application form - business victoria€¦ · web viewbusiness analytics security enterprise...
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1. Company Profile 1.1 General Profile
Full Name of Company
Registration #
Prior name of Company
Type of Company HT R&D Research Institute
University Other
PARTNER SEARCH FORMVictoria-Israel Science and Technology
R&D Fund (VISTECH)
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Stage Seed R&D Initial
RevenuesRevenue
Growth
Ownership Public Private Governmental Other
Year Established No. Employees
No. R&D Personnel
PARTNER SEARCH FORMVictoria-Israel Science and Technology
R&D Fund (VISTECH)
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1.2 Company Contact InfoStreet Address
City P.O. Box
Country Zip Code
PARTNER SEARCH FORMVictoria-Israel Science and Technology
R&D Fund (VISTECH)
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Telephone Fax
Website E-mail
1.3 Primary Contact PersonFirst Name Last
Name
PARTNER SEARCH FORMVictoria-Israel Science and Technology
R&D Fund (VISTECH)
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Title Function
Phone Mobile Phone
1.4 Organisation DescriptionGeneral Business Description
PARTNER SEARCH FORMVictoria-Israel Science and Technology
R&D Fund (VISTECH)
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PARTNER SEARCH FORMVictoria-Israel Science and Technology
R&D Fund (VISTECH)
![Page 7: APPLICATION FORM - Business Victoria€¦ · Web viewBusiness Analytics Security Enterprise Applications Enterprise Infrastructure Miscellaneous Software Design and Development](https://reader035.vdocuments.us/reader035/viewer/2022081611/5f08bcf27e708231d4237b01/html5/thumbnails/7.jpg)
Technology Description (Main Products/Services)
PARTNER SEARCH FORMVictoria-Israel Science and Technology
R&D Fund (VISTECH)
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PARTNER SEARCH FORMVictoria-Israel Science and Technology
R&D Fund (VISTECH)
![Page 9: APPLICATION FORM - Business Victoria€¦ · Web viewBusiness Analytics Security Enterprise Applications Enterprise Infrastructure Miscellaneous Software Design and Development](https://reader035.vdocuments.us/reader035/viewer/2022081611/5f08bcf27e708231d4237b01/html5/thumbnails/9.jpg)
Targeted Customers
PARTNER SEARCH FORMVictoria-Israel Science and Technology
R&D Fund (VISTECH)
![Page 10: APPLICATION FORM - Business Victoria€¦ · Web viewBusiness Analytics Security Enterprise Applications Enterprise Infrastructure Miscellaneous Software Design and Development](https://reader035.vdocuments.us/reader035/viewer/2022081611/5f08bcf27e708231d4237b01/html5/thumbnails/10.jpg)
PARTNER SEARCH FORMVictoria-Israel Science and Technology
R&D Fund (VISTECH)
![Page 11: APPLICATION FORM - Business Victoria€¦ · Web viewBusiness Analytics Security Enterprise Applications Enterprise Infrastructure Miscellaneous Software Design and Development](https://reader035.vdocuments.us/reader035/viewer/2022081611/5f08bcf27e708231d4237b01/html5/thumbnails/11.jpg)
1.5 Technology Sector & Subsector of Company (Select 1 sector and 1 subsector)
Clean-Tech Agrobiotech Energy Environment Materials
Water TechnologiesCommunications
PARTNER SEARCH FORMVictoria-Israel Science and Technology
R&D Fund (VISTECH)
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Broadband Access Broadcast Enterprise Networking
Home Networking
Mobile Applications NGN & Convergence Optical Networking Telecom Applications
VoIP & IP Telephony Wireless Applications Wireless Infrastructure
Internet Content Delivery Content
Management e-Commerce E-Learning
Internet Applications Internet Infrastructure
Online Advertising Online Entertainment
PARTNER SEARCH FORMVictoria-Israel Science and Technology
R&D Fund (VISTECH)
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Search Engines Social NetworksIT & Enterprise Software
Business Analytics Security Enterprise Applications
Enterprise Infrastructure
Miscellaneous Software
Design and Development Tools
Life Sciences Agrobiotech Bioinformatics Biologicals Diagnostics Healthcare IT Industrial Medical Devices Telemedicine Therapeutics
PARTNER SEARCH FORMVictoria-Israel Science and Technology
R&D Fund (VISTECH)
