Application

for medical and health care startup competition
A source of innovation

Title of the startup project

Enter a short name for your project

200

Project author

Enter name of the legal entity / name of the individual - author of the project

Mobile phone

Location address

Indicate the region, town and village where you currently live/registered your company

E-mail

Enter your email

Website, Social Network

Enter project site, project profile / author of the project in social networks Facebook / Instagram / LinkedIn

Video presentation of the project

Upload the video presentation of your project in Ukrainian and English on youtube (lasting up to 2 minutes each) and provide a link to the video in this field

(Ua) (En)

Pitch presentation of the project

This is the field for the presentation of your project or development. Download your presentation in PowerPoint or PDF format in Ukrainian and English up to 5 MB. Recommended size of presentation: 10 to 14 slides

Purpose of participation in the contest

Choose the purpose of participation in the contest (specify one or more points)

Team

Specify names of participants, role in the project, specialization, experience in the specialty, academic titles and degrees. Experience of working together and strengths of the team, which will allow successful implementation and commercialization of the project. Experience on the team's participation in acceleration programs

1000

Project essence

Briefly describe your project: what important "unresolved" medical problem is addressed by the project and how the product can improve methods of prevention, treatment, diagnosis of diseases, improve medical care and extend the life of the population, improve the quality of health care. What is the expected impact of the project implementation?

1000

Innovativeness

Indicate the innovation and uniqueness of the project compared to existing samples or already existing startups, both in Ukraine and in the world

500

Ready stage

Select the purpose of participation in the contest (specify one point)

Market

Describe the target audience and size of the target market in Ukraine and worldwide. Why the product will be in demand in the market, what is the expected demand and the potential for product scaling in the world market. Analysis of existing and potential competitors

500

Technology

Describe the product development technology. How intellectual property rights (invention, utility model, industrial design, mark for goods, services, copyright, etc.) are protected. Indicate the type and number of the document that protects the intellectual property rights. In the case that there are no intellectual property rights - what is the potential of the product for a new patent application. Or have your development been certified in Ukraine or other countries? If yes, please specify the certificate number

500

Strategy

Describe the project's business model, market entry strategy and commercialization plan. What the project will earn from, current customer base, sales channels and revenues. Specify the project implementation period

1000

Funding

How many funds have already been invested in the project - own and attracted. How much investment is needed to complete the development and implementation of the product. How the attracted funds will be used

500

Download the financial model of your project

Supplementary documents

Please provide the following documents (if available):

On intellectual property right to development / product

About registration of a legal entity