street Address  
City 
State 
Pincode   
E-Mail Id    
Phone(Work)  
Phone(Home) 
Fax(Work)
Hours Per Week Devote to the project
 Hours
Brief Curriculum Vitae
Associate Applicant 3
 Title         First Name 
Surname
Qualification 
Appointment / Practice Type  
Institution (If Applicable)
Department (If Applicable)
Street Address  
City  
State 
Pincode   
E-Mail Id   
Phone(Work)  
Phone(Home) 
Fax(Work)
Hours Per Week Devote to the project
 Hours
Brief Curriculum Vitae
   
Where is the work to be undertaken?  
Duration of Project
Commencement Date (Date Format:DD-MM-YYYY)    
Anticipated Completion Date (Date Format:DD-MM-YYYY)    
Note: For projects designed to be managed in stages over more than one year, it is necessary to submit a new application each year
What Technical/Other staff will be available to assist the project?   
What are the Aims of the project?  
Detailed Description of the project.
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