Professional Documents
Culture Documents
2. Read the CCMF Brochure and CCMF Guides & Notes before filling in this Application Form.
3. Please submit 1 softcopy and 3 hardcopies of this form to the following addresses:
1 3 Cyberport Creative Micro Fund Cyberport Management Company Limited Entrepreneurship Centre Unit 518, Level 5, Cyberport 3 (Core F), 100 Cyberport Road , 100 , 3 F ,5 518
4. For enquiries on Cyberport Creative Micro Fund (CCMF), please call (852) 3166 3900 or email to
ecentre@cyberport.hk. (852) 3166 3900 ecentre@cyberport.hk.
APPLICATION FORM
1. APPLICATION STREAM
Please choose one of the streams below: : Professional Stream
Hong Kong Young Entrepreneur Programme
2.3 Are you currently enrolled under a registered post-secondary education institution in
Hong Kong? ?
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2.4 Do you have a Hong Kong Permanent Identity Card or presently have a company
registered as a legal entity and incorporated in Hong Kong or plan to establish one if awarded the CCMF grant? ? ? ?
Yes No
2.5 Is your idea rooted in ICT-related areas? ICT ? 2.6 Have you received more than HK$500,000 in funding from outside sources during the past 18 months? 18 $500,000 ? 2.7 Is this application a re-submission of a previously submitted project to CCMF?
3. PROJECT INFORMATION
3.1 Project
Name: : Overview : English (Within 300 words) ( 300 ) (Eng) () (Chi) ()
3.3 Description :
(Detail description of your project. Vision, value proposition, direction, short and long term objectives, market need for product, target market and marketing strategy.) ()
4. APPLICATION INFORMATION
4.1 Management Team (Vetting Weighting 20%) (Prior track record, execution ability, individual qualifications) (/ / )
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4.2 Revenue Model (Vetting Weighting 20%) (/ ) (Revenue Model, income stream)
4.3 Business Model & Time to Market (Vetting Weighting 30%) (Offerings, strategies, organisational structures, trading practices, operational processes and policies, time to market launch) ( / / / / / )
4.4 Technology Innovation (Vetting Weighting 20%) (Use of innovative technologies, creative solutions, disruptive technology capability, emerging, or breakthrough technologies to solve a problem) ( / / / )
4.5 Social Responsibility (Vetting Weighting 10%) (Project focus on contribution to Open Source, Creative Commons and other progressive technologies with a social focus, exercise ethical decision making, or contribute toward solving a problem originating from the social environment) ( CC / / )
4.7 6-Month Project Milestone : (The Milestone proposed will form as a basis for continuous project review and evaluation if the Grant is awarded) ()
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Details
5. CONTACT DETAILS
Contact Person 1 (Principal Applicant) 1 () Last Name : (Dr. / Mr. / Ms. / Miss) ( / / / )
First Name : Position : Contact No: : Fax : Email Mailing Address: : (Home / Office / Mobile) ( / / )
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First Name : Position : Contact No: : Fax : Email Mailing Address: : (Home / Office / Mobile) ( / / )
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6. DECLARATION
We hereby declare that: :
1.1 We have observed and agreed on the CCMF Guides and Notes to Applicants governing the
application of the Cyberport Creative Micro Fund Scheme;
1.2 All information provided in this application as well as the accompanying information reflects the
status of affairs as at the date of submission. I shall inform the Administration of the Cyberport Creative Micro Fund immediately if there are any subsequent changes to the above information;
1.3 The ideas of the proposed project are original without any constituted or potential act of
infringement of the intellectual property rights of other individuals and/or organisations;
1.4 We give our consent to Cyberport staff to carry out necessary due diligence/reference check for the
purpose of assessing this application. Name of Principal Applicant Organisation with Organisation Chop: : Signature of Principal Applicant: : Name of Principal Applicant: : On behalf of the Principal Applicant Organisation, the Principal Applicants Position Title : : Date (day-month-year): (--):
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