Registration

Name of the Team* (required)

Team Leader Name* (required)

Primary E-mail for Communication* (required)

Primary Mobile for Communication* (required)

Description of Idea* (required)

Team Member 1 Details:

Name* (required)

E-mail* (required)

Mobile*

College/Institution Name*

Currently Enrolled*:
---YesNo

Program Name*

Year of Enrollment*
---1st Year2nd Year3rd Year4th YearFinal Year

Team Member 2 Details:

Name

E-mail

Mobile

College/Institution Name

Currently Enrolled:
---YesNo

Program Name

Year of Enrollment
---1st Year2nd Year3rd Year4th YearFinal Year

Team Member 3 Details:

Name

E-mail

Mobile

College/Institution Name

Currently Enrolled:
---YesNo

Program Name

Year of Enrollment
---1st Year2nd Year3rd Year4th YearFinal Year

Declarations*:
1. I/We are the intellectual owners of the plan or must have a letter from the intellectual owner(s) consenting for the exploitation of the plan*
---YesNo

2. This idea has been recognized as a winner at another BPC*
---YesNo

3. If the plan is selected as a Top Finalist, select members of the team (as listed above) will travel to FIIB to present to the Judging Panel*
---YesNo

4. If the plan is adjudged to be a winner, the prize money will be remitted by cheque. The name of the person/company on the cheque should be:

Form Filled by*

Your E-mail id*

Your Mobile Number*

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