Position:
Home institution:
Department/Research center:
E-mail:
Telephone:
Fax:
Position
Home institution
Department/Research center
E-mail
Telephone
Fax
Position-
Home institution-
Department/Research center-
E-mail-
Telephone-
Fax-
Position:-
Home institution:-
Department/Research center:-
E-mail:-
Telephone:-
Fax:-
2.1.1. Research Title:
2.1.2 Starting Date
2.1.2 Starting Year
2.1.2 Ending Date
2.1.2 Ending Year
Exploratory, no data collection
Secondary data analysis (analysis of de-identified data)
Primary data collection
2.1.3. Other specify
Clinical trial involving bio specimen collection
Clinical trial not involving bio specimen collection
Random Control Trail
Survey
2.1.4. Other specify
Cross sectional
Panel
2.1.5. Other specify
2.1.6 Summary (maximum 500 words):
2.1.7 Specific aims (objectives):(maximum 300 words):
2.1.8 Significance (rationale, literature, theoretical framework - maximum 500 words):
2.1.9 Approach (research design, sampling, sample size, data collection instrument design and validation, data collection and analysis plan - maximum 1000 words):
2.1.10 Approval (ISER-N places high values on local cultural and legal requirements including individual confidentiality and rights to privacy; and strictly adheres to highest possible standards in every research steps. Researchers are required to have prior approval from respective government and ethical review authorities (IRB approval for human subject protection),
No – Please explain why you do not need approval (already approved, ……)?
Yes – Please state from which government ministry, department or local government need approval and describe how you plan to get it?
Describe how and when you are going to get the approval
No – Please explain why you do not need ethical approval?
Yes – Please list from which ethical review boards?
Describe how and when you are going to get the approval:
2.1.11 Other specify
2.1.12 If reviewed or currently under review please list institutions (complete name and address:
2.1.12 Other specify
2.1.13 Other Specify
2.1.14 If funded please list name of sponsors
2.1.14 Other specify
2.1.15 Scope of Work: Briefly describe what and how you may want to accomplish project activities which may include, project inception, government approval acquisition, instrument design, pre-test, translation, data collection (in-depth, cognitive, survey interview) samples size, focus group, data entry and other related activities (maximum 1000 words):
2.1.17 Budget estimate (please don’t hesitate to contact ISER-N if you need other research and logistical support not included in the table below).
1.Research support Cost
Required day/hour for Faculty Researcher
Amount for Faculty Researcher
Remarks for Faculty Researcher
Required Days/hour for Research Manager
Amount for Research Manager
Remarks for Research Manager
Required Day/hour for Research Officer
Amount for Research Officer
Remarks for Research Officer
Required Days/hour for Assistant Research Officer/Team Leader
Amount for Assistant Research Officer/Team Leader
Remarks for Assistant Research Officer/Team Leader
Required Days/hour for Interviewers/Logistic Support Staff
Amount for Interviewers/Logistic Support Staff
Remarks for Interviewers/Logistic Support Staff
Required Days/hour for Interpreter
Amount for Interpreter
Remarks for Interpreter
Required Days/hour for Translator
Amount for Translator
Remarks for Translator
Required Days/hour for Transcriber/Editing/Typing
Amount for Transcriber/Editing/Typing
Remarks for Transcriber/Editing/Typing
Amount for Office space use
Remarks for Office space use
2. Ground Transportation
Required Days/hour for Private car/SUV (along with driver including fuel)
Amount for Private car/SUV (along with driver including fuel)
Remarks for Private car/SUV (along with driver including fuel)
Required Days/hour for Motorbike use
Amount for Motorbike use
Remarks for Motorbike use
3. ISER-N Guest House Services (Food and Accommodation)
Required Days/hour for Food (includes breakfast, launch, small afternoon snacks, non-alcoholic beverage and dinner)
Amount for Food (includes breakfast, launch, small afternoon snacks, non-alcoholic beverage and dinner)
Remarks for Food (includes breakfast, launch, small afternoon snacks, non-alcoholic beverage and dinner)
Required Days/hour for Guest house room: International visitors
Amount for Guest house room: International visitors
Remarks for Guest house room: International visitors
Working knowledge of local language is basic for any successful research program. We, therefore, strongly encourage all students and scholars to develop some working knowledge of Nepali language. If you plan to attend language training while you are in Nepal, please let ISER/N know. ISER/N will be delighted to arrange Nepali language instructor for you. The cost may vary depending upon the type of instructor. Please contact ISER/N for detail. Any visitors who wish to skip the stay or meals should inform to the guesthouse in-charge 24 hours in advance and will be charged accordingly. Failing to inform will result in full charge.
Visitors not working on ISER-N research projects but who wish to visit ISER-N must apply for an invitation in advance. Those who do not receive sufficient external financial support may request that ISER-N cover some portion of the costs. However, ISER-N is not obligated to do so.
Recent volume indicates that ISER-N may not always be able to accommodate all visitors who request ISER-N guest rooms. ISER-N will make decisions about availability of rooms based on priority for research in which each visitor is engaged.
Room cost in hotels in Kathmandu varies. The cost ranges from US$ 30.00 to US$ 50.00 per night. Cheaper hotels are generally crowded, no parking, and are mostly unsafe. Hotels with price range US$ 80.00 to $ 120.00 are star hotels with good conditions and are safe.
If you plan to visit other places in Nepal outside Kathmandu Valley, hotel costs could be cheaper (around US$ 50.00 to $ 75.00 per night in Pokhara and Sauraha
The rates mentioned above are applicable for short term visits and small scale research and training programs. These rates are negotiable for long term large scale research and training programs on case by case basis.
Yes, Planning to visit/stay
No, not planning to visit/stay
2.1.19 Other specify
2.1.20 Date of arrival Date
2.1.20 Date of arrival Year
2.1.20 Date of departure Date
2.1.20 Date of departure Year
2.1.20 Time of arrival
Means of transportation:
Accommodation:
ISER-N Guest House
Outside ISER-N
Details if stay in ISER-N Guest House
Food, any allergies and restrictions
Ground Transportation:
Additional Information you would like to provide:
