Annex 2

Shota Rustaveli National Science Foundaiton (SRNSF)

Call for Basic Research Grants
Cover Page
1.

General Information about the project1

Project ID number

Project title

Principal Investigator

Principal Investigators phone number, E-mail address

5
6

Project coordinator

7
8
9
10
11
12
13
14
15

Project coordinators phone number, E-mail address

Host Institution
Host Institutions webpage
Total budget of the project (GEL)
Requested total funding from SRNSF (GEL)
Co-funding in GEL (if applicable )
Project duration (months)
Co-participant institution #1 (if applicable)
Co-participant institutions webpage
Co-participant institution #2 (if applicable)

16

Co-participant institution webpage

17

Co-funding organizationn and/or Co-financing

individual2 (In case such exists)
Foreign consultants name, surname (If applicable)
Foreign consultants workplace, position, telephone
number, e-mail address

18
19

1 Mandatory fields: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12 and 20, 21. Fields 11, 13-19 are to be filled if applicable
2 You can add a row, if necessary

20

Project scientific fields and sub-fields3

1- Natural Sciences

Field 1

Sub-fields (Coding, Title)

Field 2

2 - Engineering and Technology

Sub-fields (Coding, Title)

Field 3

3 - Medical and Health Sciences

Sub-fields (Coding, Title)

Field 4

4 - Agricultural Sciences
Sub-fields (Coding, Title)
5 Social Sciences

Field 5
Sub-fields (Coding, Title)

6 Humanities

Field 6
Sub-fields (Coding, Title)
Field 7

7- Georgian Studies
Sub-fields (Coding, Title)

21
22

Please indicate the main scientific field and sub-field

of the project from above mentioned
Keywords
(Please indicate up to 5 keywords)

Key participant personnel

(surname, name)

2. Key personnel of the Project (mandatory field)

Academic Degree
ID number
Position
(PhD, MA / PhD
student/ MA
Student)

Date of birth
(day/month/y
ear)

1
2
3
4
5

3 Please state projects relevant scientific field and sub-field. You can choose maximum 3 sub-fields.
4 Provide information about the principal investigator, coordinator and key personnel.

n
3. Additional information about ongoing grants (mandatory field)5

Yes

Participation of the principal investigators in the

funded/co-funded ongoing research grants

No

(underline your answer above)

List of ongoing grants

Project 1- code
Project Title
Call announcement year
Position
Implementation timeframe (start and finish dates)
Project 2- code
Project Title
Call announcement year
Position
Implementation timeframe (start and finish dates)
Project 3- code
Project Title
Call announcement year
Position
Implementation timeframe (start and finish dates)

4. Please, indicate names of 3 undesirable experts for peer reviewing your proposal

Experts name, surname

Institution

Note: SRNSF is authorized to reject the project in case mandatory fields are not filled in or provided information
is false.

5 List and detailed information about funded ongoing grants are to be filled in
case such exists.