ࡱ> npm Ubjbjo>o> q] T T % x x    dooo<[o9|7(_"9999999$#;=x(99 "(9ua9!!!L8 9!9!!>5j7pboGX58w9096\=>=>0j7j7=> 7":!Rf(9(99=>x :  MELLHUMAPPFORM 17   91Ƭ, Johannesburg Application for Mellon research grants Surname Staff No School  Initials Date of Birth Tel No Title (e.g. Prof, Dr,) Position held E-mail address If you are a member of a URC-recognized research entity, please state which one:  SECTION 1 - BIOGRAPHICAL Academic qualifications (give details) Type of degree(s)/diploma(s) University/institution Year of graduation    Occupation since graduation (including posts held at this University) Year(s) Names of university/college/employer Position held    SECTION 2 - THE RESEARCH PROJECT Project title Project objective Literature survey Methodology Other collaborators on the project  SECTION 3 - FINANCE Section 3a. Operational budget - please itemize Personnel (e.g. data collectors, research assistants, etc.) Travel / Accommodation /Meeting costs Software Equipment/Supplies Other (please itemize) Sub total : Capital funds (in excess of R10,000 per item) Please attach a separate motivation Sub total : Grand total :  R P%P%P%P%P%P% Section 3b. List of other funding received for the project: What additional funding has been secured, which costs will this funding cover, and what is being applied for from the Mellon grant? This amount should include all RINC amounts due to the applicant. SECTION 4 - THE PROPOSED ARRANGEMENTS Facilities : State where the research will be carried out (e.g. at your own institution and/or another institution).  SECTION 5 PUBLICATIONS Publications in past five years - please list as annexures if necessary (a) Refereed papers in journals (DE Category 4)  (b) Refereed conference proceedings (DE Category 3) (c) Books and chapters in books (DE Categories 1 and 2) (d) Other publications SECTION 6 - SUPERVISION Masters and doctoral students supervised in past five years: Surname Initials Student No (if known) Degree  First registration (year/month) Degree Completed (year/month) Name of any co-supervisor         SECTION 7 - ETHICS APPROVAL Please include a statement below as to whether your project requires the approval of the Human Ethics Research Committee (Non-Medical) and, if so, whether it has been obtained - please quote a clearance certificate number. If you are uncertain of the function and remit of the Committee, please visit  HYPERLINK "http://web.wits.ac.za/Academic/Research/Ethics.htm" http://web.wits.ac.za/Academic/Research/Ethics.htm  Signature of applicant Date Please pass to your Head of School SECTION 8 - RECOMMENDATIONS BY THE HEAD OF SCHOOL The Head is asked to attach a brief recommendation, on a school letterhead, addressing the following points: - any outstanding personal attributes of the applicant - the significance of this project for research in this particular field - whether the budget is realistic - any general observations as to why the applicant and the project are, or are not, worthy of support  Please return [ktv~; ? Z 􏄾yynehQx5mH sH h-5CJmH sH ho5CJmH sH hQx5CJmH sH hQxmH sH hQxCJmH sH  hQxCJjh<VUjhQxUhmHnHuhQxCJmH sH h,5CJmH sH h7W5CJmH sH hV5CJmH sH h<V5CJmH sH hQx5CJmH sH 'JKtuv~$If d]$If$p`pa$1&`$d%d&d'd+D./NOPQ $ 'a$$a$< = $IfXkd$$If~F '      4 ~a~ d]$If$If= > ? @ Y Z 2kd$$If''4 a$If d]$If$a$2kdX$$If~''4 ~a~ $If d]$IfXkd"$$IfFQ'u     4 a " # $ , - R S a d2kd$$If''4 a$If d]$IfXkd$$IfFQ'u     4 a ! x | } ~ . / 1 3 4 5 6 7 8 K L V W X Y d k n t u { | } ~ ÷ڡuuuuj`hoh&5\hohQxmH sH hoh#.5mH sH hohnwD5mH sH hohb%5mH sH hQxh&hQx5CJmH sH h<V5CJmH sH h#.hQx5mH sH h#.hB5mH sH h45CJmH sH hQx5CJmH sH hQxCJmH sH hQx5mH sH hQxmH sH #a b c d e f g h i j k l m n o p q $If$If d]$IfXkd$$IfFx'td     4 aq r s t u v w x y z { }   $ & F a$gdh~$ a$$a$Xkd$$IfFx'td     4 a$If$If $If d]$If         / 0 $If$If0 1 2 4 6 K L } ~ . $Ifgd&$If d]$If $ a$gdb%$ a$$a$2kd$$If''4 a , . 0 T j & \ ` d ڸ}qfho5CJmH sH hQxOJQJmH sH  hQx\hVmH sH hQx5mH sH hQxmH sH h&hQx5mH sH  h&h&5B*mH phsH hoh&5mH sH hoh&5\aJhohnwD5\hohQxmH sH hoh&5\ ho5\hoh#.5\'. 0 2 4 6 8 : < > @ B D F H J L N P R T l n        $If " $ & > @ \ ^ ` d f h j l n p r t v x z | ~ $$Ifa$ $$Ifa$ $d]$Ifa$$If$If $$Ifa$ *,gdm`$ a$$a$Ekd$$If0U 'U 4 a $$Ifa$ $$Ifa$ *,`aYZ[\0GLNPPT[]fukukukuhQxCJmH sH hQx5CJmH sH hm`5mH sH hm`5CJmH sH ho5mH sH hQx5mH sH hQxmH sH hQx5CJmH sH  hoh8oP hohm` hoho hohnwDhohQx5CJmH sH hoho5CJmH sH hohb%5CJmH sH **122kd$$If''4 a$If$If d]$If$a$23456789:;<=>?@ABCDEFGHIJK$If$IfKLMOPQR$If d]$If$ a$$a$2kd($$If''4 a2kd$$If''4 a$If$IfQRS\]ght $If $If $If $If6kd$$IfT{U''4 aT$If d]$If$a$fh/1`am$WXиЈ؈}pcSh7hm`5>*CJmH sH h7hnwDCJmH sH h7hQxCJmH sH h7hQxmH sH hQxhNr?ho0JmH sH h1hhomH sH jhoUmH sH h1hmH sH homH sH h!mH sH hmH sH hQxmH sH hQx5mH sH h!CJmH sH hQx5CJmH sH hQxCJmH sH   $If $If d]$If y$IfVMGGGGGG$If d]$IfkdV$$IfT֞{7 O[X!U'< =4 aT      d]$If$If$If0VMA<<$a$ $ a$gd!$ a$kdv$$IfT֞{7 O[X!U'< =4 aT01$a$6kd$$IfTuQ''4 aT$If$If $$Ifa$gd d]$If$%WXFh2kd$$If''4 a$If `/$If^`/$If d]$If$a$T!T&TBTCTTTTTTTTTTTTTTTTTTTTTTȿʶʶzqg_[_[_[_[Qjhh~0JUh!jh!UhQxCJmH sH h1h5mH sH h;h7W0J5mH sH &j_h;h7W5UmH sH jh7W5UmH sH h7Wh7W5mH sH h7W5mH sH ho5mH sH UhQx5mH sH hQxmH sH h7hQxmH sH h7hQxCJmH sH h7hm`CJmH sH a hard and an electronic copy of this application to Anne Campbell 19a Southwest Engineering Building, East Campus. 011-717-4048.  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