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Cphi Innovation Gallery Contest- 2018

NAME OF THE APPLICANT :

COMPANY :

LOCATION :

DESIGNATION :

EMAIL ID :

CONTACT NO :

PRODUCT/ CO WEBSITE :

IDEA CATEGORY : MANUFACTURING/ IMPLANTS/ API/ INTERMEDIATE/


FORMULATION/ PACKAGING / PROCESS/ TECHNOLOGY/
OTHERS (SPECIFY)

BACKGROUND : It should cover the market situation or the issues being faced or the
challenges

IDEA/ SOLUTION : As defined against the ‘background details’ or the objective

IMPLEMENTATION : It should cover the entire process and the resources employed

RESULT : Quantitative description of the output achieved till date

NEXT STEPS : What would be required to take the innovation to the next level

MARKET POTENTIAL :

Disclaimer: I, hereby certify, all the information shared by me above are true to best of my
knowledge and I understand if any of the information above is found to be incorrect or
inappropriate, my candidature for this contest can stand cancelled.

Signature:
Date: Place:

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