Application Form

Apply for the Imuka Accelerator Program

Personal Details

First Name*

Surname*

Email Address*

Phone Number*

Country*

Gender*

Company Details

Company Name*

Your Role*

Business Start Date*

Industry Sectors (select multiple)*

Products/Services (comma separated)*

Financials & Documents

Received funding before?*

Avg. Monthly Turnover (UGX)*

Available Documents (select multiple)*

Which form of support would you like*

Personal Details

First Name*

Surname*

Email Address*

Phone Number*

Country*

Gender*

Investment Details

Sectors of Interest (select multiple)*