PoC BASELINE SURVEY  
This survey is being conducted to all applicants in the full application phase for the Program PoC of HAMAG-BICRO. The survey will help inform future iterations of the grant program.  In order to enable HAMAG-BICRO to evaluate  impact of the program, hereby I confirm that I will complete future questionnaires related to ex-post evaluation of te POC program at the request of HAMAG-BICRO regardless success of this Application.

NOTE: Please answer all the questions. The purpose of the survey is to evaluate the design and impact of the HAMAG-BICRO program and how it can be improved to fulfill its purpose. The responses provided to this survey are for information purposes and will NOT be included in the evaluation process of your application.

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Company/research organisation name / Name of the applicant (for physical persons) / *
Project code (in the form POC6_nn_nn) *
Previous to POC6 have you ever been beneficiary of  POC (Proof of Concept) project implemented by BICRO/HAMAG-BICRO *
Are you applying as physical person? *
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