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WACCBIP-DELTAS PhD FELLOWSHIP APPLICATION FORM

WEST AFRICAN CENTRE FOR CELL BIOLOGY OF INFECTIOUS PATHOGENS

COLLEGE OF BASIC AND APPLIED SCIENCES

P.O. Box LG 54, LEGON- ACCRA

DELTAS PhD FELLOWSHIP APPLICATION FORM

E. BIODATA

Surname (family name) : First name : Middle Name:

Age

(years)

Sex (M/F)

Postal Address:

Email address:

Telephone Number:

Date of the completion of Masters degree: Masters degree Awarding Institution:

B.

Masters Thesis Area: Nationality:

Ghanaian

Other Country:………………………

PROJECT TITLE AND PROPOSAL SUMMARY ( Maximum of 300 words )

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WACCBIP-DELTAS PhD FELLOWSHIP APPLICATION FORM

C. Please select one of the priority disease areas

Priority Diseases: Mark (X) To Select

Non-communicable diseases:

1 Sickle Cell Disease

2 Diabetes

3 Cancers

4 Stroke/Hypertension

5 Chronic Kidney disease

6 Other:

Infectious diseases:

1 Protozoan pathogens – Malaria & Trypanosomiasis

2 Fungal pathogens – Cryptococcosis, Candidiasis

3 Helminths – Schistosomiasis, Filariasis

4 Mycobacteria – Tuberculosis & Buruli ulcer

5 Bacterial Pathogens – Gastro-intestinal and Blood infections

6 Viruses – HIV/AIDS, Rotaviral Infections, Influenza, Dengue

7 Other:

D. Select one of the research themes

Research themes:

1 Human genetics

2 Immunogenetics

3 Pathogen genomics/Bioinformatics

4 Host-pathogen interactions

5 Diagnostics

6 Molecular epidemiology

7 Vaccine discovery and development

8 Drug discovery and development

9 Other:

Mark (X) To Select

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WACCBIP-DELTAS PhD FELLOWSHIP APPLICATION FORM

E. Select your preferred hosting institution

Hosting Institutions Country Mark (X) To Select

West African Centre for Cell Biology of

Infectious Pathogens (WACCBIP), University of

Ghana

BCMB-UG

NMIMR-UG

Malaria Research and Training Center at the

University of Science, Techniques, and

Technology, Bamako

Medical Research Unit

KEMRI, Killifi

KEMRI, Kisumu

Ghana

Mali

The Gambia

Kenya

University of Cape Town South Africa

CHECKLIST FOR SUBMITTING APPLICATIONS:

Please send copies of the following required documents to waccbipleader@ug.edu.gh

and waccbip@gmail.com

APPLICATION FORM

Full CV

LETTER OF INTENT (describing your academic and research background)

SHORT RESEARCH PROPOSAL (2 pages)

MASTERS TRANSCRIPTS AND CERTIFICATE

____________________________________________________________________________

FOR OFFICIAL USE ONLY

Fellowship Application Number:

Date submitted:

Remarks:

____________________________________________________________________________

Closing Date: 31st January, 2016

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