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First Name
Last Name
ZIP Code
Province
Country
Email
Phone
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Is this application referred to an established company?
Is your company already registered as an “innovative startup”?
Sector

(i.e. pharma, medical device, rehabilitation, disabilities, digital health...)
Level of maturity





Have you already raised money for your startup?
If yes, how much?
From?
Do you have a business plan?
URL of your website (if present)
Describe your business idea

What’s the customer problem you are addressing?

Which are the current solutions?

How your solution is better than the ones existing? Describe the main distinctive features of the company business and technology, with a benchmark versus relevant competitors.

Who are your target customers? How many are they? Please provide a synthetic analysis of the targeted market

How much do you need to commercialize your product or to develop your business? Please explain the use of funds in the next year.
Describe your management team

Management team description, with information on key managers, their previous (entrepreneurial) experience and core competences.

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