Innovations Award Application Form
Innovator Name:
Organization:
E-mail:
Telephone Contact:
Physical Address:
City/Town:
Website (if available):
Innovation Category:
Water Innovations
Sanitation Innovations
Choose the category that best describes your innovation.
Innovation Type:
Individual
Industry
University/Technical Institutions
Community
Select the type of your innovation (e.g., individual or community-based).
Title of the Solution (Max 20 Words):
Provide a brief title for your solution (Max 20 words).
Is it a new or existing solution?
New
Existing
Select whether your innovation is a new or existing solution.
Year of Innovation:
Enter the year in which your innovation was created.
Have you received any award for the innovation?
Select Below
Yes
No
Select 'Yes' if you have received an award for this innovation.
Which award and what have you improved since receiving the award?
Provide details of any awards and the improvements made since then.
Is it your original innovation?
Select Below
Yes
No
Indicate whether the innovation is your original work or not.
What have you improved?
Describe any improvements you have made to the innovation.
Have you patented your innovation?
Select Below
Yes
No
Select if your innovation has been patented.
In summary, describe your innovation (100 words):
Provide a concise description of your innovation (max 100 words).
Description of the problem the innovation intends to solve (300 words):
Describe the specific problem or opportunity your solution addresses.
Describe how the solution is innovative (200 words):
Describe what makes your solution innovative and how it adds value.
End Users of the solution (100 words):
Identify the end users who will benefit from your solution.
Impact of the solution (200 words):
Describe the current and potential impact of your solution.
Sustainability or replication (200 words):
Describe how your solution is sustainable or can be replicated.
References (if available):
Provide any references or additional information about your innovation.