Enterprise Application Form
Enterprise Application Form
  • *Please complete this form and send it along with your non-confidential company overview slide deck to btic2021@htibi.com before November 1, 2021 for the companies applying for activities 1 or 2, and before November 8 for the companies applying for activity 3. Thanks.
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  • Applicant Profile
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Company Name:
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Website:
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Address:
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Year Established:
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Capital Raised to Date:
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No. of R&D Personnel:
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No. of Executive Team Members:
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No. of employees:
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Capital Raised Sources (please check all that apply):
  • Primary Contact Information
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Name:
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Title:
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Email:
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Phone:
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  • To which companies are you submitting the Application Form? (Enterprise 1/2/3/4) (only companies applying for pilot competition fill referring to the document ‘Tech demand list-2021’)
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Expression of Interest
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Date of Submission:
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Background Profile of Executive Team Members Click or tap here to enter text.
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General Business Description (including any other partners) Click or tap here to enter text.
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Product and Partnership Product Name:
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Innovation/Growth Stage:
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Product Sector:
Technology and Product Description Please describe the intended final product and the technology on
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Business Model (including any current customers/revenue) Click or tap here to enter text.
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Market and Commercialization Plan Click or tap here to enter text.
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Desired Partnership Structure and Goals Click or tap here to enter text.
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Verification code
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