Funding

Business Plan Application Form

[FrontPage File Upload Component]

Personal Details

Salutations

Mr.

Ms.

Mrs.

Dr.

First Name

Last Name

Company Name

Address

Zip / Postal Code

Country

Phone

- -
(Country - Area Code - Phone Number)

Mobile Phone/Pager

- -
(Country - Area Code - Phone Number)

Fax

- -

Proposal Details

Title of Proposal

Country of Incoporation

Internet Sector

	Business-to-Business (B2B)
	Business-to-Consumer (B2C)
	Consumer-to-Consumer (C2C)

Business Model

	Wireless Application Protocol/XML
	Web Services
	Telecommunication
	Internet Security
	Internet Infrastructure/Platform
	Business-to-Business Integration
	Business-to-Business E-Commerce
	Others

Industry

	Petrochemicals
	Manfacturing
	Healthcare
	Finance
	Construction
	Computing & Electronics
	Commodities
	Agriculture
	Others

Business Concept:

Please briefly describe your business model and the value that it brings to the targeted clients:

Competitor Analysis:

Please state your competitors and briefly describe how you would differentitate your concept from the competitors.

Funding Details:

Amount of Funds being raised

(in US dollars)

	< $500,000
	$500,000 - 1,000,000
	$1,000,000 - 2,000,000
	> $2,000,000

Use of Funds

	Working Capital
	Marketing & Product Rollout
	Product Development
	Others

Other Details:

Please include any other details that you feel are relevent to your application.

Please select your proposal file by using the "Browse..." button below.

Motorola V60
Bluetooth Adaptor

BMW BENZ

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CONTACT INFORMATION

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The Bluetooth® word mark and logos are owned by the Bluetooth SIG, Inc. Other trademarks and trade names are those of their respective owners. Specifications subject to change without notice.

Last modified: Thursday, June 21, 2007 03:29:53 PM