Israel – Ruta N Smart Cities Call For Proposals

EXPRESSION OF INTEREST

1. Project Participant

Company name: __________________

Website: ________________________

Year established: _________________

Type of company: __R&D __ Research institute __ University __ Other

Stage: __ Seed __ R&D __ Initial revenues __ Revenue growth

Ownership: __ Public __ Private __ Governmental __ Other

Number of employees: ____

Number of R&D personnel: ____

Company contact information:

Address: __________________________________________________.

Contact person:

Name: _________________________

Title: __________________________

Phone: ________________________

Mobile: ________________________

Email: _________________________

2. Organization Background

General Business Description & Area of Expertise

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Technology Description (Main Products/Services) and IP

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Targeted Customers

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Sales (over the last 3 years)- if applicable

Current year: ________________

i-1 _________________________

i-2 ________________________

3. General Information

Project Title: ________________________________________________________

Technology Sector: Electric Mobility, Autonomous Mobility, Smart Mobility, Vehicle Technology. Digital city Information city Cognitive Smart City Energy, street lighting, smart buildings, distributed energy resources (DER),

data analytics, and smart transportation. Environment Public safety

Submission Date: __/__/____

Summary:

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Project Start Date:

Project End Date:

4. Budget:

Total Project Budget: __________________________

Requested IIA grant (% of budget): _________________________

Requested Medellin Partner Support: ____________________________

5. Project Outline:

Project Description

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Market Potential and Commercialization Plan

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Expected Outcome of Project

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Short Profile of the Key Staff who will be Undertaking the Work _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________