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