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Fab France
Form – Candidature 5G
Form – Candidature 5G
Application form for 5G acceleration
Email
Company name
*
Company alternate brand name
*
Company founder names
*
Country of company registration
*
In which countries your product has been launched on the market ?
*
Is your company registered in a stock exchange?
*
Yes
No
Does your company have a link with governements ?
*
Yes
No
Company's phone number
*
CEO's name
*
CEO' e-mail
*
CEO's phone number
*
Headquarter legal adress
*
Regions ( Mandatory if based in France )
Year company was founded ?
*
Company legal status ( SA, SAS, LTD ... )
*
What are your company's registration ID / VAT ID ?
*
Company headcount ( Founders + Full time employees )
*
Website
Choose categories that best fit your company activities ?
*
Cyber Security, services to reinforce customer confidence in digital services
Digital Content, high bandwidth on demand services on mobile phone or at home and AR/VR immersive services
Gaming, high bandwidth, low latency services which may need edge computing capacities
Bank & Assurance services allowing operations and transactions everywhere anytime with enriched experiences thanks to AR
Health Care, remote diagnostic, real time image transfer, long distance monitoring, Iot to track health issues.
Network Monitoring, control & management solutions
Network planning and resource allocation improvement
Hardware and software infrastructure solutions for performant, strong and green datacenter.
Solutions solving the management of connected objects in high number
Solutions helping the implementation of mobile broadband
Coverage enhancing solutions for indoor and rural use
Other
If other, please tell us
Please describe your product / service ( 1000 characters max )
*
Highlight the innovation in your solution ?
*
What issue does your solution adress ?
*
How would 5G benefit your use case ?
*
Do your current services use existing wireless technologies ?
*
Yes
No
How do you expect 5G to improve your service ?
What is the development stage of your product / service ?
*
Prototype
Concept
Commercialized
Industrialized
What customer segment(s) are you targeting ? ( add examples )
*
Do you have clients ?
*
Yes
No
If yes, since when ?
Who are your competitors ?
*
What are your expectations in working with Orange ?
*
What is your business model ?
*
Have you ever raised funds ?
*
Yes
No
Names of the main shareholders
What is your turnover for the year 2019 ? (sales revenue)
For majority shareholders, name of ultimate owners (who is the legal person / company who directly or indirectly owns, controls or exercises ultimate control over these shareholders)
If you haven't raised funds are you looking to raise funds ?
*
Yes
No
Download your presentation ( 10 MB max)
You wish to share a video with us
Is there any person involved in your company ( Staff, management, shareholder, ... ) that is a current or former Orange Group companies' employee ?
*
Yes
No
Provide name and position if relevant
Is there any person involved in your company who can possibly be in a conflict of interest situation with Orange ?
*
Yes
No
Provide name, position and reason if relevant
How did you hear about Orange Fab France ?
*
Do you accept to receive information related to Orange Fab ?
Yes
No
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