• Full Name*
• Department*
• Division*
• Date
  MM slash DD slash YYYY
• Cellphone Number*
• Email*
• Type of Project
  • Chart Review
  • Diagnostic
  • Qualitative Research
  • Quantitative Research
  • Human
  • Laboratory
  • MSc Project
  • Therapeutic
  • Basic Science
  • Clinical Research
  • Other
• Title of Proposal
• Starting Date
  MM slash DD slash YYYY
• Duration
• Estimated funds to complete project (US dollars)

• Advisor

• Full Name*
• Extension*
• Mobile No.*
• Department*
• Title/Position*
• Email*
• Advisor’s Assurance*
  • The undersigned agrees to accept responsibility for the scientific and technical conduct of the proposed research.

• Abstract

• Background
• Aims of the study
• Design and methods

• Specific aim(s)

• Primary
• Secondary
• Background and significance
  (Instructions: Literature review of previous studies on the subject; and justification of the study by stating the problem and its importance). Please attach additional pages if needed.
• Background and significance
  Max. file size: 128 MB.

• Research design and Methods

• Study Area/Setting
• Study Subjects
• Study Design
• Sample Size
• Sampling Technique
• Data Collection methods, instruments used and measurements
• Data Management and Analysis Plan
• Ethical Considerations
• Budget
  Max. file size: 128 MB.
  (Please use the attached documents for the price list of equipment’s used in the project if applicable) Download form
• Time frame for the study
• Time commitment and funds available
• Unique ID