Free Software: A Community for a new Business Model Registration Form to the International Workshop and One-to-one meetings
10 June 2010
Venue: Sardegna Ricerche, Pula (Cagliari), Italy

Company Profile - Description of the company

(All fields are mandatory - The fields in grey are confidential and for internal use only) 
Company:	
	
City:	
	
Country:	

	

	

Street:	
	
Postal Code:	

	

www-Address:	
	
Contact person:	

	

Position in the company:	
	
Telephone:	
	
Fax	

     	

	
     	

General e-mail address:	
	
E-mail contact person:	

	

Year established:

Turnover in million Euro:	

Number of employees in the enterprise:	

  Up to 2 million	
     1 – 9	

  2 to 10	
     10 – 49	

  10 to 50	
     50 – 249	

  More than 50 Million	
     More than 250	

Technology Offer:
Title:	

	

Abstract of the offer (max. 500 characters):	

Description of the offer (min. 100 characters):	

Innovations and advantages of the offer (min. 50 characters):	

	

1.1.1.	Technology Keywords:                

	

Further Information (Technical Details Concerning the Profile):	

Current Stage of Development:
 Development phase – laboratory tested		

 Available for demonstration	

 Available for demonstration – field tested	

 Already on the market	

Intellectual Property Rights:
 Patent(s) applied for but not yet granted	
 Patents granted	

  Copyright(s) registered	
 Exclusive rights	

 Secret know-how	
 Others (registered design, plant variety right, etc)	

IPR - Comments:

	

Domain of Application
Current and Potential Domain of Application:

	

Detailed Market Application Codes (VEIC):   Drug Delivery                	

Collaboration Details:
Where there are 2 levels, only select the relevant Level 2 collaboration details.
Level 1	
Level 2	

 Licensing Agreement	

Technical Cooperation	
 Joint further development	

 Testing of new applications	

 Adaptation to specific needs	

 Joint Venture	

Manufacturing Agreement (Subcontracting & Co-contracting)	
 Transfer of knowledge in new raw materials	

 New way to use an existing production line	

 Change in the partner sought's currently used technology (installations, process, facilities)	

 Absolutely novel process	

Commercial Agreement with Technical Assistance	
 Assembly	

 Engineering	

 Technical Consultancy	

 Quality control	

 Maintenance	

 Financial resources	

Collaboration Details / Comments:
Mandatory
- Type of partner sought:

- Specific area of activity of the partner:

- Task to be performed:	

Exploitation of RTD Results:
 None	

 EU RTD results – FP4 to FP7	

 JRC	

 EURKEKA	

 ESA	

 National Programmes	

 Private Research	

 Others