USERN-BASIR Grant application form
Dear applicant,

Thank you very much for your interest in research collaboration with USERN.
USERN-BASIR grant has been devoted in early 2017 up to 3000 US dollars each year for promotion of research and support of junior scientists in the field of ophthalmology. Accordingly, the following form has been prepared to collect project and background information of delegates who are interested in conducting research projects in the field of ophthalmology. The proposals would be reviewed by USERN advisers and experts in the field of ophthalmology and the grant would be awarded to the best selected project according to their votes.
In case you are interested in applying for this grant, please fill the following form.

Sincerely,
USERN Scientific Affairs division

First name
Your answer
Last name
Your answer
email
Your answer
Mobile number
Your answer
Please select the highest academic degree you have or are studying
Please select your current academic position:
Please select your field of specialty
Please write the title of your project
Your answer
Please briefly explain the importance of your project
Your answer
Please write a brief abstract of your project up to 500 words:
Your answer
Please select the requirements of your project
Required
Please name the supervisor of the project
Your answer
Please select the specialty of the project's supervisor
Please write the academic affiliation of project's supervisor
Your answer
Please introduce the other colleagues of the project
Your answer
Please upload your scientific resume and complete proposal to grant.usern@gmail.com
Submit
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