Together against the Covid-19 pandemic

Application form

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Application Form - COVID19

If you are human, leave this field blank.

Account information

Name *

First name

Last *

Last name

Organization *

Job title / Position *

Business email *

Company website *

Country *

Business Phone *

Company profile *

Description of your company activity *

What is your company’s activity and solutions?

Describe the strength of your team *

Application details

Problem solved *

What is your customers’ pain?

Product description *

Technology Readiness / Maturity level - Hardware *

Select the development status in line with your hardware solution maturity level.

Technology Readiness / Maturity level - Software *

Idea / Alpha version

Customer validation (beta / pre-release version)

Licensing / Annual revenues generated (release version)

Not applicable

Select the development status in line with your software solution maturity level.

If you have a partner code, please enter it here

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#UnitedAgainstCovid19 Call

A call for solutions #UnitedAgainstCovid19 is open with no limitations.
All solutions will be evaluated by EuroScan international networks members and cooperation partners from Health Authorities and experts to disseminate and facilitate their use. As soon as your solution is assessed, it will be visible and introduced to relevant players in the fight against Covid-19.

Learn more about this actions

For more information:

Ermira VODO
BLUMORPHO
Lean & Open Innovation Project Manager
vodo@blumorpho.com