Canada Form E Annual Progress Report/request For Third Instalment - Industrial R&d Fellowship (Irdf)

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NSERC
Form E
350 Albert Street
Annual Progress Report/Request for Third Instalment –
Industrial R&D Fellowship (IRDF)
Ottawa, Ontario
K1A 1H5
(Research Partnerships Directorate)
Canada
PROTECTED when completed
Do not submit your request for payment or progress report prior to the end of the four-month period for which payment is being sought.
Payment will not be approved prior to the end of the fourth-month period. Please note the exception in the
Payment of Award
section of the Award
Holder's Guide for Industrial R&D Fellowship (IRDF) holders.
Family name, given name and initial(s) of award holder
NSERC application number
Name of company
Part I: To be completed by the company and award holder
The company must attach a one-page progress report on the work accomplished, taking into account the following elements:
1.
Has the fellow been working on the project/activities outlined by the company in the original proposal?
If there have been any significant changes in the project objectives and/or content, please indicate these changes and give the reasons why
they were made.
2.
Briefly describe the major research and development activities and the progress to date.
3.
Other comments, if any.
___________________________________________________
__________________________________
Signature of award holder*
Date (day/month/year)
___________________________________________________
Printed name
* I have seen the progress report.
Part II: To be completed by the company
I hereby request payment of the third instalment of the award for the period:
_____________________________________
_____________________________________
from
to
Date (day/month/year)
Date (day/month/year)
Payment is made by direct deposit. To set up a payment, complete a direct deposit form (see
Direct
Deposit) and submit it to NSERC by fax, email
or mail. For more information, consult
Direct Deposit – Frequently Asked
Questions.
I have completed the direct deposit form.
Please update the company’s mailing address:
Please update the fellow’s mailing address:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
_____________________________________
_____________________________________
Telephone number:
Telephone number:
________________________________________
_______________________________________
Email address:
Email address:
Part III: To be completed by the supervisor
I certify that the fellow has been working for the company during the period specified above, and that I have seen the progress report.
Approved
___________________________________________________
___________________________________________________
Signature of supervisor
Signature of NSERC Program Officer
___________________________________________________
___________________________________________________
Printed name
Printed name
_________________________________
_________________________________
Date (day/month/year)
Date (day/month/year)

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