open ITT intended ITT not on EMITS yet / no info ESA/Tender Deadline This Proposal is w.r.t. Title of the ESA Activity ESA Reference Number Procurement Policy Funding scheme If other funding scheme, please specify: Is this a CCN? If yes, indicate initial ESA contract reference: k€ If yes, indicate the total initial amount: k€ If yes, indicate the total initial amount for CH: Additional Information about the Activity Is this a follow-up activity? If yes, provide information: Does this activity upon If yes, provide information a previous ESA activity? (title, ref., status, schedule, consortium, deliverables etc.): Consortium Company / Institute Country Costs k€ k€ Prime with a share of internal funding) k€ k€ Subco1 with a share of internal funding) k€ k€ Subco2 with a share of internal funding) k€ k€ Subco3 with a share of internal funding) k€ k€ Subco4 with a of internal funding) k€ k€ Subco5 with a share of internal funding) Requestor’s role and responsibilities If there are more than 5 subcontractors in the consortium, please extend the table above. Product / Market Fit from a company perspective
open ITT intended ITT not on EMITS yet / no info ESA/Tender Deadline This Proposal is w.r.t. Title of the ESA Activity ESA Reference Number Procurement Policy Funding scheme If other funding scheme, please specify: Is this a CCN? If yes, indicate initial ESA contract reference: If yes, indicate the total initial amount: k€ If yes, indicate the total initial amount for CH: k€ Additional Information about the Activity Is this a follow-up activity? If yes, provide information: Does this activity upon a previous ESA activity? If yes, provide information (title, ref., status, schedule, consortium, deliverables etc.): Consortium Company / Institute Country Costs Prime with a share of k€ k€ internal funding) Subco1 with a share of k€ k€ internal funding) Subco2 with a share of k€ k€ internal funding) Subco3 with a share of k€ k€ internal funding) Subco4 with a of k€ k€ internal funding) Subco5 with a share of k€ k€ internal funding) Requestor’s role and responsibilities If there are more than 5 subcontractors in the consortium, please extend the table above. Product / Market Fit from a company perspective
Overview_Form_for_Space_Technology_and_Applications_proposals.docx