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Company name
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Company alternate brand name
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Names of the company founders
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Immatriculation Country of the company founders
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In which country do you market your product
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Your company is listed on the stock exchange?
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Yes
No
Do your company have a link with the gouvernement ?
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Yes
No
Company's phone number
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Name of the CEO
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Email of the CEO
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CEO's phone number
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Head office adress
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Location of company registration ( Country )
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Regions ( Mandatory if based in france )
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Year the company was founded
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Legal Status of the company ( Example in French: SARL / SAS ... )
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What are your company's numbers of registration / VAT ? ( N°d'immatriculation et de TVA )
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Team size ( Founders + Full time employees )
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Website
Which category is close to your start-up's activity ?
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Customer Experience
Operational efficiency
Digital Enterprise and collaborative tools
Artificial intelligence
Tech for Good
Social Impact
Diversity and inclusion
Other
If other, please indicate the category
Please describe your product / service ( 1000 characters max )
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How is your solution innovative ?
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What problem does your product / service adress ?
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What is the stage of development of your product / service ?
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Prototype
Concept
Commercialized
Industrialized
What is your customer target ? ( add examples )
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Do you have clients ?
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Yes
No
If yes, since when ?
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Who are your competitors ?
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Why are you interested in working with Orange ?
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What is your business model ?
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Have you ever raised funds ?
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Yes
No
Names of the capital contributors
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What is your total turnover for the year 2019 ? (sales revenue)
If there is a majority shareholder, name of the ultimate owner (who is the legal or natural person who directly or indirectly owns, controls or exercises ultimate control over this shareholder)
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If you haven't raised funds are you looking to raise some ?
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Yes
No
Download your presentation ( 10MO max)
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Video of your start-up or solution
Is any person of your company ( Staff, management, shareholder, ... ) involved in the current operation, an employee or a former employee of the Orange Group companies?
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Yes
No
If yes, please provide name and function
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Is there a person involved in the start-up who can be possibly in a situation of conflict of interest individually or as a member of a group with Orange ?
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Yes
No
If yes, please provide name and function and the reason why
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How did you hear about Orange Fab France ?
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Do you accept to receive information related to Orange news ?
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Yes
No
Do you process personal data of a sensitive nature (medical, political, religious...) ?
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Yes
No
If yes, do you have a DPO (Data Protection Officer) ?
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Yes
No
And if so, on which platform do you store its data (OVH, AWS, Azure...) ?
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