By signing, we confirm that we have complied with all instructions in the application form and understand that failure to do so may result in the withdrawal of our application from the review process. Applicant Full Name ___/___/18 Signature Date Supervisor Full Name ___/___/18 Signature Date (b) Head of department I certify that appropriate facilities will be available to the applicant if successful and that I am prepared to have the project carried out in accordance with the Conditions of Award for CSANZ Research Scholarships. Title Full Name Position Department Institution ___/___/18 Signature Date (c) Head/Nominee of administering institution I certify that this request satisfies the requirements of this institution, and that this institution has established administrative procedures for assuring scientific practice in accordance with the principles of the Australian (2007). Code for the Responsible Conduct of Research Full Name Title Position Institution Department ___/___/18 Date
By signing, we confirm that we have complied with all instructions in the application form and understand that failure to do so may result in the withdrawal of our application from the review process. Applicant Full Name Signature Date ___/___/18 Supervisor Full Name Signature Date ___/___/18 (b) Head of department I certify that appropriate facilities will be available to the applicant if successful and that I am prepared to have the project carried out in accordance with the Conditions of Award for CSANZ Research Scholarships. Title Full Name Position Department Institution Signature Date ___/___/18 (c) Head/Nominee of administering institution I certify that this request satisfies the requirements of this institution, and that this institution has established administrative procedures for assuring scientific practice in accordance with the principles of the Australian Code for the Responsible Conduct of Research (2007). Title Full Name Position Department Institution Date ___/___/18
Research-Scholarship-Application-Form-2019.docx