HIHR-10 Nominationform Venture Pitch | Healthy Ideas, Healthy Returns

Nomination-form Venture Pitch START UP Module

To nominate your spin off initiative for a venture pitch at HIHR-10, please complete the following form and submit it, via your respective TTO office, MARCH 31, 2022 the very latest.
Please note that nominations have to be submitted and guided by the TTO-office.
For any questions contact us via email claar-els@hihr.eu or by phone +31 6 2848 0549.
√ data shared with fellow participants, upon approval, * required
© HIHR 2022

HIHR-10 Nominationform Venture Pitch

Venture Project

Company name or title venture project *

Subtitle (10 words max - short summary to follow hereunder) *

Sector: *

Therapeutics & Biotech

MedTech & Diagnostics

eHealth & Datascience

Other / more specifically:Other / more specifically:

Contact person TTO, handing in the application

First name *

Surname *

TTO Organisation *

Position

Email address *

Telephone number (no spaces in between) *

Pitch presenter

First name *

Surname *

Role e.g. CEO/Scientific Founder/inventor etc *

Email address *

Telephone number (no spaces in between) *

I agree that this contact information may be handed out to all attendees and anyone involved in the organization of HIHR. I confirm that all provided information is non-confidential and has been approved by my TTO. *

yes

Company data (if company already exists)

Company name

Company formation date

Management team

Role

Name

Email address

Telephone number (no spaces in between)

Role

Name

Email address

Telephone number (no spaces in between)

Role

Name

Email address

Telephone number (no spaces in between)

Current professional investors

Name

Amount invested

Runway

Name

Amount invested

Runway

IP

Patent application filed/in preparation *

yes

OtherOther

Prior art analysis performed *

yes

OtherOther

FTO analysis performed *

yes

OtherOther

Additional comments:

Investment opportunity

Level of development/validation:

Amount of funding sought - if already known:

If not known, why not:

Milestone(s) to be achieved using this investment:

Timeline for completion of milestones (months):

Please upload a first Powerpoint presentation (max 10 slides) containing information about the following topics:

Please note that there will be ample time in April/May to adjust this presentation in case your project will be selected for a pitch.
1) Problem & opportunity
2) Solution (incl. technology & IP)
3) Market analysis and competitor analysis
4) Business model & go-to-market strategy
5) A clear roadmap with most important (financial & product) milestones (& partners?)
6) Current team (why you)
7) Consolidated financials (P&L and cashflow statement)
8) Specific (fund raising) question.