japan-israel partner search form · web viewtype of company high tech r&d research institute...

Japan-Israel Partner Search Form 1. Company Profile 1.1 General Profile Full Name of Company Registration # (Israeli Companies) Prior name of Company Type of Company High Tech R&D Research Institute University Other Stage Seed R&D Initial Revenues Revenue Growth Ownership Public Private Governmental Other Year Established No. Employees No. R&D Personnel Annual sales 1.2 Company Contact Info Street Address City P.O. Box Country Zip Code Telephone Fax Website E-mail 1.3 Primary Contact Person First Name Last Name Israel Innovation Authority Phone: 972-3-7157991+ | www.innovationisrael.org.il 4 HaYarden Street, Airport City

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Japan-Israel Partner Search Form

1. Company Profile1.1 General Profile

Full Name of Company Registration # (Israeli Companies)

Prior name of Company

Type of Company High Tech R&D Research Institute University Other

Stage Seed R&D Initial Revenues Revenue Growth

Ownership Public Private Governmental Other

Year Established No. Employees

No. R&D Personnel Annual sales

1.2 Company Contact Info

Street Address

City P.O. Box

Country Zip Code

Telephone Fax

Website E-mail

1.3 Primary Contact Person

First Name Last Name

Israel Innovation AuthorityPhone: 972-3-7157991+ | www.innovationisrael.org.il 4 HaYarden Street, Airport City

http://www.innovationisrael.org.il/

Page 2: Japan-Israel Partner Search Form · Web viewType of Company High Tech R&D Research Institute University Other Stage Seed R&D Initial Revenues Revenue Growth Ownership Public Private

1. Company ProfileTitle Function

Phone Mobile Phone

1.4 Organization DescriptionGeneral Business Description

Technology Description (Main Products/Services)

Israel Innovation AuthorityPhone: 972-3-7157991+ | www.innovationisrael.org.il 4 HaYarden Street, Airport City

http://www.innovationisrael.org.il/

Page 3: Japan-Israel Partner Search Form · Web viewType of Company High Tech R&D Research Institute University Other Stage Seed R&D Initial Revenues Revenue Growth Ownership Public Private

1. Company ProfileTargeted Customers

1.5 Technology Sector & Subsector of Company (Select 1 sector and 1 subsector)

Clean-Tech

Agrobiotech Energy Environment Materials

Water Technologies

Communications

Broadband Access Broadcast Enterprise Networking Home Networking

Mobile Applications NGN & Convergence Optical Networking Telecom Applications

VoIP & IP Telephony Wireless Applications Wireless Infrastructure

Internet

Content Delivery Content Management e-Commerce E-Learning Internet Applications Internet Infrastructure Online Advertising Online Entertainment Search Engines Social Networks

IT & Enterprise Software

Business Analytics Security Enterprise Applications Enterprise Infrastructure Miscellaneous Software Design and Development Tools

Life Sciences

Agrobiotech Bioinformatics Biologicals Diagnostics Healthcare IT Industrial Medical Devices Telemedicine Therapeutics

Miscellaneous Technologies

Defense Hardware Industrial Technologies Miscellaneous Nanotechnology

Semiconductors

Fabrication and Testing Manufacturing Equipment & EDA

Memory & Storage Miscellaneous Semiconductors

Israel Innovation AuthorityPhone: 972-3-7157991+ | www.innovationisrael.org.il 4 HaYarden Street, Airport City

http://www.innovationisrael.org.il/

Page 4: Japan-Israel Partner Search Form · Web viewType of Company High Tech R&D Research Institute University Other Stage Seed R&D Initial Revenues Revenue Growth Ownership Public Private

Network Processors Processors & RFID Security Semiconductors Video, Image & Audio

2. Potential Project Partner/Company2.1 What types of partnerships are you seeking?

3. Potential Project Partner/Company3.1 From which country/region are you seeking a partner?

3.2 Main characteristics and specific technological expertise of potential partner

Israel Innovation AuthorityPhone: 972-3-7157991+ | www.innovationisrael.org.il 4 HaYarden Street, Airport City

http://www.innovationisrael.org.il/

Page 5: Japan-Israel Partner Search Form · Web viewType of Company High Tech R&D Research Institute University Other Stage Seed R&D Initial Revenues Revenue Growth Ownership Public Private

3.3 What is the specific R&D Contribution you are seeking?

3.4 Companies/Organizations you are already in contact with

Israel Innovation AuthorityPhone: 972-3-7157991+ | www.innovationisrael.org.il 4 HaYarden Street, Airport City

http://www.innovationisrael.org.il/

Page 6: Japan-Israel Partner Search Form · Web viewType of Company High Tech R&D Research Institute University Other Stage Seed R&D Initial Revenues Revenue Growth Ownership Public Private

Israel Innovation AuthorityPhone: 972-3-7157991+ | www.innovationisrael.org.il 4 HaYarden Street, Airport City

1. Statement of Agreement

I hereby provide my consent to disclose this form to third parties in the process of identifying potential partners for the proposed project.

4.1 Signature of Company

Company Name

First Name Last Name

Title Function

Signature

http://www.innovationisrael.org.il/

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