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1. First name*

2. Surname*

3. Name of the project*

4. Industry*

5. Amount requested*

6. Share in the company offered (in %)*

7. Technology/Project Category*

Select as much as you wish

SaaSFintechAIBlockchainMedical deviceBiotechPharmaMobile appIndustryITHardwareVRInne

8. The problem that the originator intends to solve*

9. Solution*

10. To whom is the solution addressed?*

11. Market size*

Estimate the average value of annual revenues to be generated on commercialisation of a given solution in the area of the company’s future operations.

12. Acceleration term*

What is the estimated period of time required to complete the acceleration to reach the stage of actual sales and/or the next financing round?

13. CEO/leader - description*

Scope of responsibility for the project and industry experience.

14. Team - description*

Scope of responsibility for the project and industry experience, number of people and amount of time they may dedicate to the project.

15. Founders*

How much time will the founders be able to devote to the project? How long will they be able to work for a project that will not bring profits at the beginning? Do they intent to work as employees of other entities at the same time?

16. Commercialisation of the idea*

Are there people with experience in sales and marketing in the team? If yes, how many years of experience do they have and in what area (B2B, B2C, B2G, C2C). If not, how many people will be employed in the future sales team and when is it planned to hire such people?

17. How much will the company earn on average per 1 customer acquired (in PLN)?

18. How many paying customers have you acquired so far?

19. How much recurring revenue do you currently generate (monthly average)?

20. What are the estimated costs of acquiring 1 customer (in PLN)?

21. How many customers does the company intent to acquire in the first year?

22. How many customers does the company intent to acquire after four years of operations (in total)?

23. What is the planned marketing budget in the first year? (in PLN)

24. Poziom TRL 1-9

Technology Readiness Level

25. Is there another well recognised brand in the global market with a similar business profile?

26. Market readiness*

No one has ever heard of such a solution / it has been approved by a limited group / it has been approved by more than 100 customers / first prepayments or purchases have been received /100 units have been sold / >1000 units have been sold.

27. Team readiness*

Only the originator / the originator who knows who should be employed/ the originator and the second partner/ part of the team/ entire team.

28. Correspondence address*

29. Telephone*

30. Website*

31. E-mail*

32. Consent to data processing

I provide my consent to the processing of the data referred to above by the ‘Akademickie Inkubatory Przedsiębiorczości’ Foundation with its registered office in Warsaw, at ul. Piękna 68, 00-672 Warszawa, correspondence address: al. Ks. Józefa Poniatowskiego 1, 03-901 Warszawa, No. KRS 0000199402, being the Controller of the personal data, as well as by entities of the same group, for marketing (including profiling), statistical and analytical purposes.

I agreeI do not agree

33. Consent to dispatch of commercial communications

I hereby give my consent to the dispatching by the AIP Foundation, correspondence address: al. Ks. Józefa Poniatowskiego 1, 03-901 Warszawa, No. KRS 0000199402, being the Controller of the personal data as well as by the entities of the same group (i.e. business.link sp. z o.o.) and entities cooperating with the Controller, of commercial communications by electronic means and by telephone, using the contact data provided above, in pursuance of the Act on Provision of Services by Electronic Means of July 18, 2002 (Journal of Laws No. 144 Item 1204 as amended).

I agreeI do not agree

34. Clause

We inform that the ‘Akademickie Inkubatory Przedsiębiorczości’ Foundation with its registered office in Warsaw, at ul. Piękna 68, 00-672 Warszawa, correspondence address: Al. Józefa Poniatowskiego 1, 03-901 Warszawa, KRS No.: 000199402 shall be the Controller of the personal data provided above that need to be processed for the purposes of the Project evaluation / performance of the AIP SEED Programme and for the purposes arising from the consent provided. Appropriate technical and organisational measures designated to protect against unauthorised or unlawful personal data processing as well as accidental loss, destruction or damage of personal data shall be applied with respect to the data processing. Personal data shall not be kept for a period longer than necessary and permitted by the law. The provision of personal data is voluntary, but necessary to pursue the aim specified in your consent. The Controller shall not outsource the personal data processing without your prior consent, except for carefully selected service providers performing specific functions on behalf of the Controller (e.g. companies assisting the Controller in the provision of services to clients, technology services, data storage and integration, payment processing and order deliveries) and the group companies as listed above. You have the right to access your data and to correct, rectify and (within the scope as provided by the law) to erase, restrict processing and object to processing. In the event of becoming aware of any unlawful personal data processing, you are also entitled to lodge a complaint with the supervisory authority responsible for data processing, i.e. President of the Office for Personal Data Protection seated in Warsaw.

35. If you wish to attach a presentation, you can do it here.