Entry form for 'The UK's BEST Mobile Health-App Competition'

Profiling questions about your company

Please fill out all the questions.

In addition, you MUST acknowledge you can comply with the competition's 'Terms and Conditions' that were provided to you in the invitation. If you have not read the 'Terms and Conditions', they can be found at the following weblink:
https://www.dropbox.com/s/cv4phoujs2wd02j/UKTI.pdf?dl=0

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* Acknowledge here that you can comply with the competition's 'Terms and Conditions'

I can comply with the competition's 'Terms and Conditions', as provided in the invitation.

SECTION 1: ABOUT YOUR COMPANY

PLEASE ENSURE ALL PROFILING QUESTIONS (A. to C.) ARE COMPLETED

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* A.) Lead SME company details

Organisation Name:

Address 1:

Address 2:

Town/City:

County:

Country:

Postcode:

Telephone:

Website:

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* B.) Applicant contact details

First name:

Last name:

Job title:

Contact e-mail:

Twitter:

Mobile telephone (please use the following format +441234567890):

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* C.) Business profile of lead SME

What is your organisation's approximate annual turnover?

Under £1m.

£1m - £4.9m.

£5m - £9.9m.

£10m - £24.9m.

£25m - £49.9m.

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* D.) Employee numbers of lead SME

How people does your organisation employ full time?

1 - 9.

10 - 49.

50 - 99.

100 - 199.

200 - 249.

SECTION 2: ABOUT YOUR HEALTH APP

PLEASE ENSURE THAT ALL THREE QUESTIONS (Q1. to Q3.) ARE COMPLETED

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* Q1.) Company promotional paragraph to be used for publicity purposes - Solution, product, and/or service provided

In less than 150 words, please describe the product and/or service your company provides, it’s unique value proposition, and it's benefit to the consumer. (Words beyond the 150 limit will be ignored.)

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* Q2.) Description of proposed health app, technology, product, and/or service - what you will be entering into the competition.

In less than 100 words, please describe what you will be presenting, why it is compelling, and how it will be displayed on a stand (such as that at the Mobile World Congress) to maximise visitor interest. (Words beyond the 100 limit will be ignored.)

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* Q3) Why your company should be awarded a place at the 2015 Mobile World Congress, and how ready you are to trade internationally - your business potential

In less than 100 words, please explain why you believe your company should be awarded a place to showcase your work at the 2015 MWC mHealth UKTI seminar at Barcelona. (Words beyond the 100 limit will be ignored.)

END OF APPLICATION FORM

If you have any questions, please contact Dr Alexandra Wyke, CEO, PatientView: alexwyke@patient-view.com

When you click the 'DONE' button, you will be taken to the techUK webpage, in case you wish to read more about techUK.

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* Acknowledge here that you can comply with the competition's 'Terms and Conditions'

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* A.) Lead SME company details

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* B.) Applicant contact details

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* C.) Business profile of lead SMEWhat is your organisation's approximate annual turnover?

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* D.) Employee numbers of lead SMEHow people does your organisation employ full time?

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* C.) Business profile of lead SME

What is your organisation's approximate annual turnover?

* D.) Employee numbers of lead SME

How people does your organisation employ full time?