Tdr/Rp(C)/Form/86

UNIVERSITY OF IBADAN

UNIVERSITY OF IBADAN RESEARCH FOUNDATION

PROPOSAL FOR A UIR-FOUNDATION

COLLABORATIVE RESEARCH PROJECT

1a. Principal Investigator (PI) and Faculty
Surname: First name(s): Title:

Faculty:
Full postal address:
Telephone:
1b. Co- Principal Investigator (Co-PI) and Faculty
Surname: First name(s): Title:

Faculty/Department
1c. Co- Principal Investigator (Co-PI) and Faculty
Surname: First name(s): Title:

Faculty/Department
2. Project Title:
2.1 Objectivesof Project
2.2 Proposed Starting Date: Estimated Duration:
2.3 Submitted to (Research Area): ENERGY HEALTH AGRIC WATER/INFRAS.
3. Project Summary
PART II. BUDGET

1. Budget Details[*]

Personnel[**] Position
(name) / % of time / Budget request (in N)
Year 1
(20 ) / Year 2
(20 ) / Year 3
(20 )
Principal Investigator
1
2
3
4
Trainees/Graduate Assistants
1
2 / xxxxx / xxxxx / Xxxxx
TOTAL PERSONNEL
Supplies
TOTAL SUPPLIES
Animals
TOTAL ANIMALS
Equipment
TOTAL EQUIPMENT
Patient costs
TOTAL PATIENT COSTS
Travel (do not include attendance at scientific meetings)
Other (specify)
TOTAL OTHER
GRAND TOTAL

Financial Officer of the Faculty Principal Investigator

Signature: ______Signature: ______

Name: ______Name: ______

Co- Principal Investigator Co- Principal Investigator

2. Other Support for the Proposed Research
(a)Is this research currently being supported by any other funding agency? If so, indicate the organization and summarize the amount and duration of support, with dates.
(b)Is this or a substantially similar application currently being considered elsewhere? If so, by what organization(s)? By what date is a decision expected?
3. Amount Intended for Supplies and Equipment to be Purchased by University through the University Purchasing Mechanism

N
4. Budget Justification (with additional details and break-down if desired)

Use additional pages if necessary. Please write on one side only
and number extra pages as follows: 4a, 4b, 4c, etc.
PART III. ADMINISTRATIVE INFORMATION

Acceptance of General Conditions by the Principal Investigator (PI) and Co-PIs

I have read the general conditions set out in the document PROPOSAL FOR A UIR-Foundation COLLABORATIVE RESEARCH PROJECT (SECTION A) and, if my application is successful, I agree to abide by them, I shall be actively engaged in the project.
Signature of the PI: Date:
Signature of the Co- PI: Date:
Signature of the Co- PI: Date:
2. Institutional and National Ethical Clearance and Approvals
(Required if the proposal involves research on human subjects)
2.1 Is institutional ethical clearance document attached? Yes No
2.2 Is national ethical clearance document attached? Yes No
3. National Government Approval
3.1 Is national approval necessary Yes No
3.2 If yes, is approval document attached? Yes No
4.Declaration of Faculty Endorsement
I confirm that I have read this application and that, if support is granted, the work will be accommodated and administered in the Department/Faculty in accordance with the general conditions stated above. The staff grades and salaries quoted are correct and in accordance with the normal practice of this Department/Faculty.
Responsible Administrative Authority[*]
Signature: Date:
Surname & initials: Title:
(Please print)
Faculty:
Telephone:
PART IV. PROJECT LINKS AND TRAINING OPPORTUNITIES
1. Names and Institution(s)/Department(s) of Collaborators
2. Links with Other Research Projects
(a) This proposal is in substance a continuation of Senate Project: ID Number:
Title:

(b)Indicate links which would be established with other University/international research projects.
(c) Indicate links with other research groups outside University of Ibadan, including industrial groups.
3. Collaboration with Scientists and Research Institution in Nigeria.
PART V. PROJECT DESCRIPTION (Please refer to Instructions and Guidelines)
1. Objectives and Rationale
2. Experimental Design and Methods
3. Critical Assessment and Possible Limitations of Approach in Relation to Project Objectives
Follow this format on additional pages. Please write on one side only
and number extra pages as follows: 7a, 7b, 7c, etc
4. Summary of Plan of Work
Major Activities During Each Year of Project
Year 1
Year 2
Year 3
ANNEX A. CURRICULUM VITAE ofPrincipal Investigator[* ]
1. Surname: Date of birth:
First name(s): Nationality:
2. Degrees (subjects, university or school, year):
3. Posts held (type of post, institution/authority, dates):
4. Recent publications (last 5 years, with titles and references); also papers in press:
ANNEX A. CURRICULUMVITAE ofCo-Principal Investigator[* ]
1. Surname: Date of birth:
First name(s): Nationality:
2. Degrees (subjects, university or school, year):
3. Posts held (type of post, institution/authority, dates):
4. Recent publications (last 5 years, with titles and references); also papers in press:
ANNEX A. CURRICULUMVITAE ofCo-Principal Investigator[* ]
1. Surname: Date of birth:
First name(s): Nationality:
2. Degrees (subjects, university or school, year):
3. Posts held (type of post, institution/authority, dates):
4. Recent publications (last 5 years, with titles and references); also papers in press:
ANNEX A. CURRICULUM VITAE ofGraduate Assistants[* ]

DO NOT WRITE ON THIS PAGE

[*] If necessary, expand under item 4, Budget Justification (page 4).

[**] Please include in ANNEX B the curricula vitae of any professionals, trainees or fellows who will be involved in the project.

[*] Dean of the Faculty other than the PI – (required to facilitate the grant contract arrangements with the UIR-Foundation)

Signature & Date

[* ]* Other formats containing the same information are acceptable. Use extra pages if necessary, write on one side only and numbering them as follows: 9a, 9b, 9c etc.