University Partnership Form for National Idea Bank 2022

Institution/Organization Name *

Please provide the complete official name

Institution/Organization Type *

Campus Name *

Please create a separate entry for every campus if your institution has more than one campus

Campus City *

Name of the nearest large city where this campus is located

Campus Province *

Name of the province where this campus is located

Focal Person Name *

Please provide the full name of the person that can coordinate with the faculty, staff, and students of all faculties and disciplines

Focal Person's Contact Number *

Focal Person's Email *

Email

Confirm Email

Your Name *

Name of the person authorized by the decision making authority to complete this form

Checkboxes *

By checking this box I confirm that I am either an authorized person to approve such a collaboration in my instutition or I already have secured such authorization internally before completing this form. I also authorize NIB team to show my institution on the NIB site as a partnering institution.

Partnership Form for National Idea Bank 2022