Technical requirements form

Consultant Requested Information
Name:
Address:
Telephone:
Fax:
E-mail:

Information of Requisitioning Organization:

Name:
Address:
Contact Person:
Telephone:
Fax:
E-mail:

Present activities of organization:


Nature of problem: ( List briefly Main topics.......)


Objectives / outputs: Expected results may be specified.


Duration of assignment: Under VEPCON program duration of assignment is ranging between 2 to 12 weeks.
Period in weeks	Preferred Date>>:	From	To

Work Plan: Indicate manner in which services are to be undertaken, (Seminars / Training Courses / Lectures / laboratory Work / Research & Development / Practical Demonstration etc).


Other Remarks