Required Fields *
First name*: Family Name*: Position*: Phone No.*: Email*:
Incorporated company *: YesNo Company’s Name: Address: Company’s website:
No. of founders & employees*: 12345-10 Technological Field*: ---Medical DeviceCleanTechHardwareInternet / ConsumerInternet / Big DataInternet / SocialEnterprise SoftwareMobileCyber SecurityCloud TechnologyIoT / Wearable TechFinTechAdTechGaming Short description of your venture* Started working on this project on*:
Description of the need/demand/pain you are aiming to solve*: Tell us about your solution (product/service)*: What are the strategic milestones that you expect to achieve within 18-24 months of operation at hiCenter*?
Currently you can present a*? PrototypeLab ModelTechnological ConceptOther Other
Does you idea involves technological innovation*? YesNo Description of the technological innovation: Is it your own proprietary technology*? YesNo Status of Intellectual Property registration (have you file for patent)*? Not filed yetProvisionalPending/PCT Is there more than one patent*? YesNo No. of Filled Patent: How many R&D months invested in the project so far?
Tell us about your business model and its basic assumptions (How are you going to earn money from it?)*: In order to support your plan, what are your capital needs? What are your available resources for complementary fund (500k NIS)*? Self FundingExisting InvestorsNew InvestorsOther Other: Please leave this field empty.