Palestine Exploration Fund Grants
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APPLICATION FOR GRANT (see Note 1)
Closing Date for Applications: 31 January
Please read the accompanying Notes carefully before completing
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FULL NAME (please underline family name): |
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ADDRESS (including e-mail):
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PRESENT POST OR OCCUPATION: |
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ACADEMIC QUALIFICATIONS AND EXPERIENCE (see Note 2): |
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| PEF MEMBERSHIP NO. & EXPIRY DATE: | |
| NATIONALITY & DATE OF BIRTH (see Note 3): |
PURPOSE FOR WHICH A GRANT IS REQUESTED (See Note 4)
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DATE AND DURATION OF PROPOSED PROJECT
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ITEMISED STATEMENT OF TOTAL BUDGET FOR PROJECT (See Note 5)
OTHER SOURCES OF FUNDING, IF ANY, AND STATUS/RESULT OF APPLICATION
LIST, WITH DATES, ANY PREVIOUS GRANTS FROM THE PEF
PLANS FOR FINAL PUBLICATION OF RESULTS (SEE NOTE 6)
NAMES AND ADDRESSES OF TWO REFEREES (SEE NOTE 7)
NB: Your Referees must NOT be current PEF staff, officers, or Committee Members.
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REFEREE |
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REFEREE: |
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ADDRESS: |
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ADDRESS: |
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I agree to abide by the conditions
attached to any grant accepted by me from the
Palestine Exploration Fund. (see Note 8)
Signature:..........................................................................Date..................................
FOR OFFICE USE ONLY
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PAYMENT MADE: |
(DATE) |
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REPORT RECEIVED: |
(DATE) |
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ACCOUNTS RECEIVED: |
(DATE) |