Existing Business Registration form
Name
*
First Name
Last Name
Contact Email
*
example@example.com
Contact Number
*
Please enter a valid phone number.
Residential Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Residential London Borough
*
Please Select
Kensington and Chelsea
Westminster
Hammersmith and Fulham
Wandsworth
Brent
Ealing
If your borough is not listed above please enter it below
Business Name
*
Registered Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Which Borough is your business registered in
*
Please Select
Kensington and Chelsea
Westminster
Hammersmith and Fulham
Wandsworth
Legal Status / Business structure
*
Please Select
Limited Company
Sole Trader
Partnership
Community Interest Company
Company Registration Number/UTR Number
*
Type in your Company Number or UTR
Upload proof of your Company Registration Number, LLP or UTR Number
*
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When did you register your business or set up as self-employed?
*
/
Month
/
Day
Year
Date
Business stage
*
Please Select
Registered but not trading
Start-up (Trading for under 2 years)
Trading for over 2 years
What is the status of your business
*
Please Select
Growing
Steady
Surviving
At Risk
Business sector
*
Please Select
Shop/Cafe Lending Store Rentals Others, please specify below
Fashion and accessories
Retail
Store
Rentals
Training, tuition and coaching
Sports and fitness
Hair and beauty
Music and entertainment
Healthcare
Food and drink
Other
If you selected other please specify your Business
Please tell us about your business in as much detail as possible
*
What challenges do you currently face within your business? (Check all that apply)
*
Building a strong online presence for your business
Maximising your website’s search engine ranking (SEO)
Enhancing your online marketing & social media
Utilising ecommerce and online payments
Improving your customer experience
Using digital tools to maximise your business efficiency, save time and money
Making new business connections
Do you have an online presence
*
Yes
No
If yes, enter any relevant URL you currently use to sell online, whether be your website or a selling platform etc Etsy
*
Enter a URL of your social media (E.g. Instagram, Facebook, TikTok)
*
In the next 12 months, I plan to: (Tick all that apply)
In the next 12 months, I plan to: (Tick all that apply)
Hire new employees/ members of staff
Introduce/ launch new service or products
Continue in business/ safeguard current staff positions
Improve my marketing
Number of full-time employees, include yourself
*
Number of part-time employees, include yourself
*
Please explain, in as much detail as possible, the advice you need
*
If you live in the Royal Borough of Kensington & Chelsea, we also require a recent proof of your address (dated in the last six months). We accept electricity / gas bills, a council tax bill, or a bank statement; this is simply to ensure that you are able to benefit from the free appointments available to you as a local resident. Once you have submitted the completed form AND sent us the proof of address, we will get in touch with you to book an initial telephone call – this will be a phone call.
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Have you accessed PBC resources before or a new client? (e.g NKC event, Courses, Webinars, 1-2-1 sessions)
Returning client
New client
In the next 12 months, I plan to: (Tick all that apply)
*
Increase my current turnover
Hire new employees/members of staff
Introduce/ launch new service or products
Continue in business/ safeguard current staff positions
About You
*
Please Select
Male
Female
Other
Prefer not to say
Age group
*
Please Select
16 - 24
25 - 29
30 - 34
35 - 39
40 - 44
45 - 49
50 - 54
55 - 59
60 - 64
65+
Prefer not to say
Ethnicity
*
Please Select
Asian or Asian British
Black, Black British, Caribbean or African
Mixed or multiple ethnic groups
White
Other ethnic groups
Prefer not to say
Any other background
Prefer not to say
Do you have a disability, or a health condition as defined in the Disability Discrimination Act 1995? (Physical or mental impairment with ‘substantial long-term’ negative effect on ability to do normal daily activities).
No
Yes
Prefer not to say
Referred from
Please Select
Social Media
Direct Email
Google, Word of mouth
Job Centre
North Kensington Newsletter
Chamber of Commerce
PBC outreach
Would you like to opt in to our mailing list?
*
Please Select
Yes
No
Submit
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