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RESOLVE Application form
Applications should be completed in english language.
Applicant Information
Promoter
Name:
*
Affiliation:
*
Email:
*
Phone Number:
*
Additional Members:
Order
Name
Affiliation
Email
Phone Number
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Project Information
Project Acronym:
*
Title
*
Category
*
Device
Therapeutic/Prophylactic
Diagnostic
Tool
Algorithm/Software/Health IT
Other
Stage of development
*
Preliminary data
Full set of data
Prototype made
Validation data
in vitro
Validation data
in vivo
Validation: Clinical Data
Market and sales data
Project Description
What health problem and purpose is addressed?
*
Briefly describe your solution:
*
Demonstrate the uniqueness of your solution and how it compares to existing competitors.
*
Do you have intellectual property protection? If yes, what is the protection status (include relevant dates)
*
Are you interested in launching a start-up to explore commercially the technology? Describe your entrepreneurship skills
*
Are you interested in licencing the technology to third parties? What companies may be interested in your technology?
*
Explain why you think the RESOLVE could add value to your project.
*
How did you hear about RESOLVE Program?
*
Upload biosketch
*
Upload
More information
Files must be less than
4 MB
.
Allowed file types:
pdf
.
Published material:
Upload
More information
Files must be less than
4 MB
.
Allowed file types:
pdf
.
Other relevant information:
Upload
More information
Files must be less than
4 MB
.
Allowed file types:
pdf
.
I understand and agree to abide by the
Rules and Regulations
of the RESOLVE Program
Submit
* Mandatory field
Deadline of applications: 27th March (18:00)
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