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                       Goals and Objectives      Extension Type:


                                                 Pilot  Testing:                          Technology  Promotion:
                                                 Commercialization:

                                                 Other Types:

                                                 General Objectives:

                                                 Specific Objectives:


                                                 Does this build on a previous project?   Yes:               No:
                       Stakeholder Demand
                       and Project Relevance


                       Methodology
                       Mentoring Plan

                       Proposed Budget


                       Beneficiaries of the
                       Extension Project
                       Publication, Patent
                       and Dissemination
                       Plan
                       References




                       Submitted by:                                     Approved by:




                       Principal Investigator                            Head, University Research
                                                           Council/
                                                                         Institutional Research Board



                       Co-Principal Investigator

                       Noted by:




                       Head of Institution
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