1. Application for Innovation/Entrepreneurship Practicum (Student Group)
Particulars of Applicant
Name of student group: Affiliated to OSA: Yes / No
Contact Person: Faculty / Dept:
Email address: Tel No. (Res): H/P No.:
Mailing address:
Singapore ( )
NRIC / FIN No.: Nationality: Country of Birth:
Project Details (Please attach a detailed implementation plan)
Description:
Objectives:
Potential Impact on individual and/or society:
NRF/UIF/PFSU/IEP‐SG/0911/01/P1

2. Please demonstrate whether the idea:
a) Is a commercialisable prototype
b) Has economic value
Target market(s):
Country that the initiative will be carried out in (if not Singapore):
Target start date: Location:
Estimated amount of funds required (please provide breakdown):
Proposed funding strategy for self‐sustainability:
Has the group done similar project(s) before? Yes / No
If yes, please provide a brief description of the project (purpose, scope of project, funding, current status, etc…)
Submitted by: ___________________________________________ __________________________
Name & Signature Date
NRF/UIF/PFSU/IEP‐SG/0911/01/P2