Required Fields *
First name*: Family Name*: Position*: Phone No.*: Email*:
Incorporated company *: YesNo Company Name *: Address: Company’s website:
No. of founders & employees*: 12345-10 Technological Field*: ---Medical DeviceCleanTechHardwareInternet / ConsumerInternet / Big DataInternet / SocialEnterprise SoftwareMobileCyber SecurityCloud TechnologyIoT / Wearable TechFinTechAdTechGaming
Started working on this project on*:
Describe your venture in 100 words or less*: What strategic milestones have you achieved so far*?
Currently you can present a*? PrototypeLab ModelTechnological ConceptOther Other
Description of the technological innovation*:
In order to support your plan, what are your capital needs? Have you gotten a grant from the OCS (Office of the Chief Scientist) *? YesNo
Attach relevant files (up to 5MB): Or Link to shared files: Please leave this field empty.