Project / Innovation Pre-Registration Form

(Please email the form to dice@neduet.edu.pk)

Distinguished Innovations, Collaboration & Entrepreneurship

DICE-Energy Exhibition 2014
Project No (to be filled in by DICE-Energy 2014 admin):____________________
Innovation Title: ___________________________________________________________
__________________________________________________________________________
Brief Innovation
Description:__________________________________________________

___________________________________________________________________________
Participant names:
1. __________________ (Team Leader) Email address (required):_______________
2. __________________
3. __________________
4. __________________
5. _________________________________(Industry member with name of the company)
Academic Institution / Indusrty / Researcher:
Name / Company Name:
______________________________
Address:
______________________________
Corresponding Member:
______________________________
Phone:
______________________________
Email Address:
______________________________
Head of Department:
______________________________
Email Address:
______________________________
Domain (Select the domain(s) to which your Innovation/project belongs):
Renewable Energy
Solar
Wind
Hydro
Bio-mass
Bio-fuel
Geothermal

Energy Efficiency
Water Heating
Appliances
Electronics
Lighting
Heating
Cooling

Fuels
Fuel cells
Waste to Energy
Cogeneration
Others

Other (specify): ____________________

Accommodation Required:

YES

NO

If Yes, Specify No of persons: ____________________

(Note: 220V Electric Supply and Wifi Internet will be provided at exhibition site)

Note: This form is for registration purpose only. A confirmation email will be sent if
your project is selected.