SAMRC-Early Investigators Programme - Application form - 2021/22
Closing date: 1 November 2021- (Extended to 5 November 2021)
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RESEARCH AREA WHERE YOU INTEND TO DO YOUR RESEARCH AS PER SAMRC RESEARCH PRIORITY AREAS *
DETAILS OF THE APPLICANT (PRINCIPAL INVESTIGATOR: PI)
Title *
Full Name & Surname *
ORCID  ID number *
SA ID no: *
Gender *
Race *
Highest Qualifications *
Name of Institution: *
Date obtained *
JJ
/
MM
/
YYYY
Current Position *
Date of appointment in current position: *
JJ
/
MM
/
YYYY
Type of employment *
(clarify whether part-time, full-time, permanent or duration of the contract)
Institutional commitment to appoint the applicant as a researcher for the period of the funding *
Department *
School/Faculty *
Name and address of Hosting Institution *
Contact no: Work *
Contact no: Mobile *
Email  Work *
Email Other
Number of mentees /supervised/graduated/ students per level (in the last four years) #PhD students: *
Number of mentees /supervised/graduated/ students per level (in the last four years) #Masters students *
Number of mentees /supervised/graduated/ students per level (in the last four years) #Hons Students and Interns: *
Publication Citation Index Google Scholar (last five years) *
CO-PRINCIPAL INVESTIGATOR DETAILS
(if there is another senior researcher who is involved in the same research project at the same institution as member of the team)
Title
Full Name & Surname
SA ID no
Gender
Race
Highest Qualifications
Current Position
Date of appointment in current position
JJ
/
MM
/
YYYY
Type of employment
(clarify whether part-time, full-time, permanent, duration of the contract)
Department
School/Faculty
Publication Citation Index Google Scholar (last five years)
RESEARCH PROPOSAL
TITLE OF PROJECT *
RESEARCH PRIORITY AREA *
(as per the request for application priority research)
ABSTRACT & KEYWORDS *
(max 300 words) Please provide an abstract for a technical audience and five keywords to describe the project
OTHER SAMRC AWARDS: *
Please indicate any other awards from the SAMRC received in the last 3 years and/or currently held and the value of the awards
Contact details of at least two academic referees *
MOTIVATION (how will this award contribute to your long-term career?) *
(max 500 words) Provide a clear rationale of why early investigators grant will best support their long-term career goals and chosen career route)
Protection of Personal Information Act (POPIA)
Please note that by submitting the application and other supporting documents, the SAMRC concludes that you are a competent person to consent and that you are giving consent to the SAMRC to process and further process all personal information contained in the application forms and supporting documents in accordance with the Protection of Personal Information Act, Act No 4 of 2013 (as amended).
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