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* 1. Company Name (Trading Name)

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* 2. Company Details

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* 3. Social Media Details

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* 4. Contact Details of the person responsible for the application

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* 5. What is your age?

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* 6. What is your gender?

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* 7. Please describe your race/ethnicity.

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* 8. Tell us about your Product / Business in no more than 150 words.  Make sure your answer is clear and concise and sets you apart from other applicants.  

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* 9. Select the tract in which your product / business falls.

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* 10. What would you like to pitch?

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* 11. Describe your target market in no more than 100 words

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* 12. Describe your competitors (maximum 50 words)

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* 13. What is the biggest challenge you face in growing your business / commercialising your product?

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* 14. Do you have IP protection?

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* 15. Type of IP

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* 16. Type of Enterprise / Business

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* 17. What is your annual turnover?

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* 18. Select the option that describes your product maturity the best.

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* 19. Which of the following options are applicable to your organisation?

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* 20. How big is your enterprise?

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* 21. Tell us more about your team (just briefly)

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* 22. How many years has the business been in operation?

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* 23. How many shareholders does the company have?

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* 24. How will your business look 5 years from now? (max 400 words)*

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* 25. Year of company registration

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* 26. Where did you first hear about the 2019 SA Innovation Summit Competitions?

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* 27. I have read and agree with the terms and conditions of this competition. I understand that this is a public competition and that images and information about my submission might be published on social media to get traction.

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