| 1. |
Name of the Applicant |
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| 2. |
Position Held |
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| 3. |
Department |
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| 4. |
Institution |
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| 5. |
| a. |
Mailing Address with Pin Code |
| b. |
Telegraphic Address |
| c. |
Phone No. |
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Office |
| Residence |
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| 6. |
Permanent Address |
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| 7. |
| a. |
Date of Birth |
| b. |
Place of Birth |
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| 8. |
Nationality |
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| 9. |
Academic Qualifications |
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Degree
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Subjects
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University
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Division/GradeObtained
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Year of Passing
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B.A.
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M.A.
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Ph.D.
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Any other
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| 10. |
List of Publications (in the last five years) |
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| 11. |
Experience |
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| 12. |
The No. of Projects Completed by the Applicant so far |
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S.No.
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Title of the Project
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Duration
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Total Cost
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Source Statusof Budget of the Support Project*
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| 13. |
Research Projects currently being conducted
by the applicant. |
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| 14.
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Was this Proposal submitted to any other
funding agency? If so, what was the outcome? |
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| 15. |
Is this research currently being supported by any other
agency or is this application being submitted elsewhere? If so, please
give details. Decisions about application to other agencies (including
those made after the award of ICSSR grant) should be reported to the
ICSSR as soon as available. |
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S.No.
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Title of the Project
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Source of Support
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Budget Estimate
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Date of Commencement
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Probable Date of Completion*
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| 16. |
Any other information that you think is relevant for
the evaluation of the proposal |
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(Signature)
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| * Please indicate whether the report has
been published, is to be published, or is still to be completed. |
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