application form for innovation fund 2012
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7/28/2019 Application Form for Innovation Fund 2012
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JKUAT/RPE/ IF/2
9. Target Beneficiaries
10. Innovation Purpose
11. Innovation Objectives (Clearly give the specific objectives of this innovation)
12. Background(Give brief and sufficient information on activities related to thisinnovation and information from relevant literature)
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13. Relevance of the innovation to national development (Describe the relevance ofthis innovation to national development for example in regard to vision 2030)
14. Innovation Plan and Methods (Describe the plan of activities in a time frame and the
methodology for this innovation project)
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15. Description of Expenditure
Item Description Unit Cost No. Total (Kshs)
i) Equipment to bepurchased
Sub Total
ii) Cost of use of existingFacilities
iii) Travel (Destination,No. of days and
persons)
Sub Total
iv) Personnel Costs
Sub Total
v) Consumables
Sub Total
vi) Other Costs(specify)
Sub Total
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Grand Total
16. Other Sources of Budget if any (Indicate amount and use)
17. Expected Results/Outputs
a) Explain the expected direct results from your innovation activities
b) State any intellectual property or technology transfer benefits expected from the
innovation
c) State what technology or process that will be required for this innovation to bedisseminated
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18. Innovation Project commercialization
a) Indicate any commercial objective and benefits expected
b) Indicate what will be required for commercialization if technically successful
c) State any strengths and weakness of the innovation
d) Dissemination of Innovation (Describe how the innovation will be disseminated to thetarget beneficiaries)
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19. Endorsement by innovation project collaborators
I/We here endorse the innovation project and will carry out the activities as detailed in theproposal.
Name Signature
1. ..
2. .. .3 .4 .
19. Declaration by Project Coordinator
Iaccept to carry out the innovation
activities detailed in the innovation project proposal.
Signature. Date.
FOR OFFICIAL USE
20. Recommendation from the Deputy Vice Chancellor RPE
a) Approved for funding Yes
No
b) If Yes: i) Amounts Kshs...
ii) Project Time Frame .....
c) Other recommendations...
....
......
...
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Name:.Signature.
Date
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