REGISTRATION FORM (for Innovators) scheduled on 7 - 8 July, 2017 at NIRDPR, Hyderabad.
1. Fill all details correctly. Improper information will result in disqualification.
2. Who can enroll for the workshop?
# Successful Rural Innovators
# Innovators with Prototype but not having commercial model
# Innovators having prototype but failed for up-scaling / Upgradation
# Innovation/Technology useful for Rural Community and Rural Development
# Innovator - Idea Stage
Mobile or landline
Please clearly mention details of City, Mandal/Block, District, State and Pincode
Select Stage of Product/Innovation
Innovation with Commerical model
Innovation with Prototype
Idea with / Without Prototype
Area of Innovation specify
Describe Your Innovative Product/Innovation
Please explain effectively in 500 words
Any Awards and recognition ?
Optional: If yes give details or else continue to next question
Please describe how your innovation creates positive impacts to Rural Sector
Please describe in 1000 characters preferred in bulleted points
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