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
Individual Name
Your answer
Innovation/Technology Name
Your answer
Email ID
Your answer
Contact Number
Mobile or landline
Your answer
Contact Address
Please clearly mention details of City, Mandal/Block, District, State and Pincode
Your answer
Select Stage of Product/Innovation
Area of Innovation specify
Your answer
Describe Your Innovative Product/Innovation
Please explain effectively in 500 words
Your answer
Any Awards and recognition ?
Optional: If yes give details or else continue to next question
Your answer
Please describe how your innovation creates positive impacts to Rural Sector
Please describe in 1000 characters preferred in bulleted points
Your answer
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