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APPLICATION FOR A GRANT

Please fully complete all sections of this form

CLOSING DATES for applications and reports are:
31^st March and 30^th September in each year

SECTION 1

Applicants name:

Person responsible for project:

Supervisor:

Contact address:

Phone:

Fax:

Email:

Referees:

SECTION 2

Address where project may be viewed:

Description of project:

SECTION 3

The scientific or technical matter to be proven or demonstrated:

SECTION 4

Cost analysis of the project:

Expected dates and amounts of grant payments requested:

Dates when trustees may expect interim and final reports:

SECTION 5

Publication of results/exhibition of results (when and where):

What acknowledgement will be given to the Brian Mason Scientific & Technical Trust?

SECTION 6

Your evaluation of this project:

SECTION 7

Has this project been submitted to any other funding organisation and if so, what was the result?

If the answer to the previous question was yes, please supply the following details:

Applicant:

Date:

Other relevant information:

SUCCESSFUL APPLICATIONS HAVE COME FROM: