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1- Company Name *

2- Business Status (please check one) *

3- Company Status *

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4- Company industry: *

Please specify:

5- Number of Employees

6- What problem is your start-up trying to solve? *

7- Why would you like to join Bedayat Business Incubator? *

8- Please indicate in which area you may need the support from Bedayat Business Incubator (check all that apply): *

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9- What are the main three issues that your start-up is struggling with?

1. *

2. *

3. *

10- Which incubation program are you interested in? *

11- If applicable, please submit the following:

1. Business plan summary

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2. Company presentation

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3. Other relevant information

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