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1
Basic Info
2
Other Info
Company Name
Business Location:
Start Date
Contact Person
Contact Number
Website
Email
Next
Products/Services
Year of registration: Month/Year
Nature of Business
SoleProprietorship
Partnership
Incorporated
Franchise
Not registered
Sectors [select one or more]
Commercial Agriculture/Agribusiness
Agroprocessing
Green energy and environmental conservation
IT & IT Enabled services
Real estate, Construction and Affordable housing
Manufacturing
Media & Entertainment
Transport and Logistics
General trade(Wholesale/Retail)
Education
Healthcare, WASH and Pharmaceuticals
Business Services
Hospitality, Tourism and Recreation
Years of business
Less than a year
1 – 3 years
4 years plus
Stage of growth is the business?
Business idea: It is still an (brilliant) idea
Start up: The idea has been tested and now it wants to start up the enterprise
Early growth: Company has a proven business model and needs to grow to become a sustainable
Expansion: Company is profitable and needs to scale up to further increase market share
Which particulars does your business have?
Certificate of incorporation/registration
Active business bank account
Tax registration certificate
Supply contracts/purchase orders
Management accounts
Trading license
UNBS certification
Audited financial statements
Business plan
None
Received funding before?
Yes
No
Average Monthly Revenue(Turnover)
What are the two Biggest challenges you are facing concerning your business? (Tick were applicable)
Human resource management
Sales and marketing of my products & services
Access to capital/funds
Access to facilities/space
Business support and strategy advice to succeed on the market
Technical Expertise and skilling to drive our innovation
Leadership and management skills
Business Proposals
Digital Marketing
Product packaging and branding
Legal Agreements and contracts
Other
Expectations: Which form of support would you require? (Select a field/fill in)
Business Modelling and validation
Business Networking Events
Financial Linkages
Mentorship & Training
Access to funding
Marketing of products & Services
IT Services
Legal Advisory
Visibility/Communication
Other
Email
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