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What is the title of the proposed research study?*

Will the outcomes of this study impact a significant proportion of the population?*

What is the background of the proposed research study? (limit 300 words, maximum 500 words)*

Please provide the rationale for the proposed research study.*

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Do you have a budget plan for you research proposal?*

If yes, Please write the budget estimate and any financial details (if available).*

In your opinion, what is the timeframe of the proposed study?*

What are the services that you are requesting from our research center? (Please select all that apply)*

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