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Form A: CHED NAFES Extension Proposal Concept Note

Office of Planning, Research and Knowledge Management
Commission on Higher Education

___________________________________________________________

I. General Information
Principal Name:
Investigator: Institution Affiliation:
Address:
Qualification (degree(s) training experience:
Contact Details:
Co-investigator: Name:
Institution Affiliation:
Address:
Qualification (degree(s) training experience:
Contact Details:
Other Investigator: Name:
Institution Affiliation:
Address:
Qualification (degree(s) training experience:
Contact Details:

II. University Research Council/Institutional Research Board
Do you have an existing University Research Council, URC (for Universities) or
Institution Research Board, IRB (for Colleges)?

Yes No
If yes, provide the following details:

Name of URC/IRB Head:
Address:
Contact Nos:

Project proposal approved by the respective URC/IRB? Yes: No:

III. Proposal Summary
Title of Proposal:

Has this proposal been submitted to another agency for funding?

Yes: No:
Project Duration