APPLICATION FORM
INNOVATION PROJECT COMPETITION
Project Nomination: _______________________________________
- Oil and Gas Technologies
- Industrial Technologies, Safe Production Technologies
- Ecology. Green Technologies
Project Title__________________________________________________
Overall project cost___________________________________ rubles;
Financing needed for the further implementation of the innovation project; ____________________________________________
Implementation (realization) stage (%) ________________________________;
Participant information:
(Name, Position) ___________________________________________;
Company____________________________________________________________ ;
Address ________________________________________________________ ;
Telephone ( ____ ) _________________ , fax (______) _________________________ ,
Email ________________________________________________________ .
Attachments to the application form:
1) Innovation project description on _______ pages;
2) This year’s activity plan for the project implementation;
3) List of documents submitted to the Organizer.
I guarantee the correctness of the submitted information __________________________
(Signature, Name of Supervisor)
“____ “__________ 2020