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begindocument
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begincenter
large bf Application for a Royal Society Research Grant
endcenter
par
noindent To be typewrittenhspacefill Ref:RSRG(E)
par
noindentbegintabularp3inp2in
1hspace0.3cm Title: hspace1cm Forenames (in full): &Surname:
hspace1.5cm TITLE hspace3.5cm FORENAME &hspace2cm SURNAME
raggedright
2hspace0.3cm Address for correspondence:
hspace0.5cm ADDRESS 1
hspace0.5cm ADDRESS 2
hspace0.5cm ADDRESS 3
hspace0.5cm ADDRESS 4
hspace0.5cm ADDRESS 5
hspace0.5cm ADDRESS 6
&
raggedright
Tel: NUMBER
(daytime)
extn: EXTENSION
vspace0.5cm
email:
tt EMAIL ADDRESS
endtabular
par
noindent3indent Current post: JOB TITLE
par
Subject:hspace1cmA B C D E F G H I
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University/other establishment: LOCATION
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noindent4indent Brief title of Project (MUST NOT EXCEED 34 CHARACTERS AND SPACES IN LENGTH)
par
ttsmall
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hline
Y&O&U&R&em&T&I&T&L&E&em&H&E&R&E&em&em&em&em&em&em&em&em&em&em&em&em&em&em&em&em&em&em&
hline
endtabular
par
noindent5indent Sum requested (including VAT if applicable) pounds POUNDS (to nearest pounds)
par
Date needed: Day DD Month MM Year YYYY
par
noindent6indent Breakdown of sum requested, including VAT (total should equal sum given in 5):
par
begintabularp4inr
ITEM HERE & pounds POUNDS
ITEM HERE & pounds POUNDS
ITEM HERE & pounds POUNDS
ITEM HERE & pounds POUNDS
ITEM HERE & pounds POUNDS
endtabular
par
noindent7indent Other support (in pounds sterling) for the project for which the Royal Society is sought
par
begintabularp1.2inp1.2inlp3in
a) Assured £s POUNDS &Source(s)& SOURCE
par
b) Applied for& pounds POUNDS &Source(s)& SOURCE
endtabular
par
noindent8indent Approval of the Institution at which the research will be conducted (to support application and accept any award
indent under the normal terms and conditions relating to Royal Society Grants):
par
a) Signature of the Head of Department:
par
b) Signature/stamp of Institution:
par
small Where any of the proposed research involves the use of animals I have read and confirm I am in compliance
with the Royal Society's
indent policy on the funding of research involving animals and the publication of the results of such research. (underlineAvailable on request or at
indentunderlinehttp://www.royalsoc.ac.uk/st_pol48.htm)
par
noindent9indent Date: 20 January 2001 hspace5cm Signature of applicant:
par
noindent For Office Use Only
hspace*2.5cm A Application received (dd/mm/yy) hspace5.5cm RSRG
par
noindent B Board assigned hspace2cm C Grant Recommended hspace1cmpoundshspace4.5cmGrade
par
noindent D Grant awarded hspace2cmpounds hspace4cm Date CM (dd/mm/yy)
newpage
noindent10indent Proposed project: (400 word maximum)
par
noindentbegintabular|p7in|hline
YOUR PROPOSED PROJECT HERE
vspace*6cm
hline
endtabular
par
noindent11indent Brief statement of scientific career including qualifications and dates obtained:
noindent12indent Main recent publications: (to a maximum of 5)
par
noindentsmall Personal data on this form will be held and processed on the Society's computer. A summary of the Society's data protection policy, including the rights of subjects upon whom data is held, is obtainable from the Executive Secretary (ref: DPSA/JHS).
par
enddocument
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Matt Clark
2002-06-30