Ref. No.
IIT(BHU)/ / Dated:
Project Title ……………………………………………………………………………………..
Submitted by Prof./Dr. …………………………………………………………………………...
Department/School of ………………………………………………………..IIT(BHU), Varanasi.
Submitted to the funding agency ………………………………………………………………….
The PI & Co-PI certifies that:
1. Proposal is as per the format prescribed by funding agency. Yes/No
2. Clearances from the relevant committees* have been obtained or application for approval sent:
a. Ethical Committee Yes/No/Not Applicable
b. Bio- safety committee Yes/No/Not Applicable
c. Animal Ethical committee Yes/No/Not Applicable
* It is responsibility of PI to get clearance before start of the Project (if required but not taken
so far)
3. Basic general infrastructural facilities exist in the Department /School or have been provided for the
project. Yes/No
4. Same project has not been submitted by the PI/Co-PI elsewhere Yes/No
(if it is submitted earlier pl. specify the Ref. No. and date of this format)
5. Institutional/Overhead Charges have been included in the proposal (at least 25% of the project cost)
Yes/No
Forwarded:
Head/Coordinator PI and Co-PIs
(with seal) (with seal)
Note: This format alongwith copy of complete proposal should be submitted to the office of
the Dean(R&D) to get the Institute endorsement