NovaUCD
The Innovation and Technology Transfer Centre
NovaUCD 2012 Campus Company Development Programme (CCDP)
Application Form
All information will be treated in the strictest confidence
The fee per project is €500
Project Name:
Promoter(s):
UCD School:
Address:
Telephone:
Mobile:
Email:
Website:
(if applicable)
Describe technology/product/service:
What is the intellectual property status of the technology?:
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NovaUCD
The Innovation and Technology Transfer Centre
Are you dealing with a member of NovaUCD technology transfer team? Yes/No
If yes, who?:
What stage of development is the product/service?:
How has your product service been funded to date?:
Provide information on target market segment/potential customers:
Are you incorporated?
Yes/No
If yes what is your business registration number:
If no what is your expected incorporation date:
How did you hear about the NovaUCD Campus Company Development Programme?
Please return the completed application form to NovaUCD, Belfield Innovation Park, UCD, Belfield,
Dublin 4 or via e: nova.reception@ucd.ie
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