IITEXPO LONDON

Title of Entry*

Awards Category

First Name*

Last Name*

Country*

Group Name

Name 1

Name 2

Name 3

Name 4

Name 5

Organization/Company name

Identification /passport number

Gender

Email*

Telephone/mobile number

Title of Invention/Innovation exactly as you wish it to appear on an award certificate (if an award is won)? *

Do you require extra medals and certificates (if an award is won)?

Have you applied for a patent for your invention/innovation?

Is your invention/innovation protected by a patent?

Brief description of your exhibits/product services and companies background. Please type no more than 150 words in the box below (english only)*

Attachment 1

Attachment 2

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