Application For Investment Form

For Innovators

Working with innovators to impact the future of prostate cancer diagnosis and care, blending finance with insights and support.

Application for investment

The purpose of this form is to enable Proven Connect to gather the information to present to the Translational Scientific Advisory Committee as part of the first stage assessment process. Further due diligence may be required depending on the level of investment being sought. The questions below are a guide and to help Proven to build a comprehensive overview of the potential opportunity. Companies should not feel obligated to provide any information requested. All information received will be treated as confidential.

Application for Investment

Company name(Required)

Website(Required)

Country of registration(Required)

Name(Required)

First Last

Position

Email(Required)

Phone(Required)

Business Case

1. Please give an overview of the technology.(Required)

2. Please tell us the investment amount you are seeking?(Required)

3. What will this investment by used for?(Required)

4. Please describe how the technology addresses an unmet need.(Required)

5. Describe the work that the investment would enable.(Required)

6 What are the barriers to success?(Required)

7. Please describe the evidence supporting the further development of the technology. Highlight the evidence which is relevant to prostate cancer. Reference any published data.(Required)

8. Is the relevant Intellectual Property protected and if so, how?(Required)

9. How would the technology be deployed in practice?(Required)

10. What is the estimated time to market?(Required)

11. What is the route to market, current commercial interest in the technology and expected penetration rates?(Required)

1. Has risk analysis (technical, managerial, commercial) been carried out and are there mitigation strategies in place? If so, please provide a summary overview.(Required)

2. Have you carried out research into competing technologies? If so, please show how your technology compares.(Required)

3. What financial support has been raised to develop this application of your technology and under what terms?(Required)

4. Have you undertaken a financial assessment of income generation potential for your technology in the prostate cancer space? If so, please provide details.(Required)

5. Do you have any outstanding bids with other potential funders / investors?(Required)

Additional information e.g. existing commercial partnerships e.g. producers, delivery, labs and their locations?

Phone

This field is for validation purposes and should be left unchanged.

For Innovators

Working with innovators to impact the future of prostate cancer diagnosis and care, blending finance with insights and support.

Application for Investment

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