Africa Biosciences Challenge Fund (ABCF) - 2016 / 2017

Application Form

Please complete all the fields with asterisk (*) :

*	First Name
*	Surname
*	Nationality
*	Country where you are currently employed or residing
*	Gender	Male: Female:
*	Age
*	Name of Home Institue and Department
*	Your current position (e.g. Student, Postdoc, Scientist)
*	Office telephone number
*	Mobile telephone number
*	Email
	Link to Institutional website (if available)
*	Full Institute mailing address
*	Highest degree awarded
*	University that awarded your highest degree
*	Date highest degree awarded
*	Are you currently studying for a higher degree? State which degree (MSc or PhD)
*	English language profeciency-Written	…..Select One.... Proficient Good Basic poor None
*	English language profeciency-Spoken	…..Select One.... Proficient Good Basic poor None

*	Briefly describe your speciality / research area (250 words maximum)
*	Briefly describe your research interests and experience: (250 words maximum)
*	List the titles and funding sources of research projects that you are currently working on: (250 words maximum)
*	Describe your role(s) at your institution and how exactly this fellowship would benefit your research programme, department and institution as a whole (e.g. how will you use the skills in research or in training? How will your research outputs contribute to agricultural development nationally and regionally?) (250 words maximum)
*	List the patners / patnerships (national and regional) involved in this project or other related research that you are currently conducting (250 words maximum)
*	Examples of your recent publications: (5 maximum)
*	Provide information on any previous activities with the BecA-ILRI Hub (e.g have you previously received an ABCF Fellowship, attended a training workshop organised by BecA-ILRI Hub, or conducted any other research or training with BecA-ILRI Hub?) (250 words maximum)

Curriculum vitae

*Upload CV using the attached format. Workshop Applicant CV Format (click to download) (maximum 1MB):

Research Project Proposal

*Upload research project proposal using the attached format. Research Project Proposal Format (click to download) (maximum 1MB):

Institutional Support Letter

*Upload a signed and dated institutional support letter obtained from the head of your institute or department. (maximum 1MB):

The support letter must: • Include signature and institute letterhead; • Confirm that the applicant is a full-time member of staff or have a strong affiliation with the institute; • State the role of the applicant at the institute; • Include the title of the applicants research project proposal; • Describe how the ABCF fellowship would benefit the applicant, their research program, and/or their institute and department (and            patners,) the significance of the research in national and regional context; • State that the head of the institute/department has read and understood this application in its entirety;