Presentation of the applicant

Company Name *

100 characters left.

Address*

100 characters left.

City*

40 characters left.

ZIP-Code*

Country*

VAT identification*

Email*

50 characters left.

Phone number*

Name of representative*

50 characters left.

SME certification

If your organization is a SME, please upload a SME attest document

Application type*

Individual SME Consortium Consortium

Consortium application

Please fill this area * only* if you are applying in a consortium.
Remember that each consortium partner must submit an application form.

My organization is the SME consortium leader*

Consortium participants*

300 characters left.

Please provide the list of the other consortium participants: company names, separated by semicolon (;).

Description of the Consortium * (to be filled only by the SME consortium leader)

2000 characters left.

Describe the interaction between partners and the added-value created by having this application as a Consortium.

Individual role in the Consortium and added-value * (to be filled by all consortium partners)

1000 characters left.

What is your role in the Consortium and the added value you bring.

Activity presentation

Shortly describe your organization’s activities*

2000 characters left.

Organization presentation

Shortly describe your organization*

2000 characters left.

Short English Product and Organization presentation

Please provide here a short presentation of the product/solution and your organization*

4000 characters left.

Presentation of the product or service

Provide a description of the product or service expected to be tested

Product Description flyer*

(maximum 2 pages pdf document)

Silver Economy Need/Topic addressed by your product or service*

300 characters left.

Silver Economy Need/Topic addressed by your product or service and how it’s an answer to it.

Description of the individual product components*

2000 characters left.

Description of the individual components (parts, assemblies, items) composing the expected product/service, and how they operate together [if applicable, otherwise write “Not Applicable”].

TRL level 6 or higher justification*

2000 characters left.

Justification of the claimed level of TRL components and products/service.

Technical specificities*

2000 characters left.

Technical specificities of the product/service to be tested.

Product/service presentation*

Provide a detailed presentation/description (including use) of the product/service to be tested (maximum 2 pages pdf document).

Usage specification*

2000 characters left.

Usage specification*

Product usability constraints*

2000 characters left.

Required test environment*

2000 characters left.

Required test environment and conditions necessary at the living lab for supporting the pilot.

Elements for evaluation of the business strategy*

Elements allowing an evaluation of the business strategy: price, distribution channel, production capacity, business plan etc. (max of 4 pages)

Technology ownership or rights of exploitation*

Elements proving you own the technology or you have the rights of exploitation (max of 2 pages), or legal statement by the organization declaring the product has not yet been registered and that the organization owns all rights to the technology/product/service.

Expression of Interest ICT4SILVER

Application form

Presentation of the applicant

Consortium application

Activity presentation

Organization presentation

Short English Product and Organization presentation

Presentation of the product or service