SAMRC Clinician Researcher Programme  - Application form

PhD Scholarships for Clinician-Scientists
Request for Applications
(2023 enrolment)

Step 1 - Complete the online application before or by 15 August 2023, 23:59 (EXTENDED TO 29 August 2023)
Step 2 - E-mail the required supporting documents together with the application form below in a single pdf file (max size 1 Mb) to the dedicated e-mail address: CRPapplications@mrc.ac.za on or before 15 August 2023, 23:59 (EXTENDED TO 29 August 2023)

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Personal details
Title (Ms, Mr, Dr) *
First Name *
Surname *
Sex *
Population group *
Date of Birth *
MM
/
DD
/
YYYY
Citizenship *
South African ID no: *
eMail a certified copy of the ID document
Postal Address *
Physical Address *
Work telephone number
where applicable
Mobile number *
Alternative number
University eMail address *
Alternative eMail address *
Academic Information
Highest qualification *
PhD year of Study (2023) *
Current degree funded by *

University at which you are currently registered

 *
eMail proof of registration for 2023
First date of registration *
eMail evidence
Faculty *
Department *

Title of PhD research project to be funded

 *
Potential societal impact of the proposed research *
Science engagement activities: State how you intend to communicate and engage with the wider community on the significance of your research in an effort to bridge the gap between science and society *
Research supervisor email address *
Research Supervisor Contact no. *
Co-supervisor
where applicable
Co-supervisor's Institution Name
where applicable
Co-supervisor's Institution
where applicable
Clear selection
Co-supervisor's eMail address
where applicable

Proposed research project requires ethics approval

 *
(Please Mark the correct box)
Proposed research project has been approved by the postgraduate office or equivalent office *
(Please Mark the correct box)
Protection of Personal Information Act (POPIA)
As of the 1st of July 2021, the new Protection of Personal Information Act (POPIA) came into full effect. The law is designed to protect how all juristic persons use, store and process data. You can read the full details on the act here: https://popia.co.za/

The SAMRC as a responsible statutory science council will comply with POPIA. The SAMRC will receive personal information through applications submitted to the SAMRC for the purposes of applying for funding. The personal information requested on the application template is necessary for the SAMRC to fully evaluate the applications for funding. This information will be shared with members of Scholarship Selection Committees of the SAMRC and external funders and/or stakeholders where applicable as well as the SAMRC management for the purposes of processing the applications. The SAMRC will process this personal information strictly in accordance with POPIA. The SAMRC undertakes specifically to process the personal information on the basis that (a) it was provided voluntarily and (b) the information will be processed only as far may be necessary and within the limitation and ambit of the purpose of evaluating the application for funding (i.e., the purpose with which the personal information was received). The SAMRC confirms that it is lawfully processing the information since the purpose of processing is to seek quality research proposals for funding which the SAMRC is mandated to do in terms of Section 4 of the SAMRC Act 58 of 1991, thus the SAMRC is fulfilling its legislated and lawful mandate, and strategic objectives as provided for in the SAMRC Act.
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