Open Network Lab BioHealth Dementia Innovation ChallengeApplication Form

Deadline for Submission of Applications: December 27, 2021, Monday, 12:00 noon (Japan Time)

The Program is scheduled to start around mid-February 2022.

* Screening of applications may take some time due to the volume of applications and the order in which they are received. Therefore, it may take some time for us to notify applicants of the acceptance or rejection of their applications.
* Please understand that we are unable to respond to any inquiries regarding the screening results.

Notes
  • Please answer each question as briefly as possible.
  • Do not include highly confidential information, such as source code or other technical information that is the core of the business, in the application. Such highly confidential information must not be disclosed throughout the application process, screening and program period unless requested by Eisai Co., Ltd. (including its subsidiaries and affiliates) or Digital Garage, Inc. (including its subsidiaries and affiliates), and agreed between Eisai and/or Digital Garage and the Applicant.
  • The information provided by the Applicant in this form will be provided to both Eisai and Digital Garage.
  • We will not be able to respond to any inquiry regarding the screening process.
  • All cost and expenses related to the application shall be borne by the Applicant.
  • If Applicant is selected for the program, Applicant must assign a member to manage the project.
  • Please note that we will not be able to respond to urgent inquiries (questions and communications about the application) after the application deadline and during the year-end and new-year holidays. We will not be able to respond to your inquiries during the year-end and new-year holiday period. Thank you in advance for your understanding.

* Before applying, please be sure to read the eligibility requirements and conditions for participation in the Onlab BioHealth Program.

*Fields are mandatory


Company/Service Information

Enter N/A if inapplicable

*If you have established a company, be sure to enter the year of establishment (4 digit numbers only)

Select N/A if inapplicable

If your company is registered, be sure to enter this information.

Digits only. If not registered, enter 0.

Enter N/A if inapplicable

Business Information

Explain briefly what type of issue, whose issue and how you are solving. Also, explain to what use cases your business can be applied

Which category of "THEME" you fall into. If there is more than one, please check all.

※You may select more than one.

Please enter a numbered list, such as (1) Company name: Business name (2) Company name: Business name (3) Company name: Business name...

*Please write down the file name as follows. 'your business name_yyyymmdd.pdf'

This section is optional. If you think it is beneficial to help us understand how your Product/Business works, you can include a video URL here for a Product/Business demo (This is not for a pitch, but for demonstration of the product/ business)..

About the Program

Onlab BioHealth Dementia Innovation Challenge is able to provide assistance to startups according to their various needs.

*If you are interested in both, please check both. We will direct you to the appropriate program.

Example 1: We would like to conduct a PoC study with Company A, B, C for implementation. Specifically, we want to do~. Also, we need ~ (Buildings for PoC, cost, data...etc.) to for this project. ※Please specify the company name if you would like to collaborate with a specific company.

You may select more than one.

Enter N/A if inapplicable

About Representative

Please fill in the information of the project manager who will be in charge of this program as the representative.

Enter N/A if inapplicable

-Member 1-
-Member 2-
-Member 3-

Other

For Applications from within the EU (Regarding the GDPR)

Please make sure to check the contents of this page if your application is from within the EU.

We are obligated to comply with the GDPR (European General Data Protection Regulation) with respect to personal data provided by individuals located in within the European Union, regardless of nationality or place of residence. If you declare that you are from within the European Union, we will collect, use, and manage your personal information in accordance with the GDPR.

You will only be asked to provide personal data that is necessary for program selection. Please be aware that if the personal data you provide is not accurate, we may not be able to comply with the GDPR.

Entity responsible for processing personal data and contact information:

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Digital Garage, Inc.
Address: Digital Gate Building, 3-5-7 Ebisu-Minami, Shibuya-ku, Tokyo
Telephone number: 03-6367-1111 (representative)
Email: privacy@garage.co.jp

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Please check the above and if you are applying from within the EU, please select "Yes" below to apply.

※If a participant other than the applicant's representative is located in the EU, please select "Yes" below and be sure to inform the relevant participant of the above information.


Regarding Handling of Personal Information

Any personal information provided by the Applicant in connection with the Application (“Personal Information”) shall be obtained by Digital Garage and provided to Eisai, other mentors, and cooperating members, respectively.

The following are the Personal Information to be obtained by Digital Garage from the Applicants, and all the following Personal Information shall be provided by Digital Garage to Eisai, other mentors, and cooperating members:

  • Name
  • Age
  • E-mail address
  • Mobile phone number
  • Affiliation
  • Facebook/LinkedIn URL

  • The purposes of use of the Personal Information obtained by Digital Garage shall be as follows:

  • Screening and communication related to the screening process;
  • Office/seminar/mentoring arrangements for the Program operations;
  • Sending e-mail newsletters to those who are interested; and
  • To support and provide other necessary services, and communications for business alliances.

  • The purposes of use of the Personal Information obtained by Eisai from Digital Garage shall be as follows:

  • Communications for the operation of the Program, support for startups, and business alliances; and
  • Seminar/mentoring arrangements for the Program operations

  • Other purposes of use of the Personal Information provided by Digital Garage to mentors and cooperating members shall be as follows:

  • Communications for sharing or consultation about the business, introducing others, and providing other necessary services regarding how to proceed with the collaboration.

  • *For further details, please read B.6 and B.7 of “Handling of Personal Information”.

    Digital Garage will not provide Applicant’s Personal Information to any third parties other than those listed in this “Handling of Personal Information” section without the prior approval of the Applicant.

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