Israel – BCR Pilot and Adaptation Product 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: AgriTech

FoodTech 

Fintech 

BioTech 

Logistics  

Smart Mobility/ Smart City 

Others....................................................................... 

Submission Date: __/__/____

Summary:

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Project Start Date:

Project End Date:

4.

4. Budget:

Total Project Budget: __________________________

Requested IIA grant (% of budget): Up to 50% of R&D, adaptation and pilot cost (For Israeli companies only)

BCR 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 _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________