16th Research and Technology Exhibition, 14-17 December, 2015 Technology Request Form
1- Requested Technology TitleTitle in English:Keyword: (five words)
2- Applicant informationFirst and family name of the applicant:Individual applicant:Education level: Phone:email:Postal address:postal code:Mobile:Applicant’s field of work:Applicant activity level:Field of activity (with respect to the requested technology):
Non- Individual applicant(Government bodies and agencies)Company/ Institute name: First and family name of the manager/ legal representative: Phone: Mobile: Email:Web Site: Postal address: Postal code/ P.O box: Applicant’s field of work:Applicant activity level: Field of activity (with respect to the requested technology):