Application Form 3

File name:

File size:

No file selected Add File

Industrial Partner Contact Info
What is the corporate name of your industrial partner establishment? *

Industrial Partner Email Address *

Name of contact person at your industrial partner establishment? *

Industrial Partner Phone Number *

Letter of support from the Industrial Partner

For a template, please download this file if you are applying for “Undergraduate & Master” or this file if you are applying for “Doctorate” and fill it. Upon application approval, please provide a signed copy to IRALEB offices.

File name:

File size:

No file selected Add File

Signed Scanned Copy of the Application

File name:

File size:

No file selected Add File

Application Type

Fund Phase

Video & Image of Functional Prototype
Photo of Team Members

No image selected Add Image

Virtual Render of Prototype *

No image selected Add Image

Photo(s) of Built Prototype

No image selected Add Image

Project 1 or 2 minutes video presentation: kindly upload short video of the functional prototype

File name:

File size:

No file selected Add File

If you already have a real image of the finalized functional prototype, kindly upload it here

No image selected Add Image

ID of Lead Supervisor (recto) *

No image selected Add Image

ID of Lead Supervisor (verso) *

No image selected Add Image

Provide a scanned signed copy of the pledge signed by the Lead supervisor engaging to implement the prototype and exhibit it at the Forum *

No image selected Add Image