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Request form




Record number



Name of requester

Postal address with city and country

Phone/ Mobile number

Email address

Type of request

Scientific/ engineering subject areas relevant to request

Investor interest categories relevant to request

Industries relevant to request

Market/ end-user
customer categories and nature of business relevant to request


Your expectation of technology readiness levels for technology request

Whether you are seeking patents to be part of technology offering ?

Detailed request








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