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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. Does your company have more than two founders? 

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* 5. Contact Details of Founder 1

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* 6. Founder 1: What is your age?

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* 7. Founder 1: What is your gender?

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* 8. Founder 1: Please describe your race/ethnicity.

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* 9. Contact Details of Founder 2

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* 10. Founder 2: What is your age?

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* 11. Founder 2: What is your gender?

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* 12. Founder 2: Please describe your race/ethnicity.

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* 13. Tell us about your Product / Service 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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* 14. Select the tract in which your product / business falls.

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

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* 16. Describe your competitors (maximum 50 words)

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

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* 18. Do you have IP protection?

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* 19. Type of IP

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* 20. Type of Enterprise / Business

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* 21. What is your annual turnover?

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

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

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* 24. How big is your enterprise?

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* 25. Tell us more about your team (professional background of Founders)

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

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* 27. How many shareholders does the company have?

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

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* 29. Year of company registration

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

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* 31. 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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