EXPRESSION OF INTEREST FOR PROCUREMENT OF MINI FABLAB

Name of the Institute :

Address :

Contact Person :

Designation : Faculty Id:

Phone No : Mobile No:

Email id :

Whether space of : YES/NO

Installation of Mini fab
Lab is available

Whether the Institute

is ready to share the : YES/NO
50% of the total cost
of the Mini fab Lab

DECLARATION FROM THE HEAD OF THE INSTITUTE

I……………(Name of the Principal) hereby express the interest of institute to procure Mini Fab
Lab on 1:1 cost sharing basis as per the proposal of the Kerala Start up Mission and declare
that the institute will pay 50% of the total cost of the Mini Fab Lab if allotted to the institute.

Date :
Seal of the Institute Signature
Name of the Principal

DECLARATION FROM THE MANAGEMENT

On behalf of the Management of the…..(Name of the Institute), I …..(Name of person-

chairman/Secretary)hereby declare that the expression of interest by the Principal as above
to procure the Mini fab Lab has the approval of management and the institute will pay 50%
of the total cost of the Mini Fab Lab if allotted to the institute.

Date :
Seal of the trust/society etc Signature
Name of the Signatory (chairman/secretary)