Download in MS Word Format

RESEARCH GRANT APPLICATION FORM

 

for

SUBMISSION OF RESEARCH PROPOSALS

 

 

 

 

PUNJAB  MEDICAL  COLLEGE,

ALLIED & DHQ HOSPITALS, FAISALABAD.

Application form for PMC Allied & DHQ Hospitals Research Grant

1.                  Introduction: To facilitate research culture in Punjab medical college, Allied & DHQ Hospitals research grants are being made available. The aim being to promote scientific research in the various medical (clinical) & basic sciences units, so that research in various departments will become an ongoing process.

2.                  Submission: The research proposals can be submitted to the Principal Office under the title of “Research Grant” throughout the year.

 

Address:           Principal Office,

                   Punjab Medical College,

                   Faisalabad.

 

 

 

3.                  Funding for Research Grant: After reviewing projects they will be further scrutinized by a panel of experts. The final decision on funding of the project will then be communicated, to the Principal Investigator who will have to execute an undertaking for the submission of Quarterly and Final Progress Report, and maintenance of record of all expenditures according to standard government rules for the audit of accounts.


 

UNDERTAKING

 

Project Title: _____________________________________________________________

 

I, (name) ________________________________________________________________

(Designation) ____________________________________________________________

(Department) ___________________________________________________________

As Principal Investigator of the above approved project hereby undertake the responsibility that I will execute the project, maintain the record of all expenditures according to the government rules. I will also be responsible for the submission of quarterly and final report of the project.

 

 

Signed: ______________________________

Date: ________________________________

Seal: ________________________________

 

 

 

 

General Guide Lines for Filling in the Research Form

 

 

1.                  Introduction Previous studies on the subject and critical review of literature, justification of the study by stating the problem and public health importance.

2.                  Objectives of the study

a.       General objectives ŕ goals you need to achieve.

b.      Specific objectives.

c.       Secondary objectives ŕ these are subsidiary objectives that could be studied but are not the main objectives of the study.

3.                  Materials & Methods:  Describe the methods that could best meet the objectives.

a.       Study area: Where the research work will be conducted.

b.      Study subjects eligibility and exclusion criteria.

c.       Study design: Type of study design.

d.      Ethical Consideration: Ethical consent and elements of informed consent to be mentioned here.

e.       Sample Size: The number of patients/subjects being studied.

f.        Sampling Technique.

g.       Data Collection method: Questionnaire or any other procedure by which data will be collected to be mentioned here.

h.       Data analysis: By which method the data will be analyzed.

4.                  Implications of the study results/Importance of work:

To write how the research work when completed will benefit.

 

P M C, ALLIED & DHQ HOSPITALS RESEARCH GRANT APPLICATION FORM FOR SUBMISSION OF RESEARCH PROPOSALS

 

 

APPLICATION FOR SUBMISSION OF A RESEARCH PROJECT

 

 

 

 

  1. Title of the Research Project.

 

 

 

 

  1. Name, Designation & Qualifications of the Principal Investigator.

 

 

 

 

  1. Name, Designation & Qualifications of the Co-Investigator(s).

 

 

 

 

 

  1. Duration of the Project.

 

 

 

  1. Total amount required for research work.

 

 

 

 

6.   Date:                                                                Signature:                                                                                                                                                   Principal Investigator

 

 

 

 

 

7.   Date:                                                                Signature:                                                                                                                                                  Head of the Institution

 

 

1.                  Introduction:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.                  Objectives of the study:

 

 

a.

 

 

b.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.                  Materials & Methods: Describe in detail the method that will meet the objectives mentioned above.

 

 

 

a).  Study setting:

 

 

b)      Study subjects:

 

 

c)      Ethical consideration:

d)      Study Design:

e)      Sample size:

f)        Sampling Technique/Methodology:

 

 

 

 

 

g)      Data collection method:

h)      Data management analysis:

 

4.                  Implications of the study results/Importance of work:

 

 

 

 

 

 

 

 

 

 

5.                  Areas of Integration of research activities:

 

 

 

 

 

 

 

 

 

 

 

6.                  List of Research References:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7.                  Institutional Ethical Clearance Certificate:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8.         Strategies to enhance the dissemination & utilizations of results.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BUDGET

 

Table 1.            EXPENDITURE ON SALARIES AND HONORARIA

 

 

 

Expenditure (Rs).

Name of Scientific Staff

Scale of Pay

Ist Year

2nd Year

3rd Year

Total

1.    Principal Investigator

 

 

 

 

 

2.    Co-Investigator

 

 

 

 

 

Medical Staff

 

 

 

 

 

1.      Senior House Physician/ Surgeon

 

 

 

 

 

2.      Junior House Physician/ Surgeon

 

 

 

 

 

3.      Trainee

 

 

 

 

 

Secretarial Staff

 

 

 

 

 

1.   Stenographer/Typist

 

 

 

 

 

Supportive Staff

 

 

 

 

 

1. Staff Nurse

 

 

 

 

 

2. Operation Theatre   

    Attendant (OTA)

 

 

 

 

 

3.  Ward Boy

 

 

 

 

 

 

Sub-Total:

 

 

 

 

 

 

 

 

 

 

TABLE-2                                 PERMANENT EQUIPMENT REQUIRED

 

 

Equipment

Estimated Cost (Rs).

Justification

 

1.

 

 

 

 

 

 

 

 

 

 

2.

 

 

 

 

 

 

 

 

 

 

3.

 

 

 

 

 

 

 

 

 

 

 

4.

 

 

 

 

 

 

 

 

 

Sub-Total

 

 

 

 

TABLE-3                                             BUDGET SUMMARY

 

 

 

Item

Year 1

Rs.

Year 2

Rs.

Year 3

Rs.

Total

Rs.

 

Personnel (Table 1)

 

 

 

 

 

 

 

Operating expenses (Table 2)

 

 

 

 

 

 

 

Grand Total:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yaqoob/