Agrifood Innovation Award - Application Form
QOOT Cluster is organizing the Agri-Food Innovation Award which aims to recognize ground-breaking innovations in the Lebanese Agri-Food sector. This competition would be the Third version of a yearly flagship event for QOOT as a national authority in the field. If you would like to participate in the competition, kindly fill in your product details below.
Name
*
First Name
Middle Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Company Name
*
Company Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is your company a QOOT cluster member
*
Yes
No
Company Industrial License شهادة صناعية للشركة
*
Yes
No
Please Upload here your Company Industrial License
*
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Please Upload here your Company Logo
*
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Number of products participating in the competition
*
Please Select
1
2
3
4
5
For more than 5 products, kindly submit another application form.
Name of the Product Applying
*
Product Categories
Product 1 Information
Product Category
*
Baked & Snacks Products
Health & Wellbeing Products
Pantry Products
Refrigerated & Chilled Products
Alcoholic Beverage Products
Non-Alcoholic Beverage Products
High Resolution Images of the Product (Minimum 3) or a Product Trailer
*
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Please Describe your product Features (max 400 Words)
*
0/2200
Did your product undergo Food Safety laboratory analysis?
*
Yes
No
Please upload your latest Food Safety laboratory analysis results
*
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*
I hereby Confirm that the product entering the competition has been launched/created/rebranded within the last 24 months.
Product 2 Information
Name of the Product Applying
*
Product Category (Fees 50USD/Category)
*
Baked & Snacks Products
Health & Wellbeing Products
Pantry Products
Refrigerated & Chilled Products
Alcoholic Beverage Products
Non-Alcoholic Beverage Products
The same product can nominate for more than one category and each entry fee is USD50.
High Resolution Images of the Product (Minimum 3) or a Product Trailer
*
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Choose a file
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of
Please Describe your product Features (max 400 Words)
*
0/2200
Did your product undergo Food Safety laboratory analysis?
*
Yes
No
Please upload your latest Food Safety laboratory analysis results
*
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Choose a file
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of
*
I hereby Confirm that the product entering the competition has been launched/created/rebranded within the last 24 months.
Product 3 Information
Name of the Product Applying
*
Product Category (Fees 50USD/Category)
*
Baked & Snacks Products
Health & Wellbeing Products
Pantry Products
Refrigerated & Chilled Products
Alcoholic Beverage Products
Non-Alcoholic Beverage Products
The same product can nominate for more than one category and each entry fee is USD50.
High Resolution Images of the Product (Minimum 3) or a Product Trailer
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please Describe your product Features (max 400 Words)
*
0/2200
Did your product undergo Food Safety laboratory analysis?
*
Yes
No
Please upload your latest Food Safety laboratory analysis results
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
*
I hereby Confirm that the product entering the competition has been launched/created/rebranded within the last 24 months.
Product 4 Information
Name of the Product Applying
*
Product Category (Fees 50USD/Category)
*
Baked & Snacks Products
Health & Wellbeing Products
Pantry Products
Refrigerated & Chilled Products
Alcoholic Beverage Products
Non-Alcoholic Beverage Products
The same product can nominate for more than one category and each entry fee is USD50.
High Resolution Images of the Product (Minimum 3) or a Product Trailer
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please Describe your product Features (max 400 Words)
*
0/2200
Did your product undergo Food Safety laboratory analysis?
*
Yes
No
Please upload your latest Food Safety laboratory analysis results
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
*
I hereby Confirm that the product entering the competition has been launched/created/rebranded within the last 24 months.
Product 5 Information
Name of the Product Applying
*
Product Category (Fees 50USD/Category)
*
Baked & Snacks Products
Health & Wellbeing Products
Pantry Products
Refrigerated & Chilled Products
Alcoholic Beverage Products
Non-Alcoholic Beverage Products
The same product can nominate for more than one category and each entry fee is USD50.
High Resolution Images of the Product (Minimum 3) or a Product Trailer
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please Describe your product Features (max 400 Words)
*
0/2200
Did your product undergo Food Safety laboratory analysis?
*
Yes
No
Please upload your latest Food Safety laboratory analysis results
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
*
I hereby Confirm that the product applying for the competition has been launched/created/rebranded within the last 24 months.
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