Application Form 2

Application section 1: Project Background check
Application section 2: Academia Personal Information
Application section 3: Industrial Partner Information
Application section 4: Project Detailed Information
Application section 5: Video & Image of Functional Prototype
View Application (This link is only for Application Viewing, please don't make any changes cause it might not be saved)

Application Type

Fund Phase

PERSONAL INFORMATION
University Name
Which university are you applying from? *

Specify University Name *

Faculty Name
Which faculty do you represent? *

Faculty Name *

Faculty Dean Contact Info
Dean of Faculty Email Address *

Dean of Faculty Full Name *

Faculty Phone Number *

Academic Supervisors Contact Info
Lead Supervisor Email Address *

Lead Supervisor Full Name *

Lead Supervisor Phone Number *

Second Supervisor
Second Supervisor Email Address

Second Supervisor Full Name

Second Supervisor Phone Number

Third Supervisor
Third Supervisor Email Address

Third Supervisor Full Name

Third Supervisor Phone Number

Application Type

Fund Phase

Participating Students Contact Info
Lead Student Email Address *

Lead Student Full Name *

Lead Student Phone Number *

Lead Student Major of Study *

Lead Student Major of Study Other *

Lead Student Year of Study *

Second Student Contact Info
Second Student Email Address

Second Student Full Name

Second Student Year of Study

Second Student Phone Number

Second Student Major of Study

Second Student Major of Study Other

Third Student Contact Info
Third Student Email Address

Third Student Full Name

Third Student Year of Study

Third Student Phone Number

Third Student Major of Study

Third Student Major of Study Other

Fourth Student Contact Info
Fourth Student Email Address

Fourth Student Full Name

Fourth Student Year of Study

Fourth Student Phone Number

Fourth Student Major of Study

Fourth Student Major of Study Other

Fifth Student Contact Info
Fifth Student Email Address

Fifth Student Full Name

Fifth Student Year of Study

Fifth Student Phone Number

Fifth Student Major of Study

Fifth Student Major of Study Other

If you are the only student in this project, you are Lead student

📢 Attention! LIRA Fund 16 Project. Submission Deadline approaching! Submit your project details by Wednesday, Nov. 15th, 5:00 pm. Don't miss out!

Application Form 2