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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: 32 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: 32 MB.
(Please use the attached documents for the price list of equipment’s used in the project if applicable)
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Time frame for the study
Time commitment and funds available
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Unique ID
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