Funding Application Form

1

What is your name?* This field is required.

2

What is your preferred email address?* This field is required.

3

What is the name of your startup/project?* This field is required.

4

Please provide a working link to your startup/project's website* This field is required.

5

In what country is your startup based?* This field is required.

6

What sector does your company operate in?* This field is required.

7

Elevator Pitch (max. 100 char.)* This field is required.

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0/100

8

What does your company do?* This field is required.Please describe your product and what it does in few sentences

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9

Please provide a working link to your pitch deck if you have one* This field is required.Ensure permissions are not required

10

Product demo linkA video or screen recording will suffice. Kindly ensure permissions are not required to access the link.

11

Do you have a working product?* This field is required.

YESNO

12

Which of these best describe the monthly revenue stage of your company?* This field is required.

pre-revenue

monthly revenue is <$100

monthly revenue is <$1000

monthly revenue is <$5000

monthly revenue is >$5000

13

Traction & Customer Acquisition* This field is required.When did you launch? How did you acquire your first customers/How do you currently acquire customers? If you don’t have metrics yet, describe your progress & achievements in terms of clients, sales pipeline, signed deals etc, using numbers and percentages where possible.

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14

Market* This field is required.Quantify this in dollars i.e. $XXBn, if you can add sources that would be great. If you are solving an AFRICAN problem use an AFRICAN market size, not global.

15

Who is your competition? What are substitutes people use because your product doesn't yet exist? What is your competitive advantage over these market players?* This field is required.Why are you the best team to solve this problem?

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16

How do you make or intend to make money? How much could you make? What is your business model?* This field is required.

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17

Founder Information* This field is required.For each founder, please provide their LinkedIn profile, gender (male, female, other) time commitment (full-time, part-time or contract), equity in the company (ideally not <10%), role (CEO, CTO, CFO etc) and email address

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18

What is your "why"?What is the motivation and story behind building the product and starting this company?

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19

Which of these best describe the previous financing of your company?* This field is required.

Bootstrapped

Raised from friends and family

Raised from angels

Raised from accelerators

Raised from institutional investors/VCs

20

Have you previously applied to BaseNG?* This field is required.

YESNO

21

What encouraged you to apply to BaseNG?

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22

How did you hear about BaseNG?