APPLICATION FORM · Web viewPARTNER SEARCH FORMKarnataka (India)-Israel Industrial R&D Programme...

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)

Stage Seed R&D Initial

RevenuesRevenue

Growth

Ownership Public Private Governmental Other

Year Established No. Employees

No. R&D Personnel

Programme (KIRD)

1.2 Company Contact InfoStreet Address

City P.O. Box

Country Zip Code

Programme (KIRD)

Telephone Fax

Website E-mail

1.3 Primary Contact PersonFirst Name Last

Programme (KIRD)

Title Function

Phone Mobile Phone

1.4 Organization DescriptionGeneral Business Description

Programme (KIRD)

Technology Description (Main Products/Services)

Programme (KIRD)

Targeted Customers

Programme (KIRD)

1.5 Technology Sector & Subsector of Company (Select 1 sector and 1 subsector)

Clean-Tech Agrobiotech Energy Environment Materials

Water TechnologiesCommunications

Programme (KIRD)

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

Programme (KIRD)

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

Programme (KIRD)

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

Programme (KIRD)

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?

Programme (KIRD)

2. The Project 2.1 Description of the Proposed Project

Programme (KIRD)

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

Programme (KIRD)

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

Programme (KIRD)

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

Programme (KIRD)

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?

Programme (KIRD)

3.2 Main characteristics and specific technological expertise of potential partner

Programme (KIRD)

3.3 What is the specific R&D Contribution you are seeking?

Programme (KIRD)

3.4 Companies/Organizations you are already in contact with

Programme (KIRD)

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

Programme (KIRD)

First Name Last Name

Title Function

Signature

Programme (KIRD)

APPLICATION FORM · Web viewPARTNER SEARCH FORMKarnataka (India)-Israel Industrial R&D Programme...

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