The Nelson
Mandela
African Institute of Science and
Technology
SRC-Form
1.5
Student Research Institutional Cost Application Form
(SRICF)
PART I: APPLICANT [SCHOOL/DEPARTMENT]
School/Department: COCSE
Work plan Activity No. ONE
attached]
[Endorsed Work-plan to be
Brief Description of Activity/Facility/Equipment required:
Transport
and
subsistence
allowances-
Field
Visit
for
requirement gathering at Tarangire, Ngorongoro and Manyara
national parks. Also data collection in Dar-es salaam (Ministry
of natural resources and tourism and TCRA)
Amount (Total) TShs: 1,600,000
[Show breakdown on a
separate sheet]
Student(s) (Beneficiaries):
1) ERICK A. MASSAWE
SHS 1,600,000
2) ...........................................................................
3)
[For a longer list please attach in a
separate sheet] Benefiting Institution Other than NM-AIST: NIL
Name of Applicant: KISANGIRI MICHAEL Signature:
Date: 23/04/2015
PART II: SCHOOL/DEPARTMENT
The research Proposal, its work plan and this application were discussed
and approved:
Name:
..[Dean/Head]
Signature:
..Date
PART III: BURSARS OFFICE
There is an Unaccounted-for Claim balance of TShs.......................................
[NB: NO COST SHALL BE ISSUED WHERE THERE IS AN
UNACCOUNTED-FOR BALANCE]
The application is therefore recommenced/not recommenced
Name : Signature:
........................................
Designation .
................................................
PART IV:
Date:
AUTHORIZING OFFICER
The Institutional Cost is approved/not approved:
Reasons: ........................................................................................................
...................
Name : Signature:
...................................... [DVC-ARI] Date:
.