Major Impact Project (MIP) Renewal – Poliomyelitis Research Foundation

Major Impact Project (MIP) Renewal Application

Closing Date: 28 February Of Each Year

Please note the following:

The PRF must be acknowledged in all publications arising from a proposal funded by the PRF
The deadlines for submission of applications must strictly be adhered to. Applications must arrive at the NICD on or before the deadline date. No late applications will be considered
Ensure that all sections of the form are completed and all requested information attached.
Very Important: Upon completion of the degree the PRF would like you to confirm that the student graduated as well as a list of publications.

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General Information

Full NameName And Surname

Title

Race

Institution

Work AddressFull Postal Address

Institution NameFor Relevant Grant Cheque

Banking Details Of Relevant Institution

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Contact Number

Emaila valid email

Current QualificationsList your qualifications

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Present Professional Status

Title Of Project

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Grant Number

First Year Of Award

Brief Scope Of Project (As Per Original Application)

Specific Objectives

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Preliminary Data

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Research plan and methodology

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Timelines

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Budget Summary (As Per Original Application)

Budget SummaryAs per original application

Type	1st Year (Applied)	1st Year (Granted)	2nd Year (Applied)	2nd Year (Granted)	3rd Year (Applied)
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Original Detailed Budgetupload

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Amendment to 2nd and 3rd year budgets must be fully motivated

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Progress Report

Techniques which have been developed as well as completed work

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Results Obtained

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Sections of the proposed researched which have been completed

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Research work which is to be continued

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Degrees/ qualifications obtained and students trained (Names & Degrees)

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Papers: Submitted / in press / published and presented at conferences (Relevant to current research)

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Any Other Data You Wish To Present, If Graphs, Please upload the graphs in a PDF doc as an annexupload

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Brief Description of additional Data uploadedPlease provide a brief description of the additional data presented

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Quick Contact

Major Impact Project (MIP) Renewal Application

Closing Date: 28 February Of Each Year

Deadline Dates

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