Application Form 5

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Virtual Render of Prototype *

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Photo(s) of Built Prototype

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

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

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ID of Lead Supervisor (recto) *

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ID of Lead Supervisor (verso) *

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

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First Acknowledgement *

• You acknowledge that, in case your application is retained, the latest date for sending us a short video and final real image of your functional prototype is XXXX 2022, and that failing to provide it can result in disqualification (with the exception of Doctorate applicants)

Second Acknowledgement *

• If your application was successful, you certify that you will be able to showcase a functional prototype of this project at the LIRA 16 Forum in early XXXX

Third Acknowledgement *

• By submitting the application, you certified that all information presented is true, to the best of your knowledge, and you acknowledged that any false information or any form of plagiarism will lead to immediate disqualification from participating in any IRALEB related competitions or events.