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A propos de nous
Manuel des innovations
Aperçu
Indicateurs
Carte du Kenya
Carte du Nigeria
Carte de l’Afrique du Sud
Calculateur de prévisions
Accueil
A propos de nous
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Modèle de soumission au concours DIMA’thon
Veuillez remplir le formulaire suivant pour participer au concours d’innovation en santé DIMA. Votre soumission sera examinée par notre panel d’experts, et les innovations sélectionnées seront présentées dans la base de données des innovations DIMA.
Formulaire de soumission
Submission Form
1. Participant Information
Name
*
Email
*
Phone Number
Organization/Institution:
Title/Position:
2. Innovation Overview
Title of Innovation:
Brief Description (Max 250 words):
*
0
sur 250 max mots
Stage of Development: (Idea, Prototype, Pilot, Market-ready)
Target Impact Area:
Maternal Health Access
Maternal Health Services
Data Analysis & Visualization
Stakeholder Engagement
Other
3. Detailed Description
Problem Statement:
Proposed Solution:
Innovative Features:
Impact on Maternal Health Outcomes:
4. Supporting Materials
Links to Videos, Demos, or Websites (optional):
Attach Documents (Business Plans, Research Papers, etc.) (optional):
Drop a file here or click to upload
Choose File
Taille de fichier maximale : 134.22MB
5. Funding and Resources
Current Funding Status:
Funding Requirements:
6. Intellectual Property
IP Status:
Patented
Pending
Trade Secret
None
Not applicable
Additional IP Information (if any):
7. Additional Information
Team Members and Roles:
Partners and Collaborators:
Indemnity and NDA Agreement
By submitting this form, you agree to the following terms:
Indemnity Clause:
You agree to indemnify and hold harmless DIMA Health and its affiliates, partners, and sponsors from any claims, losses, liabilities, damages, expenses, or costs arising from your participation in the competition and the use of your submitted materials.
Non-Disclosure Agreement (NDA):
DIMA Health commits to protecting your confidential information. All submitted materials will be treated as confidential and will not be disclosed to any third party without your consent, except as necessary for the evaluation of your submission and the administration of the competition.
Intellectual Property Rights:
All intellectual property rights associated with your submission remain with you. DIMA Health will not claim ownership over your innovation but will have the right to use your submission for competition-related activities, including promotion and showcase on the DIMA Innovations Database.
For detailed information on
measures to protect participants' intellectual property
, please visit this link:
I agree to the terms and conditions.
Signature and Date:
Signature
signature
keyboard
Clear
Date
Submit
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