NRF Fellowship Registration Form

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NRF FELLOWSHIP REGISTRATION FORM
Have you applied for the NRF Fellowship before?
No
Yes, _______________
(If yes, please specify the year of application?)
INSTRUCTIONS:
1. To apply for the Singapore NRF Fellowship, applicants will first need to sign up for a free user account on the NRF’s
Research, Innovation and Technology Administration (RITA) system at (https://rita.nrf.gov.sg/default.aspx), if they do not
already have an existing RITA user account, in order to submit applications to NRF.
2. The following documents must be attached with this registration form in the RITA system:
- One electronic copy of Detailed Curriculum Vitae (CV)
- One electronic copy of Research Proposal
3. All information is treated in confidence. The information is furnished to the National Research Foundation with the
understanding that it shall be used or disclosed for evaluation, reference and reporting purposes.
4. All information provided in this application must be true. False particulars or wilful suppression of material facts will render
the applicant liable to disqualifications, or - if awarded - to withdrawal and/or appropriate legal proceedings.
SECTION A: GENERAL
1
PERSONAL PARTICULARS
* Delete as appropriate
Reference Number
(generated by RITA)
NRF2014NRF-NRFF001-xxx
Name (underline surname)
Nationality
Singapore Permanent Resident
* Yes / No
Date of Birth (dd/mm/yyyy)
Gender
Age (at time of application)
* Male / Female
Current Country of Location
Address
Contact No
Email Address
Research ID /
ORCID No. (if any)
Number of Citations
h-Index
ORCID provides a persistent digital identifier that distinguishes you from every
other researcher and, through integration in key research workflows such as
manuscript and grant submission, supports automated linkages between you
and your professional activities ensuring that your work is recognized.
Find out more at http://orcid.org/
2
EMPLOYMENT DETAILS
Current Organisation /
Department
Current Designation
Number of years in current
position
3
ACADEMIC QUALIFICATIONS
PhD Degree (Discipline)
Date Obtained
Awarding University / Country
4
PROSPECTIVE HOST INSTITUTION
Please list your top 3 choices of prospective host institutions and the relevant departments. Please
note that the research grant to be provided under the Singapore NRF Fellowship Scheme can only be
used to fund research conducted in Singapore.
Choices
Host Institution
Department
1st
2nd
3rd
5
LIST OF PUBLICATIONS (TOP 3)
Please list your 3 most significant publications, stating the impact factors for each.
All information is treated in confidence. The information is furnished to the National Research Foundation with the understanding that it shall be
used or disclosed for evaluation, reference and reporting purposes. NRF reserves the rights to reject applications with incomplete information or
supporting documents.
6
DECLARATION OF OTHER FUNDING SUPPORT
Grant Title and ID
Funding Agency
Amount
(S$’000)
Years of
Support
Expiry
Date
Role
Played
SECTION B: PROJECT DETAILS
7
RESEARCH PROPOSAL
Title of Project
(i)
AREA OF RESEARCH
Please select a discipline that best illustrate your proposal research area.
Biological Sciences
Engineering
Natural Sciences
Molecular Biology
Bioengineering
Earth Science
Genetics
Chemical Engineering
Energy
Biophysics
Civil and Architecture Engineering
Food Science
Microbiology
Electrical & Electronics Engineering
Chemistry
Ecology
Environmental Engineering
Physics
Biology
Material Science and Engineering
Polymer Research
Bioengineering
Mechanical Engineering
Water Research
Biomedical Sciences
Computer and Related Sciences
Pharmacy
Computer Programming
Immunology
Electronic Data Processing
Cytology
Information Sciences
Neuroscience
Software Development
Pathology
Systems Analysis
Virology
Computer Engineering
Others
(please specify)
Pharmacology
All information is treated in confidence. The information is furnished to the National Research Foundation with the understanding that it shall be
used or disclosed for evaluation, reference and reporting purposes. NRF reserves the rights to reject applications with incomplete information or
supporting documents.
8
RESEARCH PLAN AND CAREER OBJECTIVES
(i)
What do you plan to do in Singapore?
(ii)
Why do you want to conduct your research in Singapore? How would your research value add
to the Singapore research landscape?
(iii)
What are your plans in building up a sustainable research group / capability in Singapore?
All information is treated in confidence. The information is furnished to the National Research Foundation with the understanding that it shall be
used or disclosed for evaluation, reference and reporting purposes. NRF reserves the rights to reject applications with incomplete information or
supporting documents.
SECTION C: ANY OTHER INFORMATION
(i)
REFEREES
Applicants must provide the names and contact details of 5 referees, who must be willing to provide
NRF with a recommendation if contacted. Nominated referees should be familiar with the applicant’s
research work and be able to comment on the applicant’s track record as well as personal character.
Relatives of the applicant may not serve as referees for this application. *Only referees of
shortlisted applicants will be required to submit the recommendation letters.
Referee 1
Name of Referee
Email
Current Organisation / Department
Current Designation
Relationship to applicant
Number of Years known
Referee 2
Name of Referee
Email
Current Organisation / Department
Current Designation
Relationship to applicant
Number of Years known
Referee 3
Name of Referee
Email
Current Organisation / Department
Current Designation
Relationship to applicant
Number of Years known
Referee 4
Name of Referee
Email
Current Organisation / Department
Current Designation
Relationship to applicant
Number of Years known
Referee 5
Name of Referee
Email
Current Organisation / Department
Current Designation
Relationship to applicant
Number of Years known
All information is treated in confidence. The information is furnished to the National Research Foundation with the understanding that it shall be
used or disclosed for evaluation, reference and reporting purposes. NRF reserves the rights to reject applications with incomplete information or
supporting documents.
(ii)
HOW DO YOU KNOW ABOUT THIS PROGRAMME?
NRF Posters / Advertisement
NRF Website
Singapore Universities
Overseas Universities
Contact Singapore
Existing NRF Fellows
Word of mouth
Others, please specify:
All information is treated in confidence. The information is furnished to the National Research Foundation with the understanding that it shall be
used or disclosed for evaluation, reference and reporting purposes. NRF reserves the rights to reject applications with incomplete information or
supporting documents.
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