Research Proposal Application Form
In order to maintain an R&D database, KBTH's Management requires that you register your proposed research. Please complete this form with as much details as possible and return to the R&D unit of KBTH if you meet one or more of the following:
You will be conducting your research in KBTH .
You are a KBTH employee (full or part-time).
You will in any way cite KBTH before/during/after completion of the research
Title*:
Surname*:
First Name*:
Middle Name:
Phone No*:
Address:
Email*:
Occupation*:
Are you a staff? *:
Yes
No
Title of Protocol
Proposed Study Location
