Innovation Submission Form

WAIN: Innovation/Fellowship Form

Email Address *

Institution Name*

Mobile Number *

Institute Website *

Innovation Title*

Focus Area (max 5 words)*

Keywords (up to 5, comma separated)*

Innovation Status *

Concept

Prototype

What did you do different from others

Feature 1 (Max 5 words)*

Feature 2 (Max 5 words) *

Feature 3 (Max 5 words) *

What are the practical areas where your innovation could be applied

Area 1 (Max 5 words)*

Area 2 (Max 5 words) *

Area 3 (Max 5 words) *

Name of all the Team Members (Comma separated)*

Email Addresses of all the Team Members (Comma separated, corresponding to the names above)*

Upload Proposal/Profile

Max size 20 MB