Get the opportunity to showcase your company at Frontiers Health 2022.
 
For any questions regarding the application, please contact us at info@frontiers.health
General info

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* 1. Name of Applicant

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* 2. Last of Name Applicant

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* 3. E-mail

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* 4. Country (Company Headquarters)

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* 5. Company Name

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* 6. Company Website

Team

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* 7. Please list your CEO's details: Name, Last name, background

Innovation Concept

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* 8. Briefly describe the product/solution you want to showcase at Frontiers Health 2022
(Max 500 characters)

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* 9. Please select your area of activity:
(max 3 options)

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* 10. Please specify the main therapeutic area your solution covers

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* 11. Brief description of the challenge addressed 
(Max 1200 characters)

Please, define your value proposition for patients, HCPs, payers and Life Science industry*  

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* 12. Explain the product (service/application), describing its main characteristics and any clinical evidence (Max 2500 characters)  

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* 13. Please upload your pitch deck

Please note that selected companies will be asked to send a different pitch deck to be presented at the Start-Up Discovery Session

PDF file types only.
Choose File

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* 14. If  you have a video presentation or an online demo, please provide the URL

Business impact

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* 15. Market Outlook (Max 1200 characters) 
Explain the market share, existing and possible competitors and customer segmentation

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* 16. Business model and strategy (Max 2000 characters) 
Describe how you plan to create, deliver, and capture value. Explain your strategy to introduce the product or service and expand on targeted market(s), eventually listing the countries where your solution is already adopted. Please specify if your solution is for B2B, B2B2C, B2C or C2C

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* 17. Please list the last funding round

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* 18. Specify the total amount of funds raised (all rounds including the last)

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* 19. Is the last funding round successfully closed?

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* 20. Provide the name of a customer reference

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* 21. What are the milestones to date and what are you planning to achieve next?

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* 22. Besides pitching at the Start-up Discovery session, are you also interested in joining corporate challenges and calls for business POC?

Terms of Service

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* 23. Taking note of the information provided, the subscribed person gives consent to the processing of personal data:

Dear User,

The personal data you provide when registering for this application (first name, last name and e-mail address) will be treated with information technology and digital transmission methods in order to respond to the requests and/or provide the service requested.
We may request additional data, necessary to keep you updated on new services or to inform you of any changes in the activities of our site. We may also use the collected data for statistical purposes or for market research in order to better understand the needs of users and offer a better service.
The Data Controller is Frontiers with headquarters in Via Merano, 16 - 20127 Milan, Italy.We remind you that you have the right to obtain confirmation of the existence or otherwise of personal data concerning you and to know the content and origin thereof, verify its exactness, or request the supplementing, updating or correction of such data.
You also have the right to request the deletion, conversion into anonymous form or blockage of data processed in breach of the law and, in any case, to oppose, for legitimate reasons, to the processing of such data. Requests should be made:
- via e-mail, to our Privacy Officer: info@frontiers.health
- or by post, to Frontiers Srl, Via Merano, 16, 20127 Milan, Italy

Specific security measures are adopted by the Data Controller to prevent loss of data, unlawful or incorrect use and unauthorized access in accordance with Articles 13 and 14 of EU Regulation 2016/679.
The complete list of data controllers identified by Frontiers Conference is available at the company's premises.
Your data may be communicated, within the scope of the above purposes, to the following subjects:

- Frontiers Srl, Via Merano, 16, 20127 Milan, Italy
- Selected Committee of the competition

The provision of data is optional, but it is a necessary condition for the performance of the activities described above and any refusal may make it impossible for Frontiers Health to consent to use the services of the site and participate in the application.
Having read this information, provided in compliance with EU Regulation 2016/679, by choosing the option "I accept", you expressly consent to the processing of your personal data for statistical purposes or market research in order to better understand the needs of users and provide a better service.

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