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Miscellaneous Technologies Defense Hardware Industrial
Technologies Miscellaneous
Nanotechnology Semiconductors
Fabrication and Testing
Manufacturing Equipment & EDA
Memory & Storage Miscellaneous Semiconductors
Network Processors Processors & RFID Security Semiconductors
Video, Image & Audio
2. The Project
PARTNER SEARCH FORMVictoria-Israel Science and Technology
R&D Fund (VISTECH)
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2.1 Description of the Proposed Project
PARTNER SEARCH FORMVictoria-Israel Science and Technology
R&D Fund (VISTECH)
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PARTNER SEARCH FORMVictoria-Israel Science and Technology
R&D Fund (VISTECH)
![Page 17: APPLICATION FORM - Business Victoria€¦ · Web viewBusiness Analytics Security Enterprise Applications Enterprise Infrastructure Miscellaneous Software Design and Development](https://reader035.vdocuments.us/reader035/viewer/2022081611/5f08bcf27e708231d4237b01/html5/thumbnails/17.jpg)
2.2 Technology Sector & Subsector of the Proposed Project Clean-Tech
Agrobiotech Energy Environment Materials
Water TechnologiesCommunications
Broadband Access Broadcast Enterprise Networking
Home Networking
Mobile Applications NGN & Convergence Optical Networking Telecom Applications
PARTNER SEARCH FORMVictoria-Israel Science and Technology
R&D Fund (VISTECH)
![Page 18: APPLICATION FORM - Business Victoria€¦ · Web viewBusiness Analytics Security Enterprise Applications Enterprise Infrastructure Miscellaneous Software Design and Development](https://reader035.vdocuments.us/reader035/viewer/2022081611/5f08bcf27e708231d4237b01/html5/thumbnails/18.jpg)
VoIP & IP Telephony Wireless Applications Wireless Infrastructure
Internet Content Delivery Content
Management e-Commerce E-Learning
Internet Applications Internet Infrastructure
Online Advertising Online Entertainment
Search Engines Social NetworksIT & Enterprise Software
Business Analytics Security Enterprise Applications
Enterprise Infrastructure
PARTNER SEARCH FORMVictoria-Israel Science and Technology
R&D Fund (VISTECH)
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Miscellaneous Software
Design and Development Tools
Life Sciences Agrobiotech Bioinformatics Biologicals Diagnostics Healthcare IT Industrial Medical Devices Telemedicine Therapeutics
Miscellaneous Technologies Defense Hardware Industrial
Technologies Miscellaneous
Nanotechnology
PARTNER SEARCH FORMVictoria-Israel Science and Technology
R&D Fund (VISTECH)
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Semiconductors Fabrication and
Testing Manufacturing
Equipment & EDA Memory & Storage Miscellaneous
Semiconductors Network Processors Processors & RFID Security
Semiconductors Video, Image & Audio
3. Potential Project Partner/Company 3.1 From which country/region are you seeking a partner?
3.2 Main characteristics and specific technological expertise of potential partner
PARTNER SEARCH FORMVictoria-Israel Science and Technology
R&D Fund (VISTECH)
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PARTNER SEARCH FORMVictoria-Israel Science and Technology
R&D Fund (VISTECH)
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3.3 What is the specific R&D Contribution you are seeking?
PARTNER SEARCH FORMVictoria-Israel Science and Technology
R&D Fund (VISTECH)
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PARTNER SEARCH FORMVictoria-Israel Science and Technology
R&D Fund (VISTECH)
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3.4 Companies/Organisations you are already in contact with
PARTNER SEARCH FORMVictoria-Israel Science and Technology
R&D Fund (VISTECH)
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4. Statement of Agreement I hereby provide my consent to disclose this form to third parties in the process of identifying potential partners for the proposed project. 4.1
Signature of Company
Company Name
PARTNER SEARCH FORMVictoria-Israel Science and Technology
R&D Fund (VISTECH)
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First Name Last Name
Title Function
Signature
PARTNER SEARCH FORMVictoria-Israel Science and Technology
R&D Fund (VISTECH)