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 Executive Office 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)