Republic of the Philippines
Department of Science and Technology
PHILIPPINE COUNCIL FOR INDUSTRY, ENERGY AND EMERGING
TECHNOLOGY RESEARCH AND DEVELOPMENT (PCIEERD)
4th & 5th Levels, Science Heritage Bldg., Science Community Complex,
Gen. Santos Ave., Bicutan, TaguigCity
Tel. Nos. 553-86-37; 837-2071 locs 2101 ; Fax No. 837-6154
PCIEERD
YOUNG SCIENTIST PROGRAM (YSP)
APPLICATION FORM
(Print or type in block letters)
Sectoral priority area applied for:
INDUSTRY / Electronic and semiconductor industries / Mining and minerals
Metals and engineering / Food processing
ENERGY / Alternative sources of energy / Transportation
Energy efficiency
EMERGING TECHNOLOGIES / Materials Science/ nanotechnology / Genomics
Biotechnology / Information and communications technology
Space technology applications / Other emerging technologies (specify)______
SPECIAL CONCERNS / Climate change adaptation / Disaster risk reduction management
Environment
PERSONAL INFORMATION
Name of applicant
Institutional affiliation
Office address / Age / Citizenship
Contact number (mobile & landline) / Civil status / [ ] Single [ ] Married [ ] Others ______
Email address
Educational Status: [ ] HS student [ ] BS student [ ] MS student
Highest degree obtained
University/address
Inclusive dates
Honors received, if any
Name and signature of applicant:
Date:

CHECKLIST

Application Requirements / Date Received
Letter of request addressed to the Executive Director
Application form
Curriculum vitae (CV)
Endorsement letter from sending institution (at least the Dean or the Principal)
Capsule proposal with plan of activities
Budgetary requirements certified by the mentor
Qualification Requirements
Filipino citizen
Age 30 years and below
Full-time HS/BS/MS student, without employment but involved in research/innovation activities
a)for HS, group with a minimum of 3 members and a maximum of 5 members
b)for BS, individual or group with a maximum of 3 members
c)for MS, individual
Must be endorsed and certified by the sending institution (at least the Dean or the Principal) as part of the top 20% of the batch (for HS) or have an average not lower than 1.75 or equivalent (for BS and MS)
Undertake a research aligned within the PCIEERD sectoral priority areas /HNRDA
Duration of the research attachment must be for a maximum of 1 year
Request (with complete documentary requirements) was received at least three (3) months before the scheduled activity

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PCIEERD YSPApplication Form (revised 2017)