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E-mail:section l2@)most gov bd
 R&D PROJECT APPLICATION FORM

INSTRUCTION: Please read these instructions carefully. Firstly, you must flll in all of the entries. If you have no data or irrelevant
tbr you, you may write'nd' (=no data) there. However, if you do not till in any vital entry, you may have a risk of rejection of your
application. Therefbre, you are advised to take a print copy of application form, flll in it and then start filling in online. Secondly, in
this online system you must submit only one application tbrm. Thirdly, once you submit an application form, you will get your lD
number; please take note of that ID number fbr further reference. Fourthly, you are strongly advised to keep a print copy of
application form for further uses. Fifthly', )'ou must use't IN4ES NHw ltol\4AN t-{-lN't, size ll fbr capital letters and sizc 72 filr small
lotters.l Fifthly, you must write in English. You must write your name in Bengali in the relevant entry.

PP size photo

Highest 9KB size

Part 1: Applicant's basic information

l. Applicant's name
Iin English
lin
2. Sex : male female comtTl0n
3. Father's name
4. Mother's name
5. Date of birth DD MM YYYY
6. Nationality
7. Applicant's permanent address

Part 2: Administrative communication

l. Applicant's present address
2. Applicant's office address
3. Applicant's mobile number
4. Applicant's email number
5. Applicant's bank and account number
6. NID number
7. Passport number (if any)

Part 3: Applicant's Official identification

(a) Are you engaged in any salariedjob? : yes no

lf vcs, (i) tick the category of the organization : public private NGO
(ii) Write name, postal, web and email
address of the organization: . . . ' . ' .
(b) Attach the permission letter you got from appropriate official authority in favor of doing
the research work :..
(c) lf private / NGO organization,
(i) Write name of the office it registered with : .......
(ii) Mention your official position in the organization : .........
(d) lf ,vou are not salaried, please write few words
to proof how do identify yourselfas a researcher? :

Part4: Previousrecord

(a) Did you get R&D project last year? yes no

If ys,(i) Please write name of the project
 (ii) Please write last year's ID number
(iii) Please mention the amount of grant TK
(iv) What was the title of your research work?
(v) Write two sentences on the research result

(vi) Did you submit financial and project report to MoST? : yes no

If no.(i) Did you receive R&D grant before any time? : yes no
(ii) If yes, please mention the financial year :.......
(iii) Please mention the name of the project :.......

Part 5 : Applicant's academic qualification

Examination College/ Year of Division/ GPA/ Department/

University passing Class CGP area ofresearch
BS /BSc/ BSc Eng
MSc
MBBS
M.Phil nla
PhD

Part 6 : Applicant's Research Aptitude and experience

L Applicant's research aptitude

(i) Do you have any article in any recognized journal? yes no
(iD Mention the name of the journal and articles
2. Applicant's research experience
(i) Are you a salaried researcher in any organization? yes no
(ii) Are you a teaching faculty in any university or a similar institution? yes no
(iii) Do you have any mentionable innovation? yes no
(iv) lf yes, please describe the innovation in two sentences.
(a)........
(b)..

PartT : Information of the research project

l. Title of the research project

2. Attach project proposal in the box.

flt must contain objective and implementation method of the
research project](not more than 5 pages, Times New Roman
font size 1 1)

3. Tick any of the following four categories your research project be grouped in.
(D Biology, Medicine and Nutrition
(iD Physical sciences,
(iiD Applied Sciences and Engineering
(iv) Agriculture, Food, Climate and Environment

Part 8 : Merit of the research project

l. Please tick the right one or more your project based on-
(i) only lab work
(ii) field and lab work
(iii) only field work
(iv) only survey work
(v) survey and lab work
 (vi) only computer work
(vii) sLrrvey and computer work

2. Write the location your project can be inspected in:.. ...

3. Write 02 objectives of your research project in 05-10 words
(i)
i)
(i
4. Mention the time schedule of your research project
(i) Date of start : DD-------MM-----------YYYY--------
(ii) Date of completion : DD ------MM-----------YYYY------------
5. Write 02 industry / area of knowledge your research project will impact on
(i)
(i i)

6. Write how does your research work will contribute to reduce time/ labor/ cost in
production place (in two sentences) : ....
7. Write how does your research work will add anything
new to existing knowledge : .......

8. Write the names of 02 other research projects already completed by you or any other researcher
(i)
(ii)

Part 9: Estimated cost of the proposed project

ln Thousand Taka)
Item wise cost breakdown Remarks/clarification
[You must not write cost of capital goods, foreign visit, salary, remuneration, seminarl
(please group all the items into 04)
(D Tk-
(ii) Tk-
(iii) Tk-
(iv) Tk-
Total Tk-

Part 10 : Applicant's swear

l. I myself fillin the R&D application form

2. If I get R&D grant, I will submit financial report and 02 copies of research report to MoST in time
3. If I leave /stop/ defer my research project (whatever is the reason), as soon as possible, I will inform it to
MoST and seek permission.
4. I am again confirming the following information -
My mobile
My NID
My email
My Bank account
5. Infonnation I have given in the forrn is correct and authentic

Signature of the applicant

Date
Part 11 : Papers to be submitted at time of viva-voce

1. 0l print copy ofthis application with one photograph

2. 04 sets of a 2-page synopsis of the project
3. Photocopy ofyour highest degree
4. Swear in Tk 300 judicial stamp
5. Permission letter from appropriate otflcial authority in f-avor of you tbr doing the research work.
 R&D all file/ Bill from/D-drive

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