Order Number Organization Name * City * Country * State * Phone * Pin/Zip Code * Fax * Official Email * Organization’s website * Since how many years your organization has been involved in tech transfer / research/ research administration research financing? * Total number of researchers in your organization: * Details of three officials you propose to nominate from your organization: 1. Nominee Salutation * Dr. Ms. Mr. Date of Birth * Phone * Name * Education * Fax Official Email * Personal Email * Which of the following areas are the most significant in your profession? (Tick appropriate option) * Spin-off development Economic development identification Evaluation/Marketing Contractnegotiation Licensing technology Research administration Research financing IP Protection & Management Other(Specify) 2. Nominee Salutation * Dr. Ms. Mr. Date of Birth * Phone * Official Email * Name * Education * Fax Personal Email * Which of the following areas are the most significant in your profession? (Tick appropriate option) * Spin-off development Economic development identification Evaluation/Marketing Contractnegotiation Licensing technology Research administration Research financing IP Protection & Management Other(Specify) Other(Specify) * 3. Nominee Salutation * Dr. Ms. Mr. Date of Birth * Phone * Official Email * Name * Education * Fax Personal Email * Which of the following areas are the most significant in your profession? (Tick appropriate option) * Spin-off development Economic development identification Evaluation/Marketing Contractnegotiation Licensing technology Research administration Research financing IP Protection & Management Other(Specify) Other(Specify) * Nature of Membership * SAARC Countries Others Eligible to nominate maximum three representatives Mode of Payment * Cheque Online Demand Draft Particulars Date of Remittance * Drawee Bank Reference * Payments to be made infavor of “Society for Technology Management”,payable at Hyderabad,India. To Share Facebook Twitter LinkedIn Email
