Hong Kong University of Science and Technology R and D Corporation Limited
3rd Floor, Annex, The Hong Kong University of Science & Technology, Clear Water Bay, Kowloon, Hong Kong
Telephone No. : (852) 2358-8060      Fax No. : (852) 2358-2751      Email: rdc@ust.hk      Website: https://rdc.ust.hk

APPLICATION FOR ENTREPRENEURSHIP PROGRAM
	
	File No. 	
Name of Company:		
Registration:
(Please provide copy of Certificate of Incorporation and Business Registration Certificate)	Date of Incorporation:
CR Number:
Hong Kong BR Number:	
Type of Company:
(Please ring)	Sole Proprietorship	Partnership	Incorporated	
All HKUST personnel participating in the company:
(Note: Faculty and staff shall observe the policies and guidelines of the University when they plan to get involved in entrepreneurial activities)	Name:
Relationship with HKUST:
Role in the company:
Shareholding in the company:
Contact number:
Email:
(please attach supplementary page if necessary)	
Names and Titles of Principal(s):		
Names of All Employees:		
Technology Focus of Company:		
Planned Products or Services:		
Does the company need 
University-owned intellectual property or technology?
(If so, please specify)
		
Does the company need additional resources, access to facilities or services from the University, beyond the basic package?
(If so, please specify)

*Acknowledgement by Department Head and Dean of School :
(Please provide any comments on a separate sheet)

*For faculty and staff only	Signature:		Signature:		
	Date:	Dept. Head of	Date:	Dean of School	

Authorized Signature:
Name :
Title :
Date:	
Please enclose a brief Business Plan, and submit your application to RDC.	

RDC/EP001/2019