INDUSTRIAL PARTNER LETTER OF INTENT
THIS SECTION MUST BE COMPLETED/CORRECTED AND SIGNED BY INDUSTRIAL PARTNER REPRESENTATIVES
PROJECT INFORMATION
PROJECT LEADER AT HEI/SETI
PROJECT SHORT TITLE
PROJECT ID
VERSION NUMBER
AMOUNT REQUESTED FROM THRIP FOR 2010
HEI/SETI TO RECEIVE FUNDING
INDUSTRIAL PARTNER INFORMATION
INDUSTRIAL PARTNER
CONTACT PERSON
ADDRESS
POSTAL CODE
TELEPHONE NO
CELL NO
FAX NO
E-MAIL ADDRESS
SIZE OF COMPANY
(SEE APPENDIX)
TYPE OF COMPANY
CORE BUSINESS OF INDUSTRIAL PARTNER
IS THIS A SOUTH AFRICAN COMPANY?
HOW SOUTH AFRICA WILL BENEFIT FROM
THIS RESEARCH IN CASE OF THE
INDUSTRIAL PARTNER BEING FOREIGN
OTHER INDUSTRIAL PARTNERS ALSO
INVESTING IN THIS PROJECT
THOSE INDUSTRIAL PARTNERS ALSO
INVESTING IN THIS PROJECT WHO HAVE
HELD JOINT PLANNING SESSIONS WITH
YOUR COMPANY ON THIS PROJECT
IF AN ASSOCIATION:
(i) Are all the members of the association
SMMEs?
(ii) Has there been any joint planning on this
project between the members of the
association?
TECHNICAL OUTPUTS OF IMPORTANCE TO INDUSTRIAL PARTNER
OTHER OUTPUTS OF IMPORTANCE TO INDUSTRIAL PARTNER
INDUSTRIAL PARTNER'S INTENTION
(excluding VAT)
YEAR
FINANCIAL
TIPTOP
IN-KIND
TOTAL
We certify that:
* The above details are correct
* Management of the IPR (if appropriate) has been agreed upon by the partners
* We are aware of the contents (including budget breakdown) of the application submitted
to
THRIP secretariat (request copy if needed) and approve of it
SIGNATURE OF
INDUSTRY CONTACT PERSON
POSITION
DATE
SIGNATURE OF
TECHNICAL MANAGER/DIRECTOR
(IF NOT SAME AS CONTACT PERSON)
POSITION
DATE