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Deal Room – Investees Application
Form Test
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Deal Room – Investees Application
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2
Full Name
*
First
Last
Business Name
*
Year of incorporation
*
Email Address
*
Location(s) of Operation
*
List your operational locations
Business Description
*
Describe your business, products, services, business divisions and regions of operation
Business Model
*
How does your business make money?
Business Sector
Business Sector
Climate Action
Energy Access (clean)
Agriculture
Healthcare
Transportation/mobility
Education
Technology
Other (please list)
Other Business Sector
Number of Employees
Full Time
Contract Based
Do you have audited accounts?
Yes
No
Attach Bank Statement
Click or drag a file to this area to upload.
What was your business revenue for 2024 (in dollars)
What was your business revenue for 2023 (in dollars)
Are you actively seeking funding?
Yes
No
How much are you trying to raise?
How much are you trying to raise?
Less than $250k
$250k - $1m
$1m - $3m
$3m - $5m
Above $5m
What type of capital are you trying to raise?
What type of capital are you trying to raise?
Grant
Equity
Mezzanine
Debt
Flexible
Other (please list)
Other type of capital
List other type of capital you are trying to raise
Upload your pitch deck
Click or drag a file to this area to upload.
What Social/Environmental Impact is your company having?
How is your business funded?
Please include the total amount in funding till date.
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How much was raised from the following?
Personal Funds
Family and friends
Other Individual Investors (Angel)
Institutional Equity (VC/PE)
Strategic Company
Banks
Other Institutional Lenders
Crowdfunding: Equity
Crowdfunding: Debts
Competitions: Grants
Competitions: Equity
Competitions: Debts
Other Grants
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