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GITEX 2017 - Application Form
Prima di procedere alla compilazione dell'application form, si prega di prendere visione degli allegati alla circolare informativa al link sotto riportato:
http://www.icecloud.it/system/pdf/3272/documentazione_completa.pdf
* Indicates required question
First Name
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Your answer
Last Name
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Your answer
Email Address
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Your answer
Job Title
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Your answer
Start-up Name
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Your answer
Company Age
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Your answer
How many direct competitors do you have?
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Your answer
Last year employees
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Your answer
How many countries do you have presence in ?
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Your answer
Last year turnover (in Euro)
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Your answer
Current monthly growth (%)
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Your answer
Equity (Share Capital in Euro)
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Your answer
Is your business established in the UAE ?
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YES
NO
If "NO" : are you interested in setting up an office in the UAE in the future?
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Your answer
Do you have distributors in the Middle East ?
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Your answer
Have you received funding previously ?
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YES
NO
If " YES" : How much?
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Your answer
One Line Pitch (140 characters max). A tweet to say what is the value proposition/the core business of your start-up
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Your answer
Short description (600 characters max)
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Your answer
List any product or service sold (400 characters max)
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Your answer
Customer Type
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B2B
B2C
B2B2C
Other:
Required
Local or Global target
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Global
Local
List founders and provide a short bio (1000 characters max). provide shareholders' list at founding date and their Linkedin profile (if available)
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Your answer
List any subsequent cofounders and provide short bio (1000 characters max). Provide current shareholders' list up to date and their Linkedin profile (if available)
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Your answer
List other team members and provide short bio (1000 characters max) with their Linkedin profile (if available)
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Your answer
Funded
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Yes
No
If yes, from which kind of investors?
Bootstrap (Investment only from founders)
Family, friends and fools
Angels
Seed fund
Venture Capital
Public funds (Government or EU)
Other:
If yes, provide list of investors
Your answer
Incubated or accelerated
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Yes
No
If yes, where?
Your answer
Ateco Code 2007 (100 characters max)
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Your answer
Type of legal entity
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Srl
Srls
Spa
SCPA
Scarl
Cooperativa Sociale
Società Corporativa
Tax Code (Codice Fiscale)
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Your answer
Included in Registro Imprese Startup/PMI innovative?
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Yes
No
Website
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Your answer
Admission Date to Registro Imprese
MM
/
DD
/
YYYY
Fundraising target
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Your answer
Use of funds (example: 20% product development; 40% R&D; 40% marketing strategy)
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Your answer
Si ricorda di voler restituire all'indirizzo
startup@ice.it
il regolamento firmato e timbrato per accettazione
Your answer
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