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Research request form


Directorate Research
(Please note all fields must be completed)

Dear Client

Please complete this Research Request Form as fully as possible:

A. Client Information

Department
Directorate
Contact person
Postal/Street Address
Telephone number
Fax number
Cellular number
E-mail address
   


B. Research Proposal

1. Background and rationale

Provide some background information about the product, service or issue to which the problem relates, and its wider setting within the organisation, the market or subject area. Some background information about the organisation might also be included, for example its vision and mission statement. Also outline the broad reason for doing the research:

2. Primary objective of the research

Formulate a statement that sums up the main aim of the research:

3. Secondary objectives

Provide questions that will address your primary objective. Be as specific and unambiguous as possible:

4. Methodology suggested

Indicate the way in which you would like the data should be collected (please tick):





(vi)  Mixed Methods (explain briefly):


5. Target respondents

State the target population for the research, as well as the geographical areas to be covered:

6. Budget

Provide an estimate of the budget available for the research:

7. Time frames

Stipulate the date by which you need the research to be completed, and highlight any interim deadlines:

Date when research needs to be completed:

(GCIS is responsible for procurement processes.)

Specific required dates:

(i) First briefing meeting with client (specify date):

(ii) Date: Finalise research brief / proposal (specify date):

(iii) Date: Advertise bid (specify date):

(iv) Finalise research instruments (specify date):

(v) Field work (specify date):

(vi) Presentation (specify date):

(vii) Final reports (specify date):

C. Expected Deliverables

Tick your needs with regard to the following possibilities:

  Yes No
PowerPoint presentation
Raw data
(tables for quantitative research; transcripts for qualitative research)
A written detailed report
(bound and electronic copies)

           Other comments on deliverables:
           

 

D. Accepted / Not Accepted

Comments:

 

                                            

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Dr Marietjie Strydom
Director: Research
Email: marietjie@gcis.gov.za
Tel: (012) 314 2174
Fax: (012) 328 7200
Cell: 082 579 5386



F. Approval (GCIS) (Official use only)

Recommended

Yes
No


Comments

 

______________________
Dr Marietjie Strydom
Director: Research

APPROVED

Yes
No


Comments


 

______________________
Ms Tasneem Tayob Carrim
Chief Director: Research

 

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