IITM & King’s College London JFBMP Partnership Application Form

1. First Name *

2. Last Name *

3. Position/Designation *

4. Department/School *

5. Email address *

6. Is this application multi-disciplinary?YesNo

What disciplines are involved?

7. Multidisciplinary initiatives* IOE initiativesCoEsNCCRDResearch projects under IOEOthers

Please specify*

Please specify*

Please specify*

8. Reference to any patent/Invention Disclosure Form (IDF)

9. Please select the type of activities you are applying funding (select any that apply)* Research stay/visitResearch workshopPilot experimentsEducation workshopOthers

Please specify*

10. Any other collaborators (Please provide the list of collaborators of any other colleagues you would also visit or work with for the projects, including, for example, colleagues who will participate in the workshops. Please include their positions and departments.) *

11. Your proposal (Please state the objectives of your proposal, the title of your workshop or research project (if applicable), visiting/workshop activity schedules (including location, length of stay, potential time frame and dates), any other useful information about the planned activities, such as any potential cross-department collaborations, teaching and other forms of engagement with students. (Word limit: 300 words))*

12. Impact & benefits (Please write up to 300 words on your objectives and desired outcomes, the benefits for the wider academic communities at King’s and IIT Madras, pathways to impact, and any planned future activities and collaboration for the sustainability or growth potential of the partnership.)*

Note:The CV of the Investigators (no more than 2 pages) should include:
Qualifications, current position and brief employment history
10 career-best publications
Awards and relevant presentations
Current grant income
Collaborative track record (limited to 200 words)