Department of Science & Technology
and Biotechnology, Government of West Bengal

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State Innovation Award

Name of the innovator
Date of Birth
Mobile no.
Alternate Mobile no.
Email ID
Alternate Email ID
Residential Address
State *
District *
City / Town / Village *
P.O. *
P.S *
Pin code *
1.Professional Details

Organisation Type *
Name of the Organization
Department/ Division *
Designation *
Address of the organization *
State *
District *
City / Town / Village *
P.O. *
P.S *
Pin code *
Telephone (office) *
Fax no. *
email ID *
website (if any) *
2.Innovation Proposed for Consideration for the Award
Title of Innovation *
Field of Innovation *
Description of the innovation: (in 300 words) *
Uniqueness of the Innovation: (in 200 words)*
Possible utility and benefit of the Innovation: (in 200 words)*
Can the efficiency of the present knowledge / practice be improved? if yes, How? if no, Why?: *
Conceptual support received : From *
in the form of:*
Technical support received: From *
in the form of:*
Financial support received: From *
Amount (Rs.) *
Specific region, community covered under the benefit *
Period of development: *
Funded by: *
Challenges faced: (in 200 words) *
Scope of technical improvement for commercialization: (in 200 words) *
Any other recognition received from Govt. of India or Govt. of West Bengal:
. By Date
Future scope of expansion or replication: (in 200 words)*
Other noteworthy achievement(s) in the same field
Patent for this Innovation :
Patents Applied Application no. *
Date *
Status *
Patents Granted Application no. *
Date *
Status *
I would like to apply for novelty search and patent for the innovation

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