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: SIRCA Amendment(s) to Project
All information is treated as confidential. The information is furnished to SIRCA and IDRC with the understanding that it shall be used or disclosed for evaluation, reference and reporting purposes.
Sections to be completed by Principal Investigator(s), where applicable:
Mandatory Information:Section 1Project InformationPg. 2Section 2Declaration & EndorsementPg. 3Specific Requests:Annex AChanges to ProjectPg. 4Annex BExtension of Project Completion DatePg. 5Annex CTermination/Lapse of ProjectPg. 6
PRINCIPAL INVESTIGATORS & APPROVING AUTHORITIES PLEASE NOTE:
Only relevant sections on specific requests need to be completed and attached for submission.
For request for changes to project or extension of project completion date, please append the following documents with your submission:
Progress Report of the Project; and
An indication of how many of the original milestones and research deliverables have been met thus far and, if not, how the proposed extension period/ variation will allow these to be met.
Requests for project extension should be made only in the expected final year of project duration. All requests should reach the SIRCA/Regional Office at least 3 month before project end date.
Requests for project termination/lapse should be made within a reasonable timeframe. PI should explore all possible options to bring the project to proper completion (eg. change in PI) before consideration of termination/lapse of project.
Please ensure that your request is duly completed and endorsed.
Please indicate purpose of current request
(check relevant box)
Annex A - Changes to ProjectAnnex B - Extension of Project Completion DateAnnex C - Termination/Lapse of Project
SECTION 1: PROJECT INFORMATION (MANDATORY)
A. Project Details
Project Title:
SIRCA Application/ Grant No:
Expected project completion date:
Principal Investigator:Department/University:
B. Budget Information (MANDATORY)
Personnel
($)Equipment
($)Travel
($)Research Expenses
($)Other Operating Expenses/
Supplies & Operations
($)Grant approvedExpenditure to dateBalanceUtilization Rate
To be signed and endorsed by Institutions Finance Officer:
I certify that the above information is true.
Name: _________________________________
Signature: _______________________________ Institutions Stamp: _________________
SECTION 2 DECLARATION & ENDORSEMENT (MANDATORY)
A.(i) Principal Investigator (PI):
I declare that the above information is true and complete to the best of my knowledge.
I have enclosed all necessary documents in support of my application.
Name:
Signature:Date:
Please provide a copy to Co-Principal Investigator(s) for information and records.
_______________________________________________________________________
B.(i) Mentor - please complete, where applicable (email consent or remarks from mentor is acceptable pls attach
Reference
RequestORETypeRecommendationAnnex AChange/s to projectSupport/Not SupportAnnex BExtension of project completion dateSupport/Not SupportAnnex CTermination/Lapse of projectSupport/Not Support
Comments (To include basis for Support if different from PIs current request or reasons for Not Support):
Name:Signature:
Date:
Please note: for approved requests, please forward endorsed form and documents to SIRCA Office for processing.
ANNEX A
Request for Change/s to Project
A. Change of Principal Investigator (PI) / CO-PI / Collaborator(s) -
(Please delete where appropriate)(i) Details of New PI/Co-PI/Collaborator(s)*Name & Title:Department & Faculty:Please elaborate on the role & involvement of the nominee in the existing project, and the need for the proposed change:
If current PI is leaving the Institution, please provide details such as
PIs last day of work in current institution
Name of institution he will be joining
Start date with new institution
Designation in new institution
(ii) Current C.V. of the nominee(s) should be attached to this Form.*The nominated PI must be should be an Academic Staff of a Faculty of one of the local universities or holding a research-related post in relevant institutions. For new external collaborators, possible establishment of an MOU) may be required.
B. Other proposed changes (if any)Type of Change(s):
(Please tick all relevant options)
Research Topic
Theoretical Framework
Methodology
Other (Please specify) : __________________________________
Please provide the following information using Table 1:
Type of Change
Current state
Proposed change
Detailed reasons and justification for change
Note: If there is a change of work scope/direction, please provide revised project implementation schedule.
Table 1:
Type of Change:Current StateProposed ChangeJustificationType of Change:Type of Change:
-------------------------------------------------------------------------------------------------------------------------------
Declaration by New Principal Investigator (PI)/Co-PI/Collaborator(s), if applicable
I agree to the proposed change(s) as indicated.
Name:
Signature:Date:
Name:
Signature:Date:
ANNEX B
Request for Extension of Project Completion Date
Note: PI is to attach this Form, duly completed, with
(please tick) ( Revised Project Implementation Schedule;
Latest Statement of Account;
Latest Progress Report Submitted;
Other supporting documents (if any).
B. Current Project Extension Request
From dd/mm/yyyyTo
dd/mm/yyyyNo. of months extended
Detailed Reasons and Justification for Current Project Extension
ANNEX C
Request for Termination/Lapse of Research Project
Requests for project termination/lapse should be made 3 months before termination/lapse. Mentor should work with PI to explore all possible options to bring the project to proper completion (eg. change in PI) before consideration of termination/lapse of project.
Note: PI is to attach this Form, duly completed, with
(please tick) ( Latest Statement of Account;
Latest Progress Report Submitted;
SIRCA- Account Closing of Research Project Form
Other supporting documents (if any).
Requested Effective Terminated/lapsed Date:Duration of Project (months):
Please provide detailed reasons and justification for termination/lapsing of research project. Any actions taken to explore alternatives to termination of research project should also be included:If current PI is leaving the University, ORE is to provide details such as PIs last day of work in University, name of institutions he will be joining, etc.
Page PAGE 7 of NUMPAGES 8
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2009-07-04T03:55:14+08:00
2009-07-04T03:55:14+08:00
2009-07-04T03:55:14+08:00
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