ALC Research Data Access Request Form

First Name

Last Name

Gender

Email (Confirm)

Phone

Organisation

Provide the name of your affiliated organisation/institution.

Organisation's Address

Provide the address of your affiliated institution

Designation

What is your office or role in the organisation or project?

Datasets Requested

Specify the dataset you need from the ALC

Country

Project Title

This is the title of the project of proposal for which this data is needed

Project Abstract

Provide a brief Abstract of the Project for which you need the data

Project Supervisor (Name)

Please provide the name of the supervisory coordinator of the project (e.g. the Principal Investigator;,Research Coordinator etc.)

Project Supervisor Email

Provide the email address of the Project supervisor

Project Supervisor Email (Confirm)

Confirmation Statement

I confirm that all the information provided by me is true