User of Facilities

Application Form for Use of IITA Research Facilities

Instructions: Completed application forms should be accompanied by a letter of interest, a letter of recommendation and permission from current head of institution, curriculum vitae, and a research proposal of not more than 2 pages.

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Le formulaire peut ÃÂªtre rempli soit en franÃÂ§ais, soit en anglais.

* means mandatory fields

PART II. FACILITIES TO BE USED :

Provide Synopsis of Research Work: *

Short summary of research objective: *

State Facilities Required: (e.g. Bioscience Laboratory) : *

How long will your research work last?: (months) *

When do you wish to start your research work?: (MM/YYYY) *

Previous Collaboration with IITA: *

Location: *

IITA Contacts: *

IITA Contact email(s):*

SOURCE OF FUNDING:

Sponsor/Project:*

Sponsor type: *

Cost Center: *

Estimated Cost (USD):*

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Application Form for Use of IITA Research Facilities

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