RESEARCH GRANT APPLICATION FORM

Please read the PERI Research Grant Guideline carefully prior to completing the
application!

1. Name of principal investigator: ......................................................

2. Name of co-investigator:
a. ......................................................
b. ......................................................
c. ......................................................
(please add when necessary)

3. Title of Project: ..........................................................................................................

...................................................................................................................................
...................................................................................................................................

4. Summary of proposal (< 200 words):

The Prodia Education and Research Institute

Prodia Tower 9 Floor, Jl. Kramat Raya No.150, Jakarta Pusat 10430, Indonesia
Phone: +62-21-3144182 ext:3872, Fax : +621-21-3144181
E-mail: contact@prodia.institute
 5. Project starting date, duration and timeline:

6. Fill in the table below regarding category of test and expense to

be funded.

Category of Test Expense

..............., DD/MM/YYYY
Principal Investigator,

(Full Name)

The Prodia Education and Research Institute

Prodia Tower 9 Floor, Jl. Kramat Raya No.150, Jakarta Pusat 10430, Indonesia
Phone: +62-21-3144182 ext:3872, Fax : +621-21-3144181
E-mail: contact@prodia.institute