WEST AFRICAN CENTRE FOR CELL BIOLOGY OF INFECTIOUS PATHOGENS
COLLEGE OF BASIC AND APPLIED SCIENCES
P.O. Box LG 54, LEGON- ACCRA
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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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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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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