DeepTech Company (Science-based) of the Year

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Company Name *

Company HQ Location (City and Country) *

Primary Industry *

Name of Person Submitting this Form: *

Your Email *

Your Telephone *

Website *

Describe the company`s overall activities (max 50 words) *

Deep-Tech Innovation details (max 100 words) *

Niche/Problem addressed: *

Capital raising plans (and history of past capital-raises) *

CEO (name, title) *

CFO (name, title) *

Other top execs (max 2)(name, titles) *

Total number of employees (Dec 2020; Dec 2021 est.) *

Tell us about your current (or future) clients *

Tell us about the stage of your business (start-up, expansion, etc.) *

Please list significant challenges and issues for the next 2-3 years *

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Top Deep-Tech Company of the Year