Grants for Publication Support Application for Grants for Publication Support Please read Terms and Conditions of the grant carefully before completing the form. Please address all inquiries to: info@persianheritagefoundation.org. ApplicantHiddenApplication for Grants for Publication SupportName Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last PhoneEmail Postal Address Date of Birth MM slash DD slash YYYY NationalityAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweTitle of Project EducationUniversity degree(s)Year of degree(s)Granting Institutions Other Qualification Professional CareerPositionYear of Appointment Research InterestNature of proposed publicationRationale for support Total sum requested (in) US$ (Please note that funds can only be paid into a US bank account in the name of the applicant)Is this your first application for an PHF award? Yes No In which year did you receive your award and have you submitted a report? (This application will not be considered if you have not presented a report on your last award) Proposed subject of grant applicationGrant ApplicationDate and duration of the proposed project:DateDuration FINANCIAL DETAILSPlease provide a detailed budget for the project, including travel, accommodation and incidental expenses etc. Please provide all sources of funding to which you have applied or intend to applyNameSource of awardValueAwarded or Not Note that your application will be looked at more favourably if you have already received support from other granting bodiesREFEREESNote: Two referees are needed. It is the responsibility of the applicant to ensure that the reference(s) arrive(s) on time. If your reference is late the application will be automatically rejected. If two references are required, and only one arrives on time, the application will be rejected. RefereeNamePositionAddressTelephoneEmail DECLARATIONApplicant name Date MM slash DD slash YYYY Upload your supporting documentation Drop files here or Select files Max. file size: 10 MB, Max. files: 1. 10MB File Size LimitTerms and Conditions* By checking this box you agree to the Terms and Conditions. Keep In Touch Join our mailing list to keep up with the Foundation's work. First Name Last Name Email Address Submit
