2021 Application form: Quantum TX Question Title * 1. Applicant's full name Question Title * 2. Email address Question Title * 3. Mobile number Question Title * 4. Company name Question Title * 5. Company ABN Question Title * 6. Company website address Question Title * 7. What year was the company established? Question Title * 8. Where is the company head office? Question Title * 9. How many staff does the company have residing in Western Australia? Question Title * 10. How many major shareholders does the company have? Question Title * 11. What was the company's annual sales turnover (in $AUD)? Question Title * 12. What problem is your company addressing through this innovation? Question Title * 13. What is the relevance of your business to a large sector? (Give examples of products/services that your business will provide that are relevant to technology that is applicable across multiple sectors) Question Title * 14. What new opportunity or area of development is your company looking for? (Examples could include entry to new markets, export opportunities, growth of business, diversification to new products/services etc) Question Title * 15. Explain how the opportunity to participate in QuantumTX will bring value to your business: Question Title * 16. If any, what potential application or solution does your business bring to the space sector? Question Title * 17. In what sectors does the problem you address and your technology-centric solution have a strong market? Mining Oil & Gas Agriculture Defence Space Other (please specify) Question Title * 18. If selected, how many members of your team can commit to participating in the QuantumTX program? 1 2 3 Question Title * 19. Briefly outline the skills and capability of yourself and other key staff who would participate: Done