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Appendix A
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Proposal submitted to Department of Biotechnology
SMALL BUSINESS INNOVATION RESEARCH INITIATIVE-SBIRI
Cover Sheet
Project Title
*
Sector/Area
- Select sector/area-------------------------
Agriculture and allied areas
Bioinformatics
Environmental biotechnology
Food Biotechnology
Health and related areas
Industrial products and processes
Instrumentation and devices
*
(if no Sector/Area in list please click others)
(Specify the Sector/Area)
Others(Sector/Area)
*
Submitted By
Name of the Company
*
First Name
Mr.
Mrs.
Ms.
Dr.
Prof.
*
Middle Name
Last Name
Designation
*
Phone No.
*
Email ID
*
Alternate Email ID
Postal Address (for communication)
*
State
- Select state --------------------
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chattisgarh
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu & Kashmir
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
New Delhi
Orissa
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
*
City
*
Zip Code
*
Category of the Proposal
A
Nationally Evolved
Industry Originated
B
Phase I
Phase II
Both
*
C
(i) Proposal submitted solely by in-house R & D unit of industrial firm
(ii) Jointly by Industry and Public Institution/University
Enter no. of Institutes
(iii) Collaborative project of two or more industries
Enter no. of Companies
(iv) Collaborative project of two or more industries jointly with institution(s)
Enter no. of Companies
and Institutes
All fields marked with '*' are mandatory
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