Type (randomized, prospective, retrospective etc.)
Single Center/ Multi-centric
Starting Date
Proposed Duration
Ethics Committee approval
Funding Required / Not required
Detailed Proposal:
Abstract
Background of the Research Question
Hypothesis or Rationale behind Study
Study Design
Detailed Methodology which must include following:
Inclusion and exclusion Criteria
Consent forms and process
Ethics committee approval
Data handling and Statistical Analysis
Outcome variables
Study duration
Proposed time schedule and milestones
End Points
Any risks involved with the study (describe expected frequency, degree of severity, potential reversibility and precautions taken to minimize the risk)
Relevance and Scientific importance
Similar published research – self/others
Funding:
Total budget of the study.
Total funding being applied for with complete break up.
Details of existing infrastructure and equipment required in the study.
Is this application currently or in the past submitted elsewhere – if yes, to which organizations and by what date is a decision expected.
8929991288
assisecretariat@assi.in
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