James Gear International Fellowship

General Information
Name*

First NameLast NameTitle
Race*
Gender*
Institution*
Work Address
Full Postal Address
Contact Number
Please enter a valid phone number.
Email*

Confirmation Emaila valid email
Institution Name*
For Relevant Grant Cheque
Banking Details Of Relevant Institution*
Current Qualifications*
List your qualifications
Present Professional Status
Relevant Work Experience To Date

Tabular

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Title Of Project
Title Of Project*
General Grant Information
Place Where Project Is To Be Undertaken*
Duration Of Project
Is This Your First Application To The PRF?
Have You Applied For The Same Period To Any Other Organisations For Grants To Finance Other Projects?

Have You Applied For The Same Period To Any Other Organisations For Grants To Finance The Proposed Project?

Brief Review Of Published Literature
Brief Review Of Published Literature (Max 20 References)
As a general rule, citations older than 10 years should not be used unless they are absolutely necessary in making the case for the proposed study or, if they are seminal works that should not be omitted.
Scope Of The Project For Which A Grant Is Requested (Proosed Research Program And Plan Of Approach)
Project Background And Rationale*
Specific Objectives*
Research Plan And Methodology*
Timelines*
Facilities

Apart from your university or institution, please supply details of any other institutions involved with the provision of facilities (including institutions providing clinical material) necessary for this research project

	Name Of Institution	Facilities Required
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Budget Details

Budget Details (Attach Your Flight Quote At The Bottom Of This Application)

	Description	Cost (VAT Inclusive)
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Total Budget
Ethics Committee Certificate
NB: Your application will not be considered unless relevant ethics approval has been accepted.

Choose between Human And Animal for their relevant dropdown fields.
Human
Please Provide Certification (PDF)

Max file size: 600KB
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Animal
Please Provide Certification (PDF)

Max file size: 600KB
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Checklist: Please Complete / Attach
Letter From Current Mentor In Support For This Application

Max file size: 600KB
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Letter From International Mentor In Support For This Application

Max file size: 600KB
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Upload CV - Including Publications

Max file size: 600KB
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Upload Your Flight Quote

Max file size: 600KB
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Grants Signatory Form (Can be downloaded at the top of this webpage)

Max file size: 600KB
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Any Other Additional Information You Wish To Present, If Graphs, Please upload the graphs in a PDF doc as an annex

Max file size: 600KB
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Brief Description of additional Data uploaded
Please provide a brief description of the additional data presented
Should be Empty:

	Name Of Organisation	Amount Requested	Request Granted?	If Yes, Provide Details
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	Name Of Organisation	Amount Requested	Request Granted?	If Yes, Provide Details
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General Information

Relevant Work Experience To Date

Title Of Project

General Grant Information

Brief Review Of Published Literature

Scope Of The Project For Which A Grant Is Requested (Proosed Research Program And Plan Of Approach)

Facilities

Budget Details

Ethics Committee Certificate

Checklist: Please Complete / Attach