*All Fields Required to be Filled with valid informations For Submitting PCN Form

PART I: PROJECT IDENTIFICATION DATA

1. Title of the Research Project (Maximum 200 character)* :
2. Research area(check appropriate ones)*:      Education      Life Science      Physical Science      Social Science      ICT      Agriculture Fish Engineering and Technology Development and Public Policy Business Studies Bangladesh Development Studies
3. Information of the Principal Investigator:

a) Name:  Title :  Full Name *:  

b) Designation *:

c) Department * :

d) Name of the University/Institution*:

e) Postal Address :

f) Cell No*:
                     ex. 017XXXXXXXX

g) Email*:

h) Major Field of Specialization (Maximum 300 words)*:

i) Highest Academic Qualification (Please select one) *: Bachelor Master PhD

4. Information of the Co-Principal Investigator: (Not below Asst. Professor)

a) Name:  Title  Full Name*:  

b) Designation *:

c) Department * :

d) Name of the University/Institution *:

e) Postal Address :

f) Phone*:
                   ex. 017XXXXXXXX

g) Email*:

h) Major Field of Specialization (Maximum 300 words)*:

i) Highest Academic Qualification (Please select one) *: Bachelor Master PhD

5. Contact Address of Head of the Department/ Institute

a) Name of the Head of the Department *:

b) Department/Institute *:

c) University *:

d) Phone*:
                    ex. 017XXXXXXXX

e) Fax:

f) Email*:

6. Location of Research Activities*:      

7. Duration of project*:       Months

8. Total cost of project (Tk.)*:     

9. Has this project been submitted to any other agency for financial assistance?       Yes ( If yes please fill up the following information )       No

10. Are you conducting any other research projects as PI?       Yes ( If yes please mention name of the project )       No

PART II: OUTLINE OF THE PROJECT WITH BUDGET

11. Introduction, identification of problem and justification of the project (Maximum 400 words)*:

12. Goal and Objectives (Maximum 300 words)*:

13. Major activities to achieve the above objectives (Maximum 300 words)*:

14. Expected outcomes (Maximum 100 words)*:

15. Methodology (Maximum 300 words)*:

16. BUDGET SUMMARY:

Categories Budget in Taka
Year 1 Year 2 Year 3 Total
1.Equipment
2.Consumables / Laboratory/Field Supplies
3.Literature/Data Collection/Survey
4.Remuneration & Staff Salary
a).PhD/MS/FCPS/ M.Phil /MD Fellow
b).Research Assistant
c).MR Person(s)
Sub-Total
5.Travel expenses (in country)
6.Organizing Training/ Seminar/ Workshop ( if applicable, please mention)
7.Printing, Stationery and Reports
8.Contingencies (Max. 5% of Total Budget)
Grand Total TK.
      N.B: Maximum 30,00000.00 (Thirty Lac)

17. DECLARATION: I hereby declare that I have not done any research work on the proposed topic earlier. And to the best of my knowledge, nobody else has done so.

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(You Must Upload Co- Principal Investigator Signature Image)

Signature of the Co- Principal Investigator

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(Image Format .jpg, .jpeg, .png and Size : 300 kb)

(You Must Upload Principal Investigator Signature Image)

Signature of the Principal Investigator

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(Image Format .jpg, .jpeg, .png and Size : 300 kb)

(You Must Upload Head of the Department/ Institute Signature Image)

Signature of the Head of the Department/ Institute

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(Image Format .jpg, .jpeg, .png and Size : 300 kb)

(You Must Upload Head of the Institute Signature Image)

Signature of the Head of the Institution