Partnership Registration

Submit to: partnerships@yu.edu.sa | Owner: Office of the CIO (OCIO

Page 1 of 8

Initiator

Unit/College*

Initiator Name & Title*

Email*

Mobile*

External Party

Legal Name*

Country / Website*

Primary Contact (Name/Title/Email)*

Engagement Snapshot

Type*

check one or more

Other*

Status*

New

Ongoing

PPR ID if known

Any commitments made (verbal/written)?*

Yes

Describe*

Strategic Fit*

≤100 words

Scope & Timeline*

≤120 words; key milestones & dates

Outcomes

list up to 3 KPIs

Target -1*

Date - 1*

Target - 2*

Date - 2*

Target - 3*

Date - 3*

Value & Resourcing

Estimated Revenue (SAR)*

Estimated Cost (SAR)*

Funding Source/Budget Code (if any)

People/Capacity Needed*

names or FTE hrs

Risk

Compatibility & Risk *

tick all that apply

Other*

Existing Agreements & Attachments

Existing executed agreements with this partner currently in force?*

None

Yes (complete below and attach copies)

Agreement 1 - Type*

Title/ID - 1*

Effective - 1*

Expiry - 1*

Internal Owner - 1*

Agreement 2 - Type*

Title/ID - 2*

Effective - 2*

Expiry - 2*

Internal Owner - 2*

Agreement 3 - Type*

Title/ID - 3*

Effective - 3*

Expiry - 3*

Internal Owner - 3*

Upload (max 3 files)*

Signed agreement(s) / MoU / NDA.

If copies cannot be attached, state repository path or URL and why: *

Acknowledgment & Electronic Signature

By typing my name below and submitting this form, I certify that the information provided is accurate and complete to the best of my knowledge, and I acknowledge and agree to the university partnership approval policy stated above.

Non-renewal/extension rule (acknowledgment required)*

By submitting, I acknowledge that no renewal, extension, amendment, addendum, statement of work (SOW), purchase order, or continuation beyond expiry referencing any existing agreement may be initiated, discussed, negotiated, or executed without prior written approval from OCIO and execution by authorized signatories.

Initiator Signature/Name*

Date*

Acknowledgment*

By submitting, I confirm this registration and understand no commitments may be made until cleared by OCIO and signed by authorized signatories.

Initiator Signature/Name*

Date*

This field should be left blank