Sponsorship Request Form
Please complete the information below in full. Please be informed that we will only be supporting programmes and event that are technology and startup related.
REQUESTER INFORMATION
Name
*
Full name as per NRIC/ID
Email
*
Please enter an active email address
Phone Number
*
-
Area Code
Phone Number
Organisation
*
Please state the represented organisation
Website Address
Please provide the organisation website address
Address
*
Street Line 1
Street Line 2
City
State
Zip Code
EVENT & PROGRAMME INFORMATION
Name of Programme
*
Start Date & Time
*
-
Day
-
Month
Year
Date
Hour Minutes
AM
PM
AM/PM Option
End Date & Time
*
-
Day
-
Month
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Who are the participants?
*
Please state the participants background. eg; students, ABC community, ABC employees, etc.
Briefly explain the nature of the programme
*
Please fill in brief information of the programme
Outcome of the programme contributing to development of Penang technology and startup ecosystem
*
Please provide the benefits of the programme to the ecosystem
Sponsorship
Sponsorship Request
*
Event Space
Training Room
Monetary
Other
Details of 'Other'
Amount
Please insert the amount for monetary sponsorship
Please upload an official proposal for the sponsorship request
*
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