Application Form
Eligibility Criteria
Researchers, postgraduate fellows & practitioners (up till assistant professor) in neurology*
Neurology residents can apply only with a supervisor
Team size should not be more than six (6) including supervisor
Research in Parkinson’s disease and epilepsy
CPSP research can also apply for funds or guidance
Proposals with grant allocation from any other funding source would not be accepted
The maximum funding available is PKR 500,000 for the project
* At time of application
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Research Topic Category
*
Parkinson's Disease
Epilepsy
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Administrative Information
Title of Research
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Research Design
*
Observational
Interventional
Applicant Name
*
First Name
Middle Name
Last Name
Highest Qualification
*
FCPS
MCPS
MBBS
Other
Current Title
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Assistant Professor
Senior Registrar
PG Trainee
Other
Institute Name
*
Mobile Number
*
Email ID
*
Duration of Project
*
Starting Date
*
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Day
/
Month
Year
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Completion Date
*
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Day
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Month
Year
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Ethical Approval
*
Received
Applied or In-Review
To be Applied
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Basic Details
Study Summary
*
0/200
Study Rationale
*
0/50
Primary Objectives
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Secondary Objectives
*
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Methodology
Study Design
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Study Duration
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Sample Size
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Sampling Technique
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Data Collection Method
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Inclusion Criteria
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Exclusion Criteria
*
Statistical Analysis Plan
*
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Research Team and Budget
Principal Investigator and Co-Investigator(s)
Name, Affiliation and Role
*
+ Add Investigator (up to six authors only)
Estimated Budget
+ Add All Budget Heads (Approval, Lab, Drug, Administrative, Publication, etc.)
Total Fund Required in PKR
*
Note: Include 5% Miscellaneous Cost of Subtotal
Synopsis or Protocol
*
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Applicant’s Resume
*
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Note: A Maximum of 06 Files can be Uploaded (Data Limit is 2MB)
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Any Other Document(s)
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e.g. IRB Approval, Data Record Form, etc.
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