Application Form for Applied Research Projects Ready for Immediate Implementation (Scaling Up of Tested Prototype)
please complete this data
Guideline2
Guide Line - Call For Proposals 2
Proposal2
MEK Proposal Form Guide and Proposal Form 2
1-1. Personal Information / Principal Investigator Details
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Full Name:
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National ID Number:
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Date of Birth:
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Job Title / Position:
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Affiliated Entity:
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Type of Entity:
Governmental
Private
Other
Other (please specify):
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Email Address:
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Mobile Number:
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Governorate:
المنيا
اسيوط
سوهاج
الغربية
الفيوم
الجيزة
القاهرة
بنى سويف
الاسكندرية
بورسعيد
السويس
دمياط
الدقهلية
الشرقية
القليوبية
كفر الشيخ
المنوفية
البحيرة
الاسماعيلية
البحر الاحمر
الوادى الجديد
مطروح
شمال سيناء
جنوب سيناء
الأقصر
قنا
أسوان
1-2. Proposal Information
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Proposal Title (in Arabic):
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Proposal Title (in English):
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Field of the Project:
Select Field
Water
Energy
Both Water & Energy
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Proposal Summary (in Arabic):
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Proposal Summary (in English):
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Total Required Budget (in EGP):
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Requested Budget from Misr El-Kheir Foundation (in EGP):
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Implementation Duration (must not exceed 18 months):
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Implementation Location (Please specify the exact location and attach proof of preliminary approval for implementation):
Please specify the exact location and attach proof of preliminary approval for implementation (PDF only)
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What are the expected outputs of the proposed project (Please describe the tangible and measurable results that your project aims to achieve):
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Does the prototype have a patent ?
yes
no
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Attach Patent Document(s):
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Has the proposal received any official approvals for implementation?
yes
no
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If yes, please specify the approving entity:
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Upload the proposal form after filling it out (file type must be pdf):
According to the attached template (file type must be pdf)
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Please attach a video demonstrating the scalability or performance enhancement of the tested prototype (video submission is mandatory) not more than 3 min:
Select a video less than 3 minutes and its size does not exceed 4 MB