Future Change Award 2025
Full Name
Passport
Phone No
email
Date of Birth (DD/MM/YYYY)
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December 2024
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Gender
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Address
Nationality
Name of present University or college
What field of studyat University?
Which Year?
Major
Have you got any distinction or awards during study?
Do you have any extracurricular activities?
What are your scientific interests?
What career do you plan to follow when you have completed your full time education?
Your level of English proficiency (speaking and writing)?
Select...
Do you have disability?
Yes
No
Do you have any medical conditions of which we should be aware?
Yes
No
Do you have allergies?
Yes
No
Write 500-1000 words summary of the problem that the innovation solves(attach a pic of your prototype
choose file
Passport copy
choose file
Proof of obtaining a patent , if available
choose file
Submit
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