1. Contact Information
Invalid Format
AF(+93)
AL(+355)
DZ(+213)
AS(+1)
AD(+376)
AO(+244)
AI(+1)
AG(+1)
AR(+54)
AM(+374)
AW(+297)
AC(+247)
AU(+61)
AT(+43)
AZ(+994)
BS(+1)
BH(+973)
BD(+880)
BB(+1)
BY(+375)
BE(+32)
BZ(+501)
BJ(+229)
BM(+1)
BT(+975)
BO(+591)
BA(+387)
BW(+267)
BR(+55)
IO(+246)
VG(+1)
BN(+673)
BG(+359)
BF(+226)
BI(+257)
KH(+855)
CM(+237)
CA(+1)
CV(+238)
BQ(+599)
KY(+1)
CF(+236)
TD(+235)
CL(+56)
CN(+86)
CX(+61)
CC(+61)
CO(+57)
KM(+269)
CD(+243)
CG(+242)
CK(+682)
CR(+506)
CI(+225)
HR(+385)
CU(+53)
CW(+599)
CY(+357)
CZ(+420)
DK(+45)
DJ(+253)
DM(+1)
DO(+1)
EC(+593)
EG(+20)
SV(+503)
GQ(+240)
ER(+291)
EE(+372)
SZ(+268)
ET(+251)
FK(+500)
FO(+298)
FJ(+679)
FI(+358)
FR(+33)
GF(+594)
PF(+689)
GA(+241)
GM(+220)
GE(+995)
DE(+49)
GH(+233)
GI(+350)
GR(+30)
GL(+299)
GD(+1)
GP(+590)
GU(+1)
GT(+502)
GG(+44)
GN(+224)
GW(+245)
GY(+592)
HT(+509)
HN(+504)
HK(+852)
HU(+36)
IS(+354)
IN(+91)
ID(+62)
IR(+98)
IQ(+964)
IE(+353)
IM(+44)
IL(+972)
IT(+39)
JM(+1)
JP(+81)
JE(+44)
JO(+962)
KZ(+7)
KE(+254)
KI(+686)
XK(+383)
KW(+965)
KG(+996)
LA(+856)
LV(+371)
LB(+961)
LS(+266)
LR(+231)
LY(+218)
LI(+423)
LT(+370)
LU(+352)
MO(+853)
MK(+389)
MG(+261)
MW(+265)
MY(+60)
MV(+960)
ML(+223)
MT(+356)
MH(+692)
MQ(+596)
MR(+222)
MU(+230)
YT(+262)
MX(+52)
FM(+691)
MD(+373)
MC(+377)
MN(+976)
ME(+382)
MS(+1)
MA(+212)
MZ(+258)
MM(+95)
NA(+264)
NR(+674)
NP(+977)
NL(+31)
NC(+687)
NZ(+64)
NI(+505)
NE(+227)
NG(+234)
NU(+683)
NF(+672)
KP(+850)
MP(+1)
NO(+47)
OM(+968)
PK(+92)
PW(+680)
PS(+970)
PA(+507)
PG(+675)
PY(+595)
PE(+51)
PH(+63)
PL(+48)
PT(+351)
PR(+1)
QA(+974)
RE(+262)
RO(+40)
RU(+7)
RW(+250)
BL(+590)
SH(+290)
KN(+1)
LC(+1)
MF(+590)
PM(+508)
VC(+1)
WS(+685)
SM(+378)
ST(+239)
SA(+966)
SN(+221)
RS(+381)
SC(+248)
SL(+232)
SG(+65)
SX(+1)
SK(+421)
SI(+386)
SB(+677)
SO(+252)
ZA(+27)
KR(+82)
SS(+211)
ES(+34)
LK(+94)
SD(+249)
SR(+597)
SJ(+47)
SE(+46)
CH(+41)
SY(+963)
TW(+886)
TJ(+992)
TZ(+255)
TH(+66)
TL(+670)
TG(+228)
TK(+690)
TO(+676)
TT(+1)
TA(+290)
TN(+216)
TR(+90)
TM(+993)
TC(+1)
TV(+688)
VI(+1)
UG(+256)
UA(+380)
AE(+971)
GB(+44)
US(+1)
UY(+598)
UZ(+998)
VU(+678)
VA(+39)
VE(+58)
VN(+84)
WF(+681)
EH(+212)
YE(+967)
ZM(+260)
ZW(+263)
AX(+358)
2. Organization Information
Organization Industry/Sector (select as many as apply)*
Advanced Manufacturing
Aerospace
Agriculture
Agtech
Animal Health
Arts, Culture & Entertainment
Brand & Retail
Crypto & Digital! Assets
Deeptech
Education
Energy
Enterprise & Al
Environment
Financial Services
Fintech
Food & Beverage
Healthcare & Wellness
Insurtech
Logistics and supply chain
Maritime
Media & Advertising
Medtech
Mobility
New Materials
Real Estate Tech
Robotics
Safetytech
Security
Semiconductors
Smart Cities
Sportech
Sustainability
Technology
Tourism
Transportation and mobility
Travel & Hospitality
Other
Where is your Organization based?*
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
CĂ´te d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
North Korea
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Republic of North Macedonia
Romania
Russian Federation
Rwanda
RĂ©union
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
What is your job level in the organization?*
C-Level
EVP/SVP
VP
Director
Manager
Associate
Co-Founder
3. Leader Profile
Select the profile that best describes you.* • Co-Founder: If you’re an ambitious entrepreneur and would like to build a startup or join a team of builders.• Advisor: If you are an expert in your field with high career ambitions working for a major corporation and ready to extend your knowledge to a team of builders.• Idea Owner: If you have a unique tech idea and want to build it, but don’t have the time or resources.• Investor: If you are an angel investor and interested in qualitative and quantitative returns.
Advisor
Idea Owner
Investor
What is your Nationality?*
What is your Gender?*
Male
Female
Date of Birth*
In which domain is your expertise, or where would you like to innovate? (select as many as apply)*
Marketing
Finance
Strategy and Managment
Operations
Legal
Compliance and Risk
Public Relations and Communications
Sales
Human Resources
Product Development
Project Management
Data Analytics
Full - time Entrepreneur
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