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Council for Tobacco Research

Application for Research Grant [A Blank Funding Request Form for Scientific Studies]

Date: No date
Length: 6 pages
CTRMN000849-CTRMN000854
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snapshot_ctr CTRMN000849_0854

Abstract

MAR

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Depository Date
25 Sep 1995
Master ID
Ctrmn00000667-6967
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Author
Ctr
Request
118
Type
APPLICATION FOR GRANT
Box
002
UCSF Legacy ID
jmq30a00

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Page 1: jmq30a00 Log in for more options!
I . TfIE COUNCIL FOR TOBACCO REBEARCH- U.S.A.. INC. 900 T1URn avZNtJs NIM' YORK. N. Y. 10022 (212)421-8885 Apdicatitxt tor Rsanch Grant (lhe axtra ppes as n..ded) t. Princlpat Invnriynor (OM thi..nd dopaa1: 2. Inttitutbn 8 addept: 3. C.prtm.ntl.) vd+ar+ m.arcn vrfU be done or coliabortrt3on Pr"ded: 4. Snort tlde of ttudy; 6. iropo..d ttartinp dau: 6. Eatimad tim. to complete (chaek ont Doa only): O t yaar 0 2 ysan 0 3 yaart 7. Oac.ibe the txwd yo.lt of the Proj.ct and tt+e a0proscMt Pl.nnad. Do not.Rce.d tne tpau.llott.d bNOw: B. List no more than 6 keyrrord. WycriDtive of thit Pro1Kt: Date: 41 CTR HNS 000649
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, 0. Enum.m..nd dwrlbe br1NIY the flynlficant so.ctfk Mnn or obyectivu of tl,k nsowM p.o).ct k" aopo.ed to tkg brwd pMt pr...nt+d In lum 7 .bo++): 10. Da.ili of exp.rim.ntsl d.slpn ond procMunss (.PP*nd *xtn pt,qn a n.eettary) 1 42 CTR HN 000650
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© 11. Ep.a and fadlltip.rdlsb4 (wMn.i.nwA.r" than hvm 2 indkattt..utra focttJonl: 12. Addltional f.cultk+ r.quir+d: 17..87oprphkN skeecha of Invatipator(s) end otAtr prof.wlon.t p.nonnM (pp.ndl: 14, f uNk.tlont: EnNo.e nprlnts or m.nu.cripts of not more th.n jb2 of the pplk.nt's mott nc*nt ond ptnJnt,nt tartldM. CTR. / 43 CTR_ HIN 000BEil
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4 16. Flrtrt rt* budvet: A. t.l.rta {4M nun" or tttt+ "to be ncrvhsd") x tim+ A+nount hof.astonrt (p>vrr % tlme of Im~atipaorG) Mn If no Ml.ry r*quwod) T.Mnic.t B. Conwm.Dl1 wppli" (by m.Jor canporits) C. Cnh.r.xpensa (it.mix.) D. P.rm.n.nt.quipm.nt (Itemize) Su0-Totd for A SutrTota for B SubTot.1 for C Running Totsl of A+ B+ C BubToul for O E. Indfnxt costs 116% of A+B+C) E TotN nwfst 16. Ertimat.d future rtqufrMn+ntn: SN.r{st Conwm.bi. Suppt. Other Erspt+n.a Lrrrunant Equip. Indir.ct Cow Totd Yur 2 Y.ar 3 CTR$ 44 CTR HN 00C1BEJ2
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0 17. Otft.r.ovtm of nnancw .upPort: lkt fln.nct.l.upport from NI .ounmt, inetudfnp own Irntfation, for tl+4 tx+d eN.wd t..areA proj.cu. CURRENTLY ACTIVE lltle of Pro}.ct Title of Project iourc+n Inelu.iw (pivra pr+t numb.r.) _ Nnount PENDING OR PLANNED Dttn Sourcv Incluwtve (piva pr.nt numC.n) n Arnount 1CTR: I 45 C T R i iN 0 0 0 8 ,..t .•.1s a ta
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I ft r t,ns.nrtooe th.t a+e in...t4.tor.na Inrtkutla,.l effro+n In oppiYiM for 0 /ra^t hm r..d Ind .c4.pt th. f:os.+eil's "ttrt.m.nt of Policy Contslnlnp Condi• tioer wsd T.rnr Und.r YVhioh Pro}.ct Or.nts.e. A4.d.:' Princip.l Inv.stlp.tor• Rapomibie officer of Inttitutlon Typed N.me Typed N.me Slpn.tur. D.te Tttle Mallinp Addr.u Slgt.tur. O.te A4ailiny.ddress TNephone Ivyt+en princip+l investlp.tor c.n be n.ch.d durinp twsineu hoursl: T.I.phon. Ar.. Code Number Ext.nsion Ana code Number Eztension Crucks payable to: Ch.cks should be m.il.d to: (N.me .nd.ddress of recipient) Nt,m..nd .ddr.u of person rapomible for provldinp financial inlorm.tion to The Council. Name Addmt tl CT R: / 46 C T R HI t, 1 0 0 0 E ME- 1 4

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