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    Application form

      Your company*


      Year of creation of your startup*

      Number of employees*


      Name of the key contact of your company*

      Mail address*

      Phone number*

      Candidate category*
      For each category, the innovation can relate to land or maritime or air mobility

      Describe your concept / innovation. What problem or new need are you addressing?*

      1000 characters left

      Describe your business model and your main distribution channels / Your main competitors?*

      Main partners ? (clusters, investors, industrialists...)*

      150 characters left

      What are your main goals in participating in this contest?*

      120 characters left

      I authorize the above information to be distributed to E4SM 2021 participants and included on the website of the organizers and the website energy4smartmobility.eu* YesNo

      * Required field

      1 Companies can only submit one application form. Incomplete applications at the closing date of registration will not be considered.
      The organizers reserve the right, without their responsibility being in any way sought, to postpone, cancel or modify the contest, in particular for reasons beyond their control or in case of force majeure or in case of postponement or E4SM 2019 Cancellation Policy.
      The organizers will be able to freely modify the endowments and replace them with others of equivalent value.
      The composition of the jury is given for information only. It is likely to evolve without the responsibility of the organizers being sought.
      By participating in this contest, the candidates declare that they accept the organizers to proceed as a courtesy, to record sounds, images (videos, photos) and their remarks, as part of the contest. The dissemination and exploitation of these images, comments and documents can be done through the websites of the organizers, press, films, ... accessible without any restriction of access and without remuneration of the person concerned, for a duration unlimited, in full or in extracts.
      Applicants must make all provisions regarding the protection of intellectual property rights related to their project, as part of their participation in the contest.