IndiaAI NCG Cancer AI & Technology Challenge Grant Program - OpnForm

Section 1: Team Information

Team Name *

Team Leader Full Name *

Team Leader Email Address *

Team Leader Phone Number *

Team Leader LinkedIn Profile

Team Members

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List each member with their full name, role, email, and LinkedIn profile. Please upload files in .pdf, .ppt, or .pptx format only.

Prior Experience in project implementation and research work

Prior experience in collaboration with government and/or private entities

Select Type of Application *

Primary Point of Contact Name *

Primary Point of Contact Email *

Primary Point of Contact Phone *

Clinical Lead (if applicable)

Name

Name of Organisation

Designation

Registration Number

Choose Type

Date of Incorporation

Address

Website

Technical Lead (if applicable)

Name

Name of Organisation

Designation

Registration Number

Choose Type

Date of Incorporation

Address

Website