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All personal information provided will not be shared with third parties. We require identification as part of our Know Your Client (KYC) and Anti-money Laundering (AML) policy, this is to ensure protection for both founders and investors. Information transferred is sent securely through SSL. We estimate it will take around 20 minutes to complete this form.

Title

First Name

Surname

Personal Address

City

Postal/Zip Code

Country

Date of Birth

Telephone Number

Email Address

Photo ID (passport or Driving License}

Proof of Address (dated within the last 3 months - Personal Utility bill or bank statement)

Registered Business Name

Trading as Name

Company Registration Number

Country Business is Registered

Date Company was Registered

Business Registered Address

City

Postal/Zip Code

Country

Company Formation Certificate

What is your business industry

Please explain in your own words what your business does

What was your business revenue in the last 12 months if you are already generating revenue

Funding Stage

Amount Required to Raise Here

Amount Previously Raised to date prior to this funding round

Amount Raised so far for this funding round

Amount you have invested personally into the company since its inception

Percentage of equity you are giving in return for this funding round

What is the number of shares this percentage represents

What is the share price

What is the exit stratergy for shareholders

When do you assume shareholders can exit by

What is your company valuation

Please explain what the funds raised will be used for

Shareholder agreement - Please provide if you have one

Term sheet - Please provide if you have one

Upload your Pitch deck

Upload your company teaser

Upload your company 3 or 5 year cash forecast

Tell us what your elevator pitch is

If your company has a story, tell us here what it is

Please tell us any additional information you think might be useful

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