APPLICATION FORM · Web viewPARTNER SEARCH FORMKarnataka (India)-Israel Industrial R&D Programme...
Transcript of APPLICATION FORM · Web viewPARTNER SEARCH FORMKarnataka (India)-Israel Industrial R&D Programme...
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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 FORMKarnataka (India)-Israel Industrial R&D
Programme (KIRD)
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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 FORMKarnataka (India)-Israel Industrial R&D
Programme (KIRD)
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1.2 Company Contact InfoStreet Address
City P.O. Box
Country Zip Code
PARTNER SEARCH FORMKarnataka (India)-Israel Industrial R&D
Programme (KIRD)
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Telephone Fax
Website E-mail
1.3 Primary Contact PersonFirst Name Last
Name
PARTNER SEARCH FORMKarnataka (India)-Israel Industrial R&D
Programme (KIRD)
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Title Function
Phone Mobile Phone
1.4 Organization DescriptionGeneral Business Description
PARTNER SEARCH FORMKarnataka (India)-Israel Industrial R&D
Programme (KIRD)
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PARTNER SEARCH FORMKarnataka (India)-Israel Industrial R&D
Programme (KIRD)
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Technology Description (Main Products/Services)
PARTNER SEARCH FORMKarnataka (India)-Israel Industrial R&D
Programme (KIRD)
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PARTNER SEARCH FORMKarnataka (India)-Israel Industrial R&D
Programme (KIRD)
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Targeted Customers
PARTNER SEARCH FORMKarnataka (India)-Israel Industrial R&D
Programme (KIRD)
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PARTNER SEARCH FORMKarnataka (India)-Israel Industrial R&D
Programme (KIRD)
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1.5 Technology Sector & Subsector of Company (Select 1 sector and 1 subsector)
Clean-Tech Agrobiotech Energy Environment Materials
Water TechnologiesCommunications
PARTNER SEARCH FORMKarnataka (India)-Israel Industrial R&D
Programme (KIRD)
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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 FORMKarnataka (India)-Israel Industrial R&D
Programme (KIRD)
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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 FORMKarnataka (India)-Israel Industrial R&D
Programme (KIRD)
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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
PARTNER SEARCH FORMKarnataka (India)-Israel Industrial R&D
Programme (KIRD)
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1.6 Company Settings Would you like your company profile to appear in the public, online MATIMOP Company Database? (For Israeli Companies ONLY)Would you like to receive emails from MATIMOP or KSCST/KSTePS on news & events?
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Programme (KIRD)
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2. The Project 2.1 Description of the Proposed Project
PARTNER SEARCH FORMKarnataka (India)-Israel Industrial R&D
Programme (KIRD)
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PARTNER SEARCH FORMKarnataka (India)-Israel Industrial R&D
Programme (KIRD)
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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 FORMKarnataka (India)-Israel Industrial R&D
Programme (KIRD)
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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 FORMKarnataka (India)-Israel Industrial R&D
Programme (KIRD)
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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 FORMKarnataka (India)-Israel Industrial R&D
Programme (KIRD)
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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 region are you seeking a partner?
PARTNER SEARCH FORMKarnataka (India)-Israel Industrial R&D
Programme (KIRD)
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3.2 Main characteristics and specific technological expertise of potential partner
PARTNER SEARCH FORMKarnataka (India)-Israel Industrial R&D
Programme (KIRD)
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PARTNER SEARCH FORMKarnataka (India)-Israel Industrial R&D
Programme (KIRD)
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3.3 What is the specific R&D Contribution you are seeking?
PARTNER SEARCH FORMKarnataka (India)-Israel Industrial R&D
Programme (KIRD)
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PARTNER SEARCH FORMKarnataka (India)-Israel Industrial R&D
Programme (KIRD)
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3.4 Companies/Organizations you are already in contact with
PARTNER SEARCH FORMKarnataka (India)-Israel Industrial R&D
Programme (KIRD)
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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 FORMKarnataka (India)-Israel Industrial R&D
Programme (KIRD)
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First Name Last Name
Title Function
Signature
PARTNER SEARCH FORMKarnataka (India)-Israel Industrial R&D
Programme (KIRD)
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PARTNER SEARCH FORMKarnataka (India)-Israel Industrial R&D
Programme (KIRD)