Email Address *

Phone Number *

Contact Person/Organization name *

Industry (Category) *

Education
Health
Banking, Investments and Finance
Religious Institutes
Technology
Manufacturing
Sales & Marketing
Other

If other (Please specify)

Preferred solution type *

Web application
Mobile application
Desktop application
Consulting services
Other

If other (Please specify)

Projected number of daily users on the e-Platform solution *

Less than 500 daily users
500 - 1000 daily users
1000 - 10,000 daily users
10,000 - 50,000 daily users
50,000 - 100,000 daily users
above 100,000 daily users
Not applicable

Short description of proposed project *