3 Contact details of organisation Name: representative Telephone: E-mail: 4 Is the organisation representing a consortium? (Y/N) 5 If Yes to 6, provide the following details of the consortium: What is the status of the a consortium (newly formed, preliminary discussions only, fairly well advanced) b List of members/potential members Are the members supporting the c submission (Y/N)? Additional information 6 SKA Elements
3 Contact details of organisation representative Name: Telephone: E-mail: 4 Is the organisation representing a consortium? (Y/N) 5 If Yes to 6, provide the following details of the consortium: a What is the status of the consortium (newly formed, preliminary discussions only, fairly well advanced) b List of members/potential members c Are the members supporting the submission (Y/N)? 6 Additional information SKA Elements
MGT-001.005.015-EOI-001-1_Stage1EoI.docx