BIRAC-IP Clinic Form Details

* Applicant Type

Company Institute Individual

Company Name

Institute Name

Individual Name

* Contact Person

* Landline

* Mobile

*Email Response :

* Technology Brief :

* Stage of Development :

* How did you hear about the Clinic? :

* Queries related to

* Please describe your legal needs and/or questions in detail

* Have you funded by BIRAC ?

*Please mention the proposal reference number & Title (separated by Commas)

* Have you received any funding from Government Funding Organizations

Enter Details (If any)

* Verification Code

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Last Updated: 01 May, 2024

IP Clinic: Online Intake Questionnaire