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Scientific Fund

Application for Research Project

No. Name of Researcher Academic Rank Employer P.O.Box Phone No. Fax No.
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  List of studies conducted by the researcher during the past five years :
  Has researcher ever submitted research projects to the Fund? * Yes No  
No. Funded Research Projects Date of Funding Date of Project Completion 6. Amount of funding requested
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  Second: Information Related to the Research
  1. Title of research *:
  2. Documenter brief review of previous researches work on the theme *:
  3. Research objectives *:
  4. Scientific and applicational impacts of research results *:
  5. Methodology of research plan :
  6. Amount of funding requested *:
  Projected budget and areas of expenditure :    
No. Requirements Total Value
1 Research/Researcher (% of time)
First Researcher %
Second Researcher %
Third Researcher %
2 Assistant researcher / Lab technician, others
3 Instruments and equipment (attach a separate list)
4 Material (attach list of material to be used)
5 Travel
a. Within the Kingdom
b. Abroad
6 Researchers' reward
7 Computer use
8 Miscellaneous (stationery, drafting, copying, printing, etc.)
9 Other (specify)
10 Total
11 a. Self-funding resources of the project
b. Amount of funding from university/institution or scientific Jordanian center (document with terms)
c. Total amount of funding requested from ASFSSR
Grand Total
Name : _ _ _ _ _ _ _      Signature : _ _ _ _ _ _ _     
Date : _ _ _ _ _ _ _
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