Only Applications Using This Templates Will Be Considered

INSTRUCTIONS

Only applications using this templates will be considered
Please type in the spaces provided
Please complete the application form in full
Incomplete applications will not be considered
Please ensure that contact details are entered correctly, NCRST and NSFAF will not take responsibility for incorrectly entered details.
Kindly e-mail the Academic Transcript from your most recently completed studies together with your application
Apart from the application form and the Academic Transcript, please do not send any other attachments now. Successful applicants will be requested to send additional documents
Applications must be submitted on or before the closing date to

PART I- PROGRAMME & PRIORITY RESEARCH AREA

I am applying for a (mark with an x) / Masters Scholarship / Doctoral Scholarship
Namibian /International Institution (mark with an x) / Namibian / *International
*A limited number of scholarships are available for Namibian students pursuing full time studies at accredited international universities, for courses which are not offered locally. Selectionwill be at the discretion of the NCRST and NSFAF.
Priority Research Area (As per National Programme on Research, Science & Technology - NPRSTI)
The National Programme on Research, Science, Technology and Innovation (NPRSTI) is available for download at

PART II- DETAILS OF THE APPLICANT

DETAILS OF APPLICANT
Surname
Names
Nationality / Marital Status
ID Number / Date of Birth
Male / Female
No. of Children
CONTACT DETAILS
Full postal address (Namibia)
E-mail address / Mobile Number
PROJECT INFORMATION
Project Title (25 words maximum)
Name of Enrolled or intended Institution
Supervisor name & contact information
Proposed starting date: / Expected duration (years):
Acceptance of general conditions by the Applicant
I have read the conditions set out in the instructions andas outlined in the guidelines and evaluation criteria and if my application is successful, I agree to abide by them. I also understand that the decisions of the NSFAF and the NCRST are final and that no correspondence will be entered into should my application not be considered successful.
Signature: Date:
PART III- EDUCATION & QUALIFICATIONS HELD
TERTIARY EDUCATION
Institution (s) attended / Degree Awarded / Attended from (month/year) / Attended to (month/year)
SECONDARY SCHOOL EDUCATION
Schools attended / Certificate Type awarded / Attended from (month/year) / Attended to (month/year)
PART IV- PROJECT INFORMATION
When completing this application form,please refer to the Specific Guidelines for applicants for specific requirements. This section should be single spaced using Book Antiqua, font size 11and should not exceed 14 pages (excluding study instruments and data collection forms). Maximum length of each section is stated in parenthesis.

1.Abstract (1/2 page / 300 words)

2.Rationale and background (1 page/600 words).

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3.Study goals and objectives: List up to 3 major objectives which are SMART (Specific, Measurable, Achievable, Resourced (within the project budget) and Time Bound) (0.5 pages/300 words).

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4.Study indicators and outcomes: Provide an indicator of achievement for each objective and define the main and secondary outcomes for the study. Indicate how the study will contribute to the advancement of knowledge, how the results will be utilized. (1 page/600 words)

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5.Study design and methods: Describe the design of the study and the methods to be used for each objective. Indicate where the methods are shared across objectives. These do not then need to be repeated. Provide (as appropriate) the study design, hypothesis, reference and study population, case definitions, interventions, sample size and sampling strategy, follow up procedures and laboratory investigations (whichever is applicable)(3 - 5 pages/1800 - 3000 words).

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6.Data management and statistical analysis (if applicable) (1 page/600 words).

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7.Quality assurance. Indicate what steps you will take to ensure the provision of quality assured data (0.5 pages/300 words).

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8.Dissemination of results and publication. Please indicate how you intend to disseminate your results and who is your target audience e.g. by publication and other methods (0.5 pages/300 words)

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9.Milestone and Timelines: State the expected duration of the study. Provide information on Research Programme milestones and implementation timelines using Table 1 on page 4 and Table 2 on page 5 (2 pages/1200 words)

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NCRST and NSFAF Postgraduate Application form - 2016

Milestones1 and timelines
Prepare a list of the activities planned for the proposed research. Mark with X the appropriate cells to reflect the time and duration of each activity (add/delete rows as appropriate). An example of activities is provided in the table 1 below.

Table 1: Milestones1& Timelines

Year 1 & 2 for Masters Students and Years 1 to 3 for PhD students.

Activities / Year 1 / Year 2 / Year 3
Q1 / Q2 / Q3 / Q4 / Q1 / Q2 / Q3 / Q4 / Q1 / Q2 / Q3 / Q4
Example activity 1 / X / X / X / X / X / X
Example activity 2 / X / X / X

Suggested activities include: protocol development, ethical clearance, study site preparation, monitoring, laboratory analysis, data management, reporting.

Table 2: List of key target dates (to be used for Research Programme planning and monitoring)

Milestone[1] (include ≥ 3 per year) / Target date
Examples 1: Obtain National ethical clearance / January 2016
Example 2: Conduct Pilot study / February 2016

Suggested milestones include:conduct a pilot study,initiate laboratory analysis, laboratory analysis completed, data management completed, complete progress report, final report and scientific report available. These are examples and do not constitute a complete list.

NCRST and NSFAF Postgraduate Application form - 2016

PART V- BUDGET INFORMATION

A budget summary to indicate funds requested from NCRST should be completed using the budget form below. Year 1 & 2 for Masters Students and Years 1 to 3 for PhD students.

ITEM DESCRIPTION / Year 1 / Year 2 / Year 3
Tuition
Accommodation
Meals
Local Travel & Transportation(A maximum of 25% of the total grant amount is allowable for local & international travel)
International travel for research (Hotel, per diem) (A maximum of 25% of the total grant amount is allowable for local & international travel)
Research Material and Supplies (expendable items, reagents, stationery, glassware etc)
Equipment (up to 35 % of the total Budget per year)-(non-expendable assets - microscopes, recorders etc
Publication, Workshops and Conferences

Other costs (please specify)

GRAND TOTAL (N$)

PART VI - CHECKLIST

No / Details / Mark with a cross
1 / I have completed the application form in full
2 / I will send the Academic Transcript from my most recently completed studies with my application form
3 / I have not included any other attachments as per instructions

NCRST and NSFAF Postgraduate Application form - 2016

[1]A milestone is a key event, specific achievement or a major decision in the development of the Research Programme. Milestones map out the development of the Research Programme and are a means to measure the progress