LIUTEBM SoIP Collaboration Application

Name of the Applicant*

Contact Email*

This will be used for official communication and user verification

Name of the Entity (institution / organization / etc.)*

Legal status*

Address / Location*

Country*

Mobile No.*

This number should be active on Whatsapp

Brief description of the entity*

Brief description of the infrastructure available*

No. of employees*

Enrollment Partner Type*

Refer to the Partner with the University page for more details.

Programs interested in*

Refer to the university website for the available programs.

Declaration

I hereby declare that all the information provided by me in this application is true to the best of my knowledge and belief. In case any information is found to be incorrect, my application is liable to be cancelled.