*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)*:      Mathematical Science      Life Science      Physical Science      Social Science      ICT      Sustainable Development Goals(SDG) Marine Science Engineering and Technology Development and Public Policy Business Education 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.

-------------------------------------------------------------------------

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

(You Must Upload Co- Principal Investigator Signature Image)

Signature of the Co- Principal Investigator

-------------------------------------------------------------------------

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

(You Must Upload Principal Investigator Signature Image)

Signature of the Principal Investigator

-------------------------------------------------------------------------

(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

--------------------------------------------------------------------------

(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