Consent to be a Chief Investigator (CI) or Associate Investigator (AI) on an NHMRC Project Grant
Application for Funding Commencing in 2016
To submit a certification each CI and AI will either need to:
1. Sign a copy of the below Certification, and email it to [email protected]. Electronic
signatures will be accepted.
or
2. Copy the relevant text below, paste it into an email with their email signature and send it to
[email protected]. Please ensure the CI/AI includes the relevant NHMRC reference
number (eg. APP12345678) and project title in their email.
Please return the form or have the emails sent to [email protected] by 11 March 2015.
The following conditions apply to NHMRC project grant applications for funding commencing in 2016
Consent to be a Chief Investigator (NHMRC funding rules; section 7.2.4)
The CIA must confirm in writing with all other CIs that they agree to be named on the application
and endorse the application. The CIA must provide written evidence (e.g. an email) of this to the
RAO. The RAO must not certify and submit the application to NHMRC until the CIA has completed
this step and all relevant CI consents and endorsements have been obtained.
Associate Investigators (NHMRC funding rules; section 7.2.4)
The CIA must confirm in writing with all AIs that they agree to be named on the application. Written
evidence (e.g. an email), must be obtained from all AIs and provided to the RAO, stating their
agreement to be on the application. AIs are not required to endorse an application prior to
submission to NHMRC.
The RAO must not submit an application to NHMRC until the CIA has completed this step and all
relevant AI consents have been obtained.
Consent to disclose personal information to other organisations (NHMRC Project Grants Scheme
Instructions to Applicants; section 4.2)
NHMRC have confirmed funding arrangements with the other organisations for the 2015 Project
Grants scheme. Note (if applicable) All CIs must consent to NHMRC providing the application,
snapshot reports and information about the results of NHMRC’s assessment of this application to
third parties. It is the CIA’s responsibility to seek consent from the other CIs listed on this
application. Written evidence of such consent should be provided to your RAO, and may be
requested by NHMRC.
NHMRC Project Application ID
APPXXXXXXX
Application Title
[insert text here]
Name of Chief Investigator
[insert text here]
Chief Investigators B-J: By signing below you are agreeing to the statement below:
I confirm my consent to be named as a chief investigator on the above-named NHMRC Project Grant
application and I endorse this application for submission to the NHMRC. I agree to participate in the
manner described in the application and to the use of my personal information as described in the
NHMRC Privacy Policy. Furthermore, if applicable, I consent to NHMRC providing the application,
snapshot reports and information about the results of NHMRC’s assessment of this application to
third parties as indicated on the application.
Electronic signatures or an email with the above wording + application ID, title and CIA by the CI will
be accepted.
Name
Signature OR written consent
attached
Date
CI-B
CI-C
CI-D
CI-E
CI-F
CI-G
CI-H
CI-I
CI-J
Associate Investigators A-J: By signing below you are agreeing to the following statement.
I confirm my consent to be named as an associate investigator on the above-named NHMRC Project
Grant application. I agree to participate in the manner described in the application and to the use of
my personal information as described in the NHMRC Privacy Policy. Furthermore, if applicable, I
consent to NHMRC providing the application, snapshot reports and information about the results of
NHMRC’s assessment of this application to third parties as indicated on the application.
Electronic signatures or an email with the above wording + application ID, title and CIA will be
accepted.
Name
AI-A
AI-B
AI-C
AI-D
AI-E
AI-F
AI-G
AI-H
AI-I
AI-J
Signature OR written consent
attached
Date