Mini Research Grant – Application Form

Institute of Science and Technology

Tribhuvan University
Kirtipur, Nepal
1. Personal Details
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Applicant's Full Name (Capital Letter):
Photo
Address:
Citizenship Number and Issued Date:
Contact No:
Email:
Campus:
Department:
2. Academic Details:
S.N. Degree Year Major Subjects Grade/Division Board/University
1 Master

2 Bachelor

3 Others

3. Employment Record (Please include appointment letter and experience letter):

Period of Service Designation Institution Remarks
From To

4. Publication Records (Please attach separate sheet if necessary):

a.
b.
c.
5. Research Grant Records (Please attach a copy of the completion letter)
Year Organization Program Title Period
6. Supervised Thesis/Project Records
Year Student name Program Title Role
(Supervisor/
co-supervisor)

7. Research Proposal
Title:

Details about mentor

Name:
Organization:
Designation:
Phone Number:
Email: …………………………………………
Signature of Mentor
Undertaking by the applicant:
I hereby declare that the information I have provided is true and the research proposal I have submitted in
original and has not been submitted in full or any part to any other agency seeking a grant. In case of any
research misconduct on my part or the information provided by me is found false at any moment, I shall be
liable to disciplinary action which may result in termination of mini research grant and/or rejection of
application.

…………………………………… …………………………………………
Signature of Applicant Signature of HoD or Campus Chief
Name: Name:
Date: Date:
Documents required
1. Detailed research proposal (2 copies signed by applicant and mentor)
2. Copy of Citizenship of applicant
3. Copy of appointment letter and experience letter
4. Curriculum vitae of applicant and mentor
5. Recommendation letter from institution/Campus/Central department
6. Copy of previously received grant award letter or completion letter