Africa Rising Youth Innovation & Impact Application
Welcome to the Africa Rising Youth Innovation & Impact Application. Please complete the form with your personal, project, and supporting details.
Applicant Information
Full Name
*
First Name
Middle Name
Last Name
Organization / Company Name
*
Position / Title
Country
*
City
*
Nationality
Date of Birth
-
Month
-
Day
Year
Date
Gender
Female
Male
Non-binary
Prefer not to say
Other
Email Address
*
example@example.com
Mobile Number (WhatsApp)
*
Please enter a valid phone number.
Format: (000) 000-0000.
Website (if applicable)
LinkedIn Profile
Facebook Page
Instagram Page / X (Twitter) Account
Project / Business Profile
Project / Business Name
*
Year Established
*
Country of Operation
*
Please Select
Afghanistan
Albania
Algeria
Andorra
Angola
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belgium
Benin
Botswana
Brazil
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Chad
Chile
China
Colombia
Comoros
Congo (DRC)
Congo (Republic)
Côte d’Ivoire
Djibouti
Egypt
Ethiopia
France
Gabon
Gambia
Germany
Ghana
Greece
Guinea
India
Indonesia
Italy
Japan
Kenya
Lesotho
Liberia
Madagascar
Malawi
Mali
Mauritius
Morocco
Mozambique
Namibia
Netherlands
Niger
Nigeria
Pakistan
Rwanda
Senegal
Sierra Leone
South Africa
South Sudan
Spain
Sudan
Tanzania
Togo
Tunisia
Uganda
United Kingdom
United States
Zambia
Zimbabwe
Other
Industry Sector
*
Business Registration Number (if applicable)
Organization Type
*
Please Select
Startup
Small Business
NGO
Social Enterprise
Cooperative
Educational Institution
Individual Project
Brief Description of Project/Business
*
Impact & Results
Number of people impacted
*
Number of jobs created
*
Communities reached
*
Countries served
*
Revenue generated
Partnerships established
Key achievements
*
Future growth plans
*
Supporting Documents
Upload Business Profile
*
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Upload Registration Certificate
*
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Upload Company Profile
*
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Upload Project Proposal
*
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Upload Pitch Deck
*
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Upload Financial Summary
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Upload Impact Report
*
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Upload Awards & Certificates
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Upload Recommendation Letter
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Upload Supporting Photos
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Upload Promotional Video
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Media & Public Presence
Media Coverage Link
Website Link
News Article Link
Video Link
YouTube Link
Social Media Page
Declaration
Declaration Acknowledgement
*
I certify that all information provided is true and accurate
I understand that the organizers may verify the submitted information
I authorize Africa Rising Expo 2027 and Consult Africa Investment Network (CAIN) to use submitted information for evaluation, promotion, and competition purposes
Applicant Name
*
First Name
Middle Name
Last Name
Signature
*
Date
*
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Month
-
Day
Year
Date
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