*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) Institute*:

c) Office Address*:

d) Phone*:

e) Email*:

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

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

b) Institute*:

c) Office Address*:

d) Phone*:

e) Email*:

4. Research area(check appropriate ones)*:      Mathematical Science      Life Science      Physical Science      Social Science      ICT      Sustainable Development Goals(SDG) Marine 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)

Referees Information

Referees 1:

Name:  Title: First Name:   Last Name:

Phone:

Email:

Designation:

Institute:

Referees 2:

Name:  Title: First Name:   Last Name:

Phone:

Email:

Designation:

Institute:

Referees 3:

Name:  Title: First Name:   Last Name:

Phone:

Email:

Designation:

Institute:

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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