.: NUNAVUT RESEARCH INSTITUTE :.

SECTION 1: APPLICANT INFORMATION

1a. Project Title

1b. Project Number
Please indicate if applicant has submitted any previous application(s) to NRI
related to this project proposal?		Yes  No  

If yes, please indicate the previous NRI licence number:

Please indicate if applicant has submitted any previous application(s) to NIRB
related to this project proposal?		Yes  No  

If yes, please indicate the previous NIRB licence number(s):

2.Applicant's full name and mailing address:  
 Phone:
 Fax:
 Email:

3.Field Supervisor's name and mailing address:  
 Phone:
 Fax:
 Email:

4.Other Personnel list (name, position, affiliation)  
  
  
  

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