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Research project title *

Applicant/s Full Name (PI/s) *

Applicant/s (PI/s) affiliation and contact information (Email and phone no.) *

Cohort studies involved: *

Significance and rational (150-250 words): *

Limitations (50-100 words): *

Variables required: *

Statistics (50-100 words): *

Budget for preparing the final proposal and starting collaboration (seed funding): *

Time needed for preparing the final proposal and starting collaboration: *

References (5-10): *

2 + 6 = ?Please prove that you are human by solving the equation *