£5k Challenge Online Submission

Introduction

Please fill in the form below. You must fill in the fields followed by red asterisks.

When you have submitted the form, you will be given an email address to which you can send your executive summary.

Form

Team Name: *

Please enter the name of your business idea or company.

Public Summary: *

Please enter a public summary of your business idea. The public summary should be no more than 150 words. The public summary may be circulated via press releases and CUE competition publications for promotional purposes. Content beyond the 150 word limit for the public summary will be disregarded.

Disclosure of Capital: *

Teams that have already secured arrangements for capital from any source must clearly disclose the amounts and sources. Example sources of capital include cash generated from sales revenues or contracts, research grants, competitions, personal or family funds. If your team has already secured capital then please disclose the amounts, sources and any relevant terms and conditions. If your team has not secured any capital then please mark this field as not applicable.

Main Contact Details

Main Team Member Name: *

Main Team Member Mobile: *

Please enter a mobile phone number, e.g. +44 (0)7890 123 456.

Main Team Member Email: *

Please enter an email address, e.g. js123@cam.ac.uk.

Main Team Member College: *

Please select your college if you belong to one, otherwise choose "Unaffiliated".

Main Team Member Department: *

If you are at the University and belong to a department, please enter it here.

Main Team Member Permantent Email: *

Please enter a permanent email address.

Member 2 Contact Details

Member 2 Name:

Member 2 Mobile:

Please enter a mobile phone number, e.g. +44 (0)7890 123 456.

Member 2 Email:

Member 2 Department:

If you are at the University and belong to a department, please enter it here.

Member 2 College:

Please select your college if you belong to one, otherwise choose "Unaffiliated".

Member 3 Contact Details

Member 3 Name:

Member 3 Mobile:

Please enter a mobile phone number, e.g. +44 (0)7890 123 456.

Member 3 Email:

Please enter an email address, e.g. js123@cam.ac.uk.

Member 3 Department:

If you are at the University and belong to a department, please enter it here.

Member 3 College:

Please select your college if you belong to one, otherwise choose "Unaffiliated".

Member 4 Contact Details

Member 4 Name:

Member 4 Mobile:

Please enter a mobile phone number, e.g. +44 (0)7890 123 456.

Member 4 Email:

Please enter an email address, e.g. js123@cam.ac.uk.

Member 4 Department:

If you are at the University and belong to a department, please enter it here.

Member 4 College:

Member 5 Contact Details

Member 5 Name:

Member 5 Mobile:

Please enter a mobile phone number, e.g. +44 (0)7890 123 456.

Member 5 Email:

Please enter an email address, e.g. js123@cam.ac.uk.

Member 5 Department:

If you are at the University and belong to a department, please enter it here.

Member 5 College:

Please select your college if you belong to one, otherwise choose "Unaffiliated".

Member 6 Contact Details

Member 6 Name:

Member 6 Mobile:

Please enter a mobile phone number, e.g. +44 (0)7890 123 456.

Member 6 Email:

Please enter an email address, e.g. js123@cam.ac.uk.

Member 6 Department:

If you are at the University and belong to a department, please enter it here.

Member 6 College:

Please select your college if you belong to one, otherwise choose "Unaffiliated".

Member 7 Contact Details

Member 7 Name:

Member 7 Mobile:

Please enter a mobile phone number, e.g. +44 (0)7890 123 456.

Member 7 Email:

Please enter an email address, e.g. js123@cam.ac.uk.

Member 7 Department:

If you are at the University and belong to a department, please enter it here.

Member 7 College:

Please select your college if you belong to one, otherwise choose "Unaffiliated".

Member 8 Contact Details

Member 8 Name:

Member 8 Mobile:

Please enter a mobile phone number, e.g. +44 (0)7890 123 456.

Member 8 Email:

Please enter an email address, e.g. js123@cam.ac.uk.

Member 8 Department:

If you are at the University and belong to a department, please enter it here.

Member 8 College:

Please select your college if you belong to one, otherwise choose "Unaffiliated".

Member 9 Contact Details

Member 9 Name:

Member 9 Mobile:

Please enter a mobile phone number, e.g. +44 (0)7890 123 456.

Member 9 Email:

Please enter an email address, e.g. js123@cam.ac.uk.

Member 9 Department:

If you are at the University and belong to a department, please enter it here.

Member 9 College:

Please select your college if you belong to one, otherwise choose "Unaffiliated".

Member 10 Contact Details

Member 10 Name:

Member 10 Mobile:

Please enter a mobile phone number, e.g. +44 (0)7890 123 456.

Member 10 Email:

Please enter an email address, e.g. js123@cam.ac.uk.

Member 10 Department:

If you are at the University and belong to a department, please enter it here.

Member 10 College:

Please select your college if you belong to one, otherwise choose "Unaffiliated".

Accept Terms and Conditions: *

Yes

You must agree to the terms and conditions listed in the Competitions Handbook.

Declaration Of Originality: *

Yes

I/we testify that the entry is our original work.

Intellectual Property Rights: *

Yes

I/we understand the University regulations on Intellectual Property Rights and have checked that there are no third parties with any rights on the idea that may prevent its exploitation.

No Public Disclosure: *

Yes

I/we have disclosed no proprietary information in the public summary provided.

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£5k Challenge Online Submission

Introduction

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