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Industrial CASE Sign Up Form

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					                   INDUSTRIAL CASE SIGN UP FORM 2007
Voucher Number

Agent - RDA/Faraday/KTN

Project Partner

Research Organisation

Project Title




EPSRC Funding

Total Award = £62,298 (over 3 ½ years)

Minimum           2007/08                           £12,608
Stipends:
                  2008/09                           £12,923

                  2009/10                           £13,246



Project Partner Contact Details

Title                   Initial          Surname

Address




Post Code

Telephone                           Email

Total Project Partner Contribution to this project (this must be a   £
minimum of a 1/3rd of the EPSRC funding: i.e. at least £20,766 cash)

Signed




                                          -1-
Project Partner Supervisor Details (if different from above)

Title                     Initial            Surname

Address




Post Code

Telephone                                 Email



Research Organisation Supervisor Details

Title                     Initial            Surname

Address




Post Code

Telephone                                 Email

Signed



Research Organisation Administrative Authority (Registrar or Equivalent)

I certify that the university intends to appoint a student to this project with the Supervisors
as detailed above.

Title                     Initial            Surname

Signed




                                              -2-

				
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Description: Industrial CASE Sign Up Form