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Registration Form

Please fill out the application form, ensuring a clear description of your product/service or idea is given.
With a project document or business plan file attached.

Entries now closed for 2012 – Nominees will be announced in November 2012

Company Contact Info  
Full Name * 
Email * 
Phone * 
Job Title * 
     
Nomination Info  
Name of Product/Service * 
Name of Company * 
Website * 
Industry * 
Business Location * 
     
Key Details About Nomination  
1. Describe your broadband entry. For existing products/services, describe market availability and customer uptake to date.

(350 words)
* 
2. What makes your product/service or idea innovative? Describe the unique, differentiating elements of your entry.

(750 words)
* 
3. How does the product positively impact the market?

(400 words)
* 
4. Describe the social benefits this broadband innovation brings to the market?

(400 words)
* 
     
Supporting Materials  
Product/Service File * 
  Not more than 3MB
File formats : "doc", "pdf", "docx"
 
     
Please note that on submission you accept to have your project information published by Etisalat Nigeria