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Full Name
Email Address
Contact number
Company Name
Company Registration Number
Year Founded
Industry/Sector
Select the industry/sector
Option 1
Option 2
Company Website URL
Company LinkedIn URL
Country of Incorporation
When is your financial year end?
Please provide a brief overview of the company
Why did you start the business?
In which countries are you currently operating?
Locations
Where is your head office based?
Number of Employes
Key Management Team
Full Name
Position
How do you generate revenue?
What problem are you solving?
What is your value proposition?
Who is your target market?
What market trends are you aligning to?
What is the potential size of the market opportunity?
Please provide an overview of your competitive advantage.
Are you winning in your chosen markets?
Yes
No
If no, What are the main reasons for your lack of success in the market?
Do you have any key partners?
Current Traction
What have you achieved so far?
Current MRR? ($USD)
What is your current run rate MRR?
Current Average Monthly Burn Rate ($USD)
What is your total revenue over the Last Twelve Months?
What was your annual revenue for the previous financial year?
What was your annual revenue for the year before the previous financial year?
What is the estimated revenue for the current financial year that you are in?
Current financial year EBITDA forecast ($USD)
Total amount raised to date ($USD)
If you are converting to USD, what is the currency that you are converting from? What is the exchange rate that you used?
What is the total amount of funding that you have raised to date? Please include all financial instruments i.e. SAFE's, Convertables, etc.
What is the total amount of debt currently on your balance sheet?
What percentage of equity do the founders currently have in the business?
Do you currently have any institutional investors? If so, what is their current equity %?
Do you have any investors that are not currently on your cap table? (SAFE's, Convertables etc.)
Have you considered a path to exit for the business? If so, who would be potential exit targets and why?
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