SMALL BUSINESS INOVATION RESEARCH INITIATIVE-SBIRI

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Appendix A

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Cover Sheet

Project Title

Sector/Area

(if no Sector/Area in list please click others)

(Specify the Sector/Area)

Others(Sector/Area)

Submitted By

Name of the Company

First Name

Middle Name

Last Name

Designation

Phone No.

Email ID

Alternate Email ID

Postal Address (for communication)

State

City

Zip Code

Category of the Proposal

A.	Category of the Proposal: Whether the proposal submitted is of the following categories:- (i) Submitted for the first time/ A new proposal (ii) Improved version of the earlier rejected proposal (iii) Formulated based on a project supported earlier under SBIRI

B	Phase IPhase IIBoth

(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

{* Collaboration should be indicated only if the partner(s) will be involved in the proposed work during the project duration. If collaboration is limited to technology transfer, it should be indicated under ‘Technical Details’ appropriately [Appendix D (1), Serial No. 5]}