Registered Business Address: Postcode: Contact Address: (If Different) Post Code: (If Different) Principal Contact: Telephone: Mobile: Email: Website: FOR REFERRALS ONLY: Referred By Contact Name: – Company Name: 2 Business Structure Date Started Trading: Structure of Ownership: Eg: Limited Company, Sole Trader etc. Turnover: Number of Employees: 3 Description of the Business Please provide a description of the business. Eg: Product / Service concept, idea or innovative content at the heart of the business; present business status and growth potential; composition and structure of management team and details of skills still required for success; any IPR held or being developed; target markets; key objectives for the next 3- 6- 12- 24- months; clinical trials or research supports required (current / future). 4 Specific Business Activities Please describe the specific types of activities you propose to carry out at The MedBIC.
Registered Business Address: Postcode: Contact Address: (If Different) Post Code: (If Different) Principal Contact: Telephone: Mobile: Email: Website: FOR REFERRALS ONLY: Referred By – Contact Name: Company Name: 2 Business Structure Date Started Trading: Structure of Ownership: Eg: Limited Company, Sole Trader etc. Turnover: Number of Employees: 3 Description of the Business Please provide a description of the business. Eg: Product / Service concept, idea or innovative content at the heart of the business; present business status and growth potential; composition and structure of management team and details of skills still required for success; any IPR held or being developed; target markets; key objectives for the next 3- 6- 12- 24- months; clinical trials or research supports required (current / future). 4 Specific Business Activities Please describe the specific types of activities you propose to carry out at The MedBIC.
Application-Form-Occupants-and-Virtuals1.docx