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NAME......................................................................Date of Birth...................Sex...………………

POSTAL ADDRESS..................................................................................................……………...
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Telephone …………………………………. Email …………………………………………………
Do you belong (in any category of affiliation) to (please tick)
The Association of Social Anthropologists ? The Royal Anthropological Institute ?
IF YOU BELONG TO NEITHER ASA NOR RAI, YOU MUST CHOOSE ONE REFEREE WHO IS AN ASA MEMBER.

ACADEMIC CAREER (Degree(s) - subject, class, institution, date)
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ACADEMIC INSTITUTION....................................................................................……………...
DEPARTMENT.........................................................................................................……………...
DATE OF REGISTRATION.....................................................................................……………..
TITLE OF THESIS...................................................................................................……………...
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EXPECTED DATE OF SUBMISSION....................................................................……………...
CURRENT AND PREVIOUS SOURCES OF FUNDING.......................................……………..
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ITEMIZED AND COSTED BREAKDOWN OF FUNDING REQUESTED FOR:
a. Production of thesis..............................................................................................……………..
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b. Living costs, etc. ..................................................................................................……………..
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c. Total sum requested.............................................................................................……………...

SUMMARY. Main points, abstract of your thesis.

Candidates should attach a one-page outline of their research (brief description, results to date, significance to the discipline, etc).

Candidates should also submit a one page CV and a cover letter of not more than two pages that sets out the reasons for the application and their financial need.

REFEREES. Names and addresses of two referees who will testify as to your academic ability and suitability for an award. IF YOU BELONG TO NEITHER ASA NOR RAI, YOU MUST CHOOSE ONE REFEREE WHO IS AN ASA MEMBER. Applicants are responsible for ensuring that the referees can be contacted and also for obtaining their references.

(1) THESIS SUPERVISOR.....................................................................................…………….
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(2) SECOND REFEREE..........................................................................................……………
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SIGNATURE.................................................................................. DATE................……………


N.B.
Any other information which applicants feel might assist the Trustees should be set out in a letter and enclosed with the completed copies of this form.

FIVE copies of applications should be sent to
The Office Manager
Royal Anthropological Institute, 50 Fitzroy Street, London W1T 5BT


Tel: +44 (0) 20 7387 0455;
Fax: +44 (0) 20 7388 8817
Email: the Office Manager