Prizes and Awards Funding Clearance Form Recipient Name: Discipline / Unit: Prize / award details Title: Amount awarded: Funding Body: Award / prize scheme: Date awarded / commenced: End date (if applicable): Other UTAS researchers who were recipients of this prize / award (add extra rows as needed) Name: Discipline / Unit: Name: Discipline / Unit: Name: Discipline / Unit: Name: Discipline / Unit: Research codes and themes Select Select Objective code (must be 6 digits) one one (must be 6 digits) Applied Research Better Health Experimental Creativity, Culture & Society Development Strategic Basic Data, Knowledge & Decision Environment, Resources & Pure Basic Sustainability TOTAL 100% Marine, Antarctic & Maritime N/A Recipient endorsement I verify that the above information is correct. Signature: Date:
Prizes and Awards Funding Clearance Form Recipient Name: Discipline / Unit: Prize / award details Title: Amount awarded: Funding Body: Award / prize scheme: Date awarded / commenced: End date (if applicable): Other UTAS researchers who were recipients of this prize / award (add extra rows as needed) Name: Discipline / Unit: Name: Discipline / Unit: Name: Discipline / Unit: Name: Discipline / Unit: Research codes and themes (must be 6 digits) Objective code (must be 6 digits) Select one Select one Applied Research Better Health Experimental Development Creativity, Culture & Society Strategic Basic Data, Knowledge & Decision Pure Basic Environment, Resources & Sustainability TOTAL 100% Marine, Antarctic & Maritime N/A Recipient endorsement I verify that the above information is correct. Signature: Date: