Research Grant Application
This application must be accompanied by a complete template of application for research grant (see Template of Application for Research Grant page) that should be sent to the of EACTA. Without a complete template the application cannot be processed further.
Please provide us with the following information:
Research Grant Application
Last Name
First Name
Title/Position
Office/Institution
Department
Office Address
Postal Code/City
State/Country
Tel./Fax/E-mail
Home Address
Postal Code/City
State/Country
Preferred mailing address
Office or Home
Support from home institution
Name of
Head of Department/Hospital administrator
Institution where the research take place
Institution
Department
Address
Zip/City
Country
Contact person at Institution
Name
E-mail/Fax
Research start: Date
Research finish: Date
Seeing: Total funding/Partly funding
Specification of needed funding
Specification (Specified materials, equipment, salary etc and costs. Max. 255 characters)