Investing in Innovation Form

Innovator Application

It’s exciting to think that your idea can become a reality, and we want to support as many new ideas as possible, but this is not always economically possible, therefore we select the most innovative ideas with the highest chances of success. If selected you will have a team of experts by your side to realise your goals, and of course, the financial backing needed.

This form is made up of a series of questions which will help us evaluate your application, there is no need to share confidential information at this stage.

Please complete all the fields below to ensure we are able to evaluate your idea to its maximum potential.

Please contact us in case of questions and before making such changes.

Sector *

Target Market Locations: (main) *

Do you have an established Company? (legal entity) *

Yes

1. Innovator Information

1. Company Information

Entity Type *

Foundation/Association

Corporation

Partnership

Other

Title *

Mrs

Other

Surname(s) *

First Name *

Date of Birth *

Country of Birth *

Occupation *

Nationality *

Company Name *

Parent Company / Head Office *

Date of Incorporation *

Country of Incorporation *

Company Register & Number *

Area of Activity *

Street / Number *

Registered Address

Town / Village *

Registered Address

Post Code *

Registered Address

Country *

Registered Address

Is the Mailing Address the same as the Registered Address?

Street / Number *

Mailing Address

Town / Village *

Mailing Address

Post Code *

Mailing Address

Country *

Mailing Address

Telephone *

Email *

Mobile Phone *

Please include the country code.

Website

Contact Name #1

Contact Name #2

Contact Name #3

Contact Name #4

Do you have completed audits? *

Annual Turnover (last audited year) *

Profit and loss statement (last audited year) *

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Do you need to set up a new company? *

Do you need assistance in setting up a new company? *

2. Social Media Presence

Facebook *

Instagram *

Twitter *

LinkedIn *

Youtube *

Telegram *

Pinterest *

Discord *

Vimeo *

Other Social Media/Networks *

Add platform and link as an example. Add each in a separate line.

3. Investment Request Details

Initial Seed Capital *

Already invested/spent or available? *

Needed Investment *

Please explain/breakdown the investment needed

Do you need just one investor or are you open to investment clubs? *

What are you offering investors *

Profit Share

What kind of investor do you need? *

Passive Investor

Active Investor

Any

4. Your Project

How big is the current market for your proposed business idea? *

Is it an emerging market or a mature one? *

Are you in a new or mature category? *

Who are your potential customers? *

Do they really need your proposed product or service? *

What is the competition like? *

Does your idea solve a problem? Please explain. *

What is your price point? *

Is your idea unique? Why is your idea is worth to invest in *

5. Your Team

Please give full details of your team, including founding members, directors, board members, experts etc, including any websites and social media links. *

6. Need Any Additional Assistance?

What expertise do you still need? Depending on the stage of your project, you might need some experts to realise your project, this could include a legal team, financial experts, developers etc, this will allow us to access the resources needed for the stage of your project. *

7. Additional Documentation

Please add here any other comments, information that you believe will support your application and was not submitted in previous sections.

Please upload any additional documentation to support your application.

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8. Declarations & Signature

I agree with the policies as explained in the Policy Center

Signature: *

Phone

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