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THE PERRY FOUNDATION

Before completing this form, please read the Conditions of Award on the Foundation's Website

all 4 sections must be completed to ensure this form will be accepted.

Telephone / Mobile No

Email:

First Degree:

Date Awarded:

Title of Proposed Project:

Summary of Proposed Project (Maximum 500 words):

Overall aim (Maximum 100 words):

2) Specific objectives:

ii)

iii)

iv)

5) Applicant Organisation:

6) Proposed start date:

7) Total cost of Project:

8) Potential co-funding:

1) What is the justification for funding this project? (Maximum 100 words):

2) Describe the expected benefits to the industry given a successful outcome of the project (Maximum 100 words):

Name of University/ College/ Research Institute where the Scholarship will be undertaken:

Address of Department:

Telephone:

Email:

Name of Department Head:

Title:

Date:

Financial Authority:

Name:

Telephone No:

Email:

Date:

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