Project Facilitator Registration form

PROJECT FACILITATOR

REGISTRATION FORM
Dear Sir/Madam

The Mauritius Research and Innovation Council (MRIC) is inviting registration by eligible individuals as Project Facilitators. Project Facilitators will assist potential applicants to develop a Research and Innovation project proposal for funding consideration under one of the schemes of the MRIC: Proof of Concept Scheme (PCS) and Social Innovation and Research Grant Scheme (SIRGS).

For more information, please visit www.mric.mu/facilitator.

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PROJECT FACILITATOR'S REGISTRATION FORM
Personal Details
Kindly insert your first name and surname as per your National ID.
Name*

PrefixFirst NameLast Name
Residential Address*

Street Address 1

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Mobile No.*

MAURITIUS RESEARCH AND INNOVATION COUNCIL

PROJECT FACILITATOR

REGISTRATION FORM
Present Employment
Job Title*
Organisation*
Office Address*

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MAURITIUS RESEARCH AND INNOVATION COUNCIL

PROJECT FACILITATOR

REGISTRATION FORM
Grants Awarded

Please list the five most recent ones or the five most relevant ones to your area of expertise (with emphasis on MRIC Grants in particular).*

	Grant Name	Funding Agency	Amount Received and Currency	Status
1
2
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5

File Upload*

Please provide evidence of all grants awarded.
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Publications

Please list the five most recent ones or the five most relevant ones to your area of expertise.*

	Name of publication	Type
1
2
3
4
5

CV
Please upload your CV (limit it to a maximum of 3 pages)*

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Declaration
Declaration*

I acknowledge that the information provided is, to the best of my knowledge, true, accurate and complete at the time of registration.I understand that the details provided will be kept in a database and will be made available on the MRIC website.
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