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UNIVERSITY-OF-LONDON

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UNIVERSITY-OF-LONDON

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									UNIVERSITY OF LONDON
APPLICATION FORM FOR A CENTRAL RESEARCH FUND GRANT 2009/2010

SUBJECT AREAS: Please consider the list of subjects provided in the covering letter, or listed on the website, and
insert your subject next to one of the general areas listed below:-
(A)          Humanities:………………………………………………………………………………………………………………
(B)          Medicine, Science, Engineering:………………………………………………………………………………………
(C)          Social Sciences: ………………………………………………………………………………………………………...
SHORT TITLE OF RESEARCH PROJECT:
…..…………………………………………….....................................................................................................................
...........................................................................................................................................................................................
IMPORTANT: Guidelines for completing this form are provided under Section 15 of the Information Sheet (pages 3-4).
All sections of the form must be answered, failure to supply full information may result in applications being deferred or
rejected. The Committee requires applicants to type throughout in point 12 typeface and the answers should be
confined to the spaces provided. The top copy of the completed signed form should be submitted to:- University of
London, Central Research Fund, Senate House, Malet Street, London WC1E 7HU. Forms cannot be accepted
electronically. It is the applicant’s responsibility to ensure that the form is received in the CRF office by the
deadline of 9 October 2009 or 12 March 2010.

SECTION A: NAME IN FULL ………………………………………………………………………………………………………..

TITLE: .............................................................. COUNTRY OF BIRTH: .…………………….........................................
Permanent Address:                                                                          Address for correspondence if different:




Tel. no                                                                                     E-mail

Fee Status: (delete as appropriate) HOME/OVERSEAS

SECTION B: EDUCATION AND EMPLOYMENT (Provide information in a date ordered list - See page 3 of the
Information Sheet)




                                                                                                                                                                                        1
SECTION C: DETAILS OF RESEARCH PROJECT, METHODOLOGY AND EXPECTED RESULTS.
[No more than 500 words - See page 3 of the Information Sheet]




2
SECTION D: EQUIPMENT, MATERIALS, ETC (See page 3 of the Information Sheet)




 SECTION E: TRAVEL (with dates) AND MAINTENANCE (See page 4 of the Information Sheet)




 SECTION F: FUNDING SOURCES (See page 4 of the Information Sheet)

 (a)   List CRF applications (successful & unsuccessful) within the last 5 years:




 (b)   List awards currently held:




 (c)   Explain why you have not applied to the sources listed in (b) above:




                                                                                        3
SECTION G: TOTAL ESTIMATED GRANT (IMPORTANT: Applications that exceed the set limits will not be
considered. See page 1 – Section 4 – of the Information Sheet)

The total should include VAT and Import Duty where applicable.

  SUB TOTALS                                                                                                                                                            TOTAL
                                                                                                                                                                       APPLIED
                                                                                                                                                                         FOR

  Section D                                                                          Section E

  £                                                                                  £                                                                             £

SECTION H: REFERENCES (See page 4 – Section H of the Information Sheet)

      Give the name and address of one person you have approached to give a reference.

      ..........................................................................................................................................................................................

      ..........................................................................................................................................................................................

SECTION I: SIGNATURES & DECLARATIONS (See page 4 – Section I of the Information Sheet)

IMPORTANT: Failure to complete this Section fully may result in delays to applications being processed. The
declarations below must be signed by the Applicant, the Head of Department and, in the case of postgraduate
students, also Supervisors. Beneath the signatures the names should be hand-printed or stamped.

(i)           We have read the Information Sheet relating to Research Grants and submit that the above application is made in
              accordance with the provisions of the Information Sheet and that the information contained in the application is
              true.

(ii)          We confirm that the appropriate insurance cover has been taken out for the project.

(iii)         We confirm that, where appropriate, a risk assessment exercise has been carried out in accordance with the
              procedures of the Applicant’s institution.

(iv)          We confirm that where research is to be conducted with human participants the approval of the appropriate Ethics
              Committee has been obtained and, in the case of animal experiments that, where appropriate, Licences and
              Certificates have been or will be obtained in accordance with the 1986 Home Office Act.


Ethics approval obtained from:                                        …………………………………………………………………………………………
                                                                      [Attach a copy of the approval statement to the form]


Date:                                                                 …………………………………………………………………………………………..


Or, if approval is pending, indicate
when this is expected:                                                ..........................................................................................................................



(a) Applicant:                                                        …………………………………………….. Date………….………………………




(b) Supervisor:                                                       …………………………………………….. Date…….………….………………..
    (Postgraduate Students)



(c) Head of Department, or equivalent:                                …………………………………………….. Date…..……...………………………
    (All applicants)
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