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

PART I: PROJECT IDENTIFICATION DATA

1. Project Title:     
2. Principal Investigator's Information:

a) Name:  Title:  First Name:  Last Name:

b) Office Address:

c) Phone:

d) Email:

3. Co-Investigator's Information: (Not below Asst. Professor)

a) Name:  Title:  First Name:  Last Name:

a) Office Address:

b) Phone:

c) Email:

4. Research area(check appropriate ones):      Mathematical Science      Life Science      Physical Science      Social Science     
5. Name(s) and address(es) of collaborating department(s)/institute(s), if any:

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. Is there any commitment to other research project(s) as Principal Investigator/Team Leader?       Yes ( If yes please mention name of the project )       No

PART II: OUTLINE OF THE PROJECT

11. Introduction, identification of problem and justification of the project (Maximum 300 words):
12. Project Purpose and Objectives:
13. Expected outputs:
14. Methodology (Maximum 200 words):

15. BUDGET SUMMARY:

Categories Budget in Taka
Year 1 Year 2 Year 3 Total
1.Research Cost
2.Training/Seminar/Workshop (in country)
3.Travel expenses (in country)
4.Pay of Staff
5.Printing and stationary
6.Operating cost/Contingencies (maximum 5% of the total cost)
Grand Total TK.
      N.B: Maximum 30,00000.00 (Thirty Lac)

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(You Must Upload Principal Investigator Signature Image)

Signature of the Principal Investigator

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(You Must Upload Head of the Institute Signature Image)

Signature of the Head of the Institute