£1k Challenge Online Submission Open

Introduction

Please fill in the form below. You must fill in the fields followed by red asterisks.

Submission deadline: 12th of December, 2010

Entry fee and signed NDA submission deadline: 10th of December, 2010

When you have submitted the form, you will be given an email address to which you can send your executive summary.

Submit your entry now!

Form

Team Name: *

Please enter the name of your business idea or company.

Public Summary of Idea: *

Please enter a public summary of your business idea. The public summary should be no more than 100 words. The public summary may be circulated via press releases and CUE competition publications for promotional purposes. Content beyond the 100 word limit for the public summary will be disregarded.

Main Contact Details

Main Team Member Email: *

Please enter an email address, e.g. js123@cam.ac.uk.

Main Team Member Permanent Email: *

Please enter a permanent email address.

Main Team Member Department: *

If you are at the University and belong to a department, please enter it here.

Main Team Member College: *

Please select your college if you belong to one, otherwise choose "Unaffiliated".

Main Team Member Mobile: *

Please enter a mobile phone number, e.g. +44 (0)7890 123 456.

Main Team Member Name: *

Member 2 Contact Details

Member 2 Name:

Member 2 Mobile:

Please enter a mobile phone number, e.g. +44 (0)7890 123 456.

Member 2 Email:

Member 2 Department:

If you are at the University and belong to a department, please enter it here.

Member 2 College:

Please select your college if you belong to one, otherwise choose "Unaffiliated".

Member 3 Contact Details

Member 3 Name:

Member 3 Mobile:

Please enter a mobile phone number, e.g. +44 (0)7890 123 456.

Member 3 Email:

Please enter an email address, e.g. js123@cam.ac.uk.

Member 3 Department:

If you are at the University and belong to a department, please enter it here.

Member 3 College:

Please select your college if you belong to one, otherwise choose "Unaffiliated".

Member 4 Contact Details

Member 4 Name:

Member 4 Mobile:

Please enter a mobile phone number, e.g. +44 (0)7890 123 456.

Member 4 Email:

Please enter an email address, e.g. js123@cam.ac.uk.

Member 4 Department:

If you are at the University and belong to a department, please enter it here.

Member 4 College:

Member 5 Contact Details

Member 5 Name:

Member 5 Mobile:

Please enter a mobile phone number, e.g. +44 (0)7890 123 456.

Member 5 Email:

Please enter an email address, e.g. js123@cam.ac.uk.

Member 5 Department:

If you are at the University and belong to a department, please enter it here.

Member 5 College:

Please select your college if you belong to one, otherwise choose "Unaffiliated".

Member 6 Contact Details

Member 6 Name:

Member 6 Mobile:

Please enter a mobile phone number, e.g. +44 (0)7890 123 456.

Member 6 Email:

Please enter an email address, e.g. js123@cam.ac.uk.

Member 6 Department:

If you are at the University and belong to a department, please enter it here.

Member 6 College:

Please select your college if you belong to one, otherwise choose "Unaffiliated".

Member 7 Contact Details

Member 7 Name:

Member 7 Mobile:

Please enter a mobile phone number, e.g. +44 (0)7890 123 456.

Member 7 Email:

Please enter an email address, e.g. js123@cam.ac.uk.

Member 7 Department:

If you are at the University and belong to a department, please enter it here.

Member 7 College:

Please select your college if you belong to one, otherwise choose "Unaffiliated".

Member 8 Contact Details

Member 8 Name:

Member 8 Mobile:

Please enter a mobile phone number, e.g. +44 (0)7890 123 456.

Member 8 Email:

Please enter an email address, e.g. js123@cam.ac.uk.

Member 8 Department:

If you are at the University and belong to a department, please enter it here.

Member 8 College:

Please select your college if you belong to one, otherwise choose "Unaffiliated".

Member 9 Contact Details

Member 9 Name:

Member 9 Mobile:

Please enter a mobile phone number, e.g. +44 (0)7890 123 456.

Member 9 Email:

Please enter an email address, e.g. js123@cam.ac.uk.

Member 9 Department:

If you are at the University and belong to a department, please enter it here.

Member 9 College:

Please select your college if you belong to one, otherwise choose "Unaffiliated".

Member 10 Contact Details

Member 10 Name:

Member 10 Mobile:

Please enter a mobile phone number, e.g. +44 (0)7890 123 456.

Member 10 Email:

Please enter an email address, e.g. js123@cam.ac.uk.

Member 10 Department:

If you are at the University and belong to a department, please enter it here.

Member 10 College:

Please select your college if you belong to one, otherwise choose "Unaffiliated".

Accept Terms and Conditions: *

Yes

You must agree to the terms and conditions listed in the Competitions Handbook.

Declaration Of Originality: *

Yes

I/we testify that the entry is our original work.

Intellectual Property Rights: *

Yes

I/we understand the University regulations on Intellectual Property Rights and have checked that there are no third parties with any rights on the idea that may prevent its exploitation.

No Public Disclosure: *

Yes

I/we have disclosed no proprietary information in the public summary provided.

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£1k Challenge Online Submission Open

Introduction

Form

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