Please enable JavaScript in your browser to complete this form. - Step 1 of 3About the ApplicantCompany Name *Postcode *Company address *Company Website *Phone Number *Contact Name *Contact Email Address *Brief description of product/service offered *100NextFinancial informationLast years turnover (£) *Jurisdictions where it was generated (%)United Kingdom%Asia%Australia%Europe - Non EU%USA%ROW%Europe%Canada%12 month revenue forecast (£)Jurisdictions where it was generated (%)United Kingdom%Asia%Australia%Europe - Non EU%USA%ROW%Europe%Canada%From Inception have you raised GBP 10,000,000 or more in funding for the business?NoYesIs any of your turnover noted above from contracting parties (eg.licensees/distributors/manufacturers) with whom you have a contract?NoYesPreviousNextRisk ManagementDuring the past 5 years have youi. Needed to seek advice or have proceedings ever been commenced, or have a warning letters been isues against you?NoYesIf yesii. Been involved in any legal proceedings or investigations relating to your alleged infingment of a third party intellectual propertyNoYesIf yesiii. Needed to seek advice or have you ever commenced proceedings or have warning letters issued against you?NoYesIf yesiv. Been involved in any legal proceedings or investigation relating to a possible or actual infingment of your intellectual property?NoYesIf yesHave any of your declared Intellectual Property Rights ever been the subject of any revocation, invalidation, re-examination or decleration of non-infingment proceedings?NoYesIf yesAfter full enquiry, are you aware of any cause, event, circumstances (including any prior art or rights in application), which may give rise to a claim being made under this Policy?NoYesIf yesSubmit
