m2mc staff - Usmanu Danfodiyo University Sokoto

APPLICATION FORM

Team Name*

TEAM SIZE

Team Size

NOVELTY

Project Description

Stage of Development*

Estimated Cost of the Project

Innovation

Invention

Collaborative Partners

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TEAM LEAD APPLICANT INFORMATION

Name*

Birth Date

Phone Number*

E-mail Address

State of Origin*

Local Government Area*

Contact Address*

MEMBER 1 [MANDATORY]

Adm No

Faculty Name

Department*

Programme of Study

MEMBER 2 [MANDATORY]

Adm No*

Faculty Name*

Department*

Programme of Study*

MEMBER 3 [OPTIONAL]

Adm No

Faculty Name

Department*

Programme of Study

MEMBER 4 [OPTIONAL]

Adm No

Faculty Name

Department*

Programme of Study

MEMBER 5 [OPTIONAL]

Adm No

Faculty Name

Department*

Programme of Study

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