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Application for Investment

Application for Investment

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Published by lennysmall1

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Published by: lennysmall1 on May 04, 2011
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02/22/2014

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Application For Investment
Before spending time completing the application for investment, pleasecontact a member of Cambridge Enterprise Seed Funds
 
for an informal discussion. Please complete as much of the formas possible and attach any additional information before returning it. Cambridge Enterprise SeedFunds (CESF) will be happy to work with you to develop a proposal once this is complete.
Please note that in order to obtain advice on your project information may be shared with theCambridge Enterprise Investment Committee and possibly advisors.
If this form contains confidential information, please return by post or fax, or email.
 
1.PROPOSER
Please list all proposers and nominate one proposer as principal contact:Proposer:Department:Tel:Email:PrincipalContact
2.SUMMARY STATEMENT
Please give a brief summary of the technical innovation, the possible applications for the newtechnology and their commercial potential (in less than 150 words). Please address the followingpoints.What will be achieved as the result of a CESF investment?What is the product concept to be developed from the technology?What is the need the product is addressing?Is it a new market or will you displace existing incumbents?Indicate your main unique selling point?What funds are you requesting from Cambridge Enterprise Seed Funds?
Commercial in Confidence
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Application For Investment
3.STATUS OF COMPANY/PROJECT
Please provide details on the current funding and share structure of the company to date.Date of Incorporation:Share structure:(Capitalisation Table
)
Investment alreadyreceived by theCompany:Research CouncilFunding used to fundresearch theTechnology:Grant Funding e.g.EEDA Awards alreadyreceived:
4.FUNDS REQUESTED
Please state the total amount of funds being requested from the CESF and include the amount,and source, of any other funding needed to complete the project:Total Sum requestedfrom the CESF:£Other funding sources(other funds/grants):Estimated length of Project
Commercial in Confidence
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Application For Investment
FUNDS REQUESTED (CONTINUED)
Please give a budget of how you intend to use the funding (for examples see below)Patent Costs:Staffing:Materials:Prototypes:Overhead Charges:Other:(please state)Other:(please state)Comments:
5.ANTICIPATED FUNDING IN THE NEXT 3-5 YEARS
Please explain what funding you will require over the next 3-5 years, and where you expect thisfunding will come from.
Commercial in Confidence
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