Funding Screening Form
Please complete this form and tell us more about your business
Email address
What's your full name?
Your answer
What is your company's full name?
Your answer
What is your company's registration number
Your answer
Where does your business operate?
indicate the City, Province, and Country
Your answer
Please give a brief description of your business (max 3 paragraphs / 250 words)
Your answer
How long has the management team worked together in this venture and/or other ventures?
How many years of experience do you / your team have in this industry and/or product?
How many people are in your management and daily operations team?
How much Revenue is your business generating?
Is your business profitable?
What Industry is your business operating in?
Required
What impact does your business have on society?
Required
How much influence does government regulation (above general statutory requirements) have on your business?
e.g. Role in Healthcare / Environmental impact / Science & Technology Support programmes / etc.
Your answer
Please provide any other information you deem relevant to your application?
Your answer
Please complete the captcha before submitting the form.
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