ICT R&D Grants Programme for Asia Pacific
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PAN ASIA ICT R&D Grants Programme
Application Form
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This application form is to be submitted along with a full Project Proposal and the Project Budget Breakdown (Appendix B). Proponent is required to send the above information as a SINGLE email attachment to ApplyRnD@idrc.org.sg
DATE SUBMITTED: _________________
I IMPLEMENTING ORGANISATION
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Name of Organisation |
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| Contact Person & Designation: |
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Street Address: Country: |
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| Contact Mailing Address: (If Different from Street Address) Country: |
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| Telephone: | |
| Fax: | |
| Email: | |
| URL: |
II PROJECT INFORMATION
| Title of Proposed Project: | |||
| Country/Region Where the Project will Take Place |
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| Duration of Project | |||
III PARTNERS
Please list all partner organisations involved in this project. Organisations from countries outside Asia-Pacific submitting proposals must be affiliated with a “lead” organisation from the region.
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Partner Organisations: |
Organisation (1) |
Organisation (2) |
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Contact Person & Designation: |
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Contact Address: |
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Telephone: |
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Fax: |
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E-Mail: |
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Partner Organisations: |
Organisation (3) |
Organisation (4) |
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Contact Person & Designation: |
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Contact Address: |
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Telephone: |
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Fax: |
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E-Mail: |
(If you have more than 4 partners organization, please use separate sheet and attach to the end of the application).
IV PROJECT BUDGET
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Grant Requested |
Equivalent to | |
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Contribution by: | |||
A |
Implementing Organisation: |
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B |
Partner Organisation(s): | ||
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1 |
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2 |
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3 |
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4 |
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*Exchange rate used: _____________________________________
VI AN OVERVIEW OF MAIN BUDGET ITINERARY **
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No. |
Main Budget Itinerary |
Total Cost |
Total Cost |
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1 |
Capital Equipment |
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2 |
Salaries |
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3 |
Professional Services |
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4 |
Research Expenses |
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5 |
International Travel |
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6 |
Support Services |
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7 |
Others (Please specify |
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Total Amount of Requested Grants |
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** See APPENDIX A for Budget Guidelines
1) ABSTRACT OF PROJECT PROPOSAL
Please summarise the proposed project in approximately 250 words, including the development problem and issues to be addressed; main information Technologies/tools to be used, tested or developed; expected research results.
2) PROJECT OBJECTIVES:
2.1) General Objectives:
2.2) Specific Objectives:
==================== END OF APPLICATION FORM =====================
APPENDIX B: PROJECT BUDGET BREAKDOWN
Please note that the soft copy of this form (appendix B) can be found in the application form.
Applicants may modify the form accordingly but the main budget headings (1- 6) must remain unchanged.
Kindly ensure that the total project budget tally with the amount requested (Under section VI) in the application form.
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No. |
Project Budget Breakdown |
Total Cost (In Local Currency) | ||
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1 |
CAPITAL EQUIPMENT | |||
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Breakdown |
Qty |
Unit Cost |
Total Cost | |
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1.1 |
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1.2 |
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1.3 |
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Etc |
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2 |
SALARIES | |||
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Breakdown |
Qty |
Unit Cost |
Total Cost | |
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2.1 |
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2.2 |
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2.3 |
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Etc |
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3 |
PROFESSIONAL SERVICES | |||
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Breakdown |
Qty |
Unit Cost |
Total Cost | |
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3.1 |
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3.2 |
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3.3 |
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etc |
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4 |
RESEARCH EXPENSES | |||
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Breakdown |
Qty |
Unit Cost |
Total Cost | |
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4.1 |
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4.2 |
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4.3 |
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Etc |
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5 |
INTERNATIONAL TRAVEL | |||
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Breakdown |
Qty |
Unit Cost |
Total Cost | |
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5.1 |
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5.2 |
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5.3 |
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Etc |
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6 |
SUPPORT SERVICES | |||
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Breakdown |
Qty |
Unit Cost |
Total Cost | |
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6.1 |
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6.2 |
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6.3 |
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etc |
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7 |
OTHERS (Please Specify) | |||
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Breakdown |
Qty |
Unit Cost |
Total Cost | |
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7.1 |
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7.2 |
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7.3 |
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Etc |
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TOTAL PROJECT BUDGET |
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| TOTAL PROJECT BUDGET in US Dollars |
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Last modified 2005-03-24 01:28 PM
