Innovation Grant Request – عمادة الدراسات العليا والبحث العلمي

To be Completed by the Principal Investigator

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Title of Proposed Invention (in English)

Title of Proposed Invention (in Arabic)

Principle Inventor

Inventor Name

First

Last

Gender

Male

Female

Nationality

Researcher College

Department

Academic Rank

Job ID

Mobile Phone

E-mail

Co-Inventors

Co-Inventor Name

First

Last

Researcher College

Department

Academic Rank

Job ID

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Proposed total budget

Estimated duration

Application, Productization, and Commercialization

Application Plan

Productization Plan

Commercialization Priority Commercialization Priority

Abstract

Invention Proposal Abstract (in English)

Invention Proposal Abstract (in Arabic)

Keywords (4-6 Keywords)

Description of the Invention (Detail Explanation)

Objectives of Invention

Background

Detailed explanation of Invention

Drawing of Invention (Mandatory)

Procedure

Maximum file size: 10.24MB

Product

Maximum file size: 10.24MB

Project Proposed Time Plan

Planned Sequence of Major Tasks

Task Description

Inventors Names

Task Start

Task End

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Available Research Facilities To Conduct The Research

Required Research Facilities To Conduct The Research

Detailed Total Budget

Inventor Group Salaries:

Inventor Name

Proposed amount

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Assistant Inventors Salaries:

Inventor Name

Proposed amount

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Detailed Supportive Services Budget:

a) Materials and Supplies

Proposed amount

b) Research Computing Services

Proposed amount

c) Other Services

Proposed amount

Total Supportive Services Budget

Proposed total budget

Aspects of Research Collaboration(National or International)

Research Collaboration Benefits for Researchers at Qassim University (National or International)

Potential for Research Capacity Building

References

Note: You have to request an ethical Approval if needed.

Declaration: The beneficiary and inventor is responsible for all providing the correct information above. The beneficiary shall file patent, trademark, or industrial design within 6 months after receiving these services. Your idea will be evaluated internally by SAIP to determine the type of support service.

I Agree

Name of the Principle Inventor (Beneficiary)

Attach confirmation and approval of the international researcher to conduct a research

Maximum file size: 10.24MB