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The Hong Kong University of Science and TechnologyEntrepreneurship CenterApplication Form of HKUST Dream Builder FundsOfficial Use Only:Application ID:_______________Date: ______________________Please read the Application Notes of respective Funds before application. Please choose the appropriate box ?Part A. Application for Funds *? Yeung Wing Yee Entrepreneurs Fund (YWYEF)Applications Notes? HKUST Entrepreneurship Acceleration Fund (EAF)Applications Notes? Alumni Endowment Fund Student Start-up Grants (AEF)Applications Notes*Applicants may apply for more than one of the Funds at the same time. However, an awardee will only be granted for one of the Funds during the same period for the same project.Part B. Personal particularsApplicant (Main contact person) (Must be HKUST full time student)Name: (English)(Chinese)Gender: ?Male ?FemaleStudent Type: ?Local ?Non-localNationality: Student ID: Status: ?UG ?PGSchool: Department:Program: Study year:Contact phone : (Mobile) (Home)Email: (HKUST) (Personal)Part C. Entrepreneurship experienceHave you ever started a business? ? Yes, I have ? No, I haven’tIf you have ever started a business, please briefly describe (less than 300 words):Part D. Startup planBasic InformationName of the startup: (English) (Chinese)*The name must be same as shown on the Business Registration Certificate if applying for the YWYEF Industry (Please select ONE appropriate box): ? Advanced Materials? Advanced Manufacturing & Logistic? Biotechnology & Healthcare? Design, Multimedia & Infotainment? Education? Electronics? Energy & Environmental Technology? Information & Communication Technology? Social Enterprise? Other, please specify: _____________Date of incorporation:Place where the business takes place:Business registered in HK: ? Yes ? No Business Registration No.:(Please attach the copy of the Business Registration Certificate as a proof)Address: *The address must be same as shown on the Business Registration CertificateWebsite (if any):Type of ownership: ? Sole Proprietorship ? Partnership? Limited Company? Not applicableStartup size (No. of team members/ shareholders/ partners in the startup):Your role in the startup:% of share owned by you in the startup:Team members/ Shareholders/ Partners(If applicant applied for YWYEF, the following distribution of shares must be same with the Incorporation Form (Company Limited by Shares) – NNC1 From submitted to Companies Registry. Please attach the copy of the certified Incorporation Form)Full NameRoleShare(%)Email/ ITSCHKUST Student IDMobileHKUSTAffiliation (Current)Choose an item.Choose an item.Choose an item.Source of capital: Description of your startup project (Less than 500 words)Nature of businessFeature of product or serviceBusiness goalsIndustry outlookProduct/ service nichePotential impactBrief Description of your startup project in CHINESE (Less than 300 Chinese words)Description of your business model & Action Plan (Less than 500 words)Target customerMarket positioningMarketing strategies Detail action planDescribe the number of business competitors and market competitionExpected difficulties and risksSolutionsWorking schedule Description of your team and skills (Less than 200 words)Organization structureDescription of your role and your partners in the business (Division of labour)Your team’s relevant experience, expertise and skillsFinanceReason of applying this fundDescription of usage of this fundPlease be reminded to submit the Budget Estimation [Download]Total amount requesting from the Fund: HKDList of Awards that the startup project has received *Please enclose the copy of certificate or any proof for the Award being won or granted. YearName of Competition/ AwardType/ Level of AwardAmount of Funding/ Price Granted (HK$)RemarksAdditional information for selection panel’s consideration (Optional)3-min video clip about your startup and product (Optional) Applicant who would like to present your startup and product in video format, please upload the video to Youtube and share the link with us. Part E. How did you know about the Funds? ? Mass Email ? Poster ? Website ? School/ Department ? Faculty/ Staff ? Friends? Other (Please specify): ___________________Part F. DeclarationUpon completing and signing this Application Form, I/we jointly confirm that I/we:understand and accept all the terms and conditions as set out in the Application Notes of respective Funds;understand that interview maybe required for the selection;certify that all the information provided above is complete and accurate to the best of my/our knowledge. In the event that any information is found to be false or incorrect, I understand that my application will not be considered;understand that if the information provided in support of this application is found to be false or incorrect AFTER the award is bestowed on me, I undertake to forfeit and refund the award amount which has been released to me in full to the University;by submitting the application form, I/we hereby consent to use my/our personal data and business data for promotional purposes in connection with HKUST Entrepreneurship Center, such information can be published on HKUST EC’s printed and electronic materials or posted on HKUST EC’s website. I/we understand that if I/we default on my/our commitment, HKUST EC reserves the right to terminate all support to me/us immediately._________________________Date_________________________Name of Applicant_________________________Signature of ApplicantReminder – Checklist of required documents*Please be reminded to submit this application form along with the following documents by the deadline to complete the application. Thank you.Yeung Wing Yee Entrepreneurs Fund (YWYEF)HKUST Entrepreneurship Acceleration Fund (EAF)Alumni Endowment Fund Student Start-up Grants (AEF)? Budget Estimation? *Business Registration (BR) Certificate? *Certified Incorporation Form (Company Limited by Shares) – NNC1 Form submitted to Companies Registry? Other supporting documents (if any)? Budget Estimation? Other supporting documents (if any)? Budget Estimation? Other supporting documents (if any)*application for YWYEF without BR & Certified NNC1 Form will be considered as ineligible application. Please submit this application form with the required documents to ecfund@ust.hk - ................
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