Israeli Business Delegation to the
CII KnowledgExpo 2014
20-22 November 2014 | New Delhi, India
Registration Form
Applicant Contact Information
Company Name
Last name of applicant
First name of applicant
Position/Title
Email
Telephone (Office)
Telephone (Mobile)
Passport Number
Date of Birth
Passport Issue Date
Photo of Applicant
Passport Expiry Date
(Please paste jpg profile photo
of applicant)
Company Logo
(Please paste jpg or png
of company logo)
Do you have a visa valid for travel to India for at least November 18-24, 2014?
Yes, Visa #: _________ Valid till: _______________
No, I will need to apply for a Visa
Company Profile
1. General Profile
Full Name of Company
Registration #
Prior name of Company
Type of Company
HT
R&D
Research Institute
University
Other
Stage
Seed
R&D
Initial Revenues
Revenue Growth
Ownership
Public
Private
Governmental
Other
Year Established
No. Employees
No. R&D Personnel
2. Company Contact Info
Street Address
City
P.O. Box
Country
Zip Code
Telephone
Website
Fax
E-mail
3. Company Contact Person
First Name
Title/Position
Phone
Last Name
E-mail
Mobile Phone
4. Organization Background
General Business Description & Area of Expertise
Technology Description (Main Products/Services)
Targeted Customers
5. Technology Sector & Subsector of Company (Select 1 sector and 1 subsector)
Clean-Tech
Agrobiotech
Energy
Environment
Materials
Broadband Access
Broadcast
Enterprise Networking
Home Networking
Mobile Applications
NGN & Convergence
Optical Networking
Telecom Applications
VoIP & IP Telephony
Wireless Applications
Wireless Infrastructure
Content Delivery
Content Management
e-Commerce
E-Learning
Internet Applications
Internet Infrastructure
Online Advertising
Online Entertainment
Water Technologies
Communications
Internet
Search Engines
Social Networks
IT & Enterprise Software
Business Analytics
Security
Enterprise Applications
Miscellaneous Software
Design and Development Tools
Enterprise Infrastructure
Life Sciences
Agrobiotech
Bioinformatics
Biologicals
Diagnostics
Healthcare IT
Industrial
Medical Devices
Telemedicine
Industrial Technologies
Miscellaneous
Therapeutics
Miscellaneous Technologies
Defense
Hardware
Nanotechnology
Semiconductors
Fabrication and Testing
Network Processors
Manufacturing
Equipment & EDA
Processors & RFID
Memory & Storage
Miscellaneous
Semiconductors
Security Semiconductors
Video, Image & Audio
6. Company Settings
Would you like your company profile to appear in the public, online MATIMOP Company
Database?
Would you like your company profile to appear in the online listing of “Israeli companies
Seeking Indian R&D Partners”?
Would you like to receive emails from MATIMOP on news & events?
Partnership Interests (B2B Requests)
What types of partnerships are you seeking? What are the main characteristics,
technological expertise, and R&D contributions you are seeking in a potential partner?
Other Comments or Questions:
Company Poster Details*
*The information below will be used to design and produce a poster of your company to be displayed at the Israeli
Innovation Pavilion at the Conference Exhibition. Text should be marketing oriented.
Company Slogan (Short Phrase or Sentence)
4-5 Bullet points about the company
*Please provide 1-2 images in high resolution to be included in your company profile. Company logos
are also required. Photos should be in at least one of the required formats: jpg, eps, psd, tiff, AI. Eps)