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December 08, 2019
Application for Support
/
Partnership
/
Partnership
Partnership
Partnership and Support Application Form
In this category, individuals, groups or organized teams from their institutions with complete technology product
or product sample that already exist in the market but have not been reachable to the society due to different challenges can participate and get support from the Ministry.
Please fill all the required fields and submit. The parts in asterisk (*) are mandatory.
Select the partnership category you need *
Law Support
Quality Assurance Support
Policy and Strategy Support
Loan Facilitation
Applicant Personal Information
First Name*
Middle Name*
Last Name*
Sex
Male
Female
Address
Region
City
Phone Number
Mobile Number*
Fax Number
Email*
Academic Background and Current Status
Field of Study
Educational Level*
Elementary
9-12
College
First Degree
Masters
PhD
The institution the applicant is currrently working in*
Government
Private
Non-governmental Institutions
Current Status*
Student
Private Employee
Government Employee
Non-governmental Employee
Entrepreneur
Fresh Graduate
Other
Final Application Section
Applying as*
Individual
Team
Organization
Team members' list if any
Team or Group Name*
Product/Service Title*
Product/Service Category*
Electronics and Electro Mechanical
Construction Technology
ICT
Chemical and Bio Medical
Mechanization and Agro-Processing
Mechanical
Other
Upload both your project proposal and bussiness proposal together in one PDF format*
If you have patent certificate, upload in PDF format
I confirm that all the information filled in this form and the innovation I proposed is my own/team's work.