Application Form for Early Career Pharmacists and Pharmaceutical Scientists Innovation Grant

Please fill out the following fields and make sure you read the rules.
All fields marked with a * are required. There is no save option. Application must be completed in full. Prepare your information and documents ahead and then send in this form.

Part I. Project Identification *

Part II. Applicant Identification *

A. Details of the applicant

Part III. Project Description

By signing this application, the applicant agrees and understands that any monies received or paid as a result of this application are subject to the following terms:
  1. Please note that this application form will be the applicant’s project entry in the Grant database of the International Pharmaceutical Federation (FIP) Early Career Pharmaceutical Group (ECPG). By signing this form, the applicant grants FIP the right to publicise the outcomes of the project. To expedite the processing of this form, please fill it in completely and correctly. Should you have any questions, please do not hesitate to contact the ECPG Steering Committee at ECPG@fip.org
  2. All information contained in this application is truthful and accurate to the best of your knowledge, and no relevant information has been withheld.
  3. Funds granted as a result of this request are expended for the project described in this application.
  4. The International Pharmaceutical Federation and its Foundation have the right to make available and to use all data and photos provided in this form for the purposes of managing the grant and to publicize the outcomes of the project.
  5. The applicant is obliged to keep the International Pharmaceutical Federation and its Foundation informed of any changes concerning the proposed project in a timely manner.
  6. In the event of winning the Grant, the applicant is obliged to submit reports and updates as required by the International Pharmaceutical Federation.
  7. By checking this box, I agree that my application and personal details will be kept on file for 12 months.
I affirm that this application for the Early Career Pharmaceutical Group’s Grant for Professional Innovation is original and has been independently developed by the author. I further affirm that I have read and understand the rules of the competition.

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