Apply for Funding Kindly fill out the application form with as much information as possible and a member of the team will reach out to you to follow up. Please enable JavaScript in your browser to complete this form.1General Details2Company Overview3Fundraising4Gender Inclusion and Social Impact5Upload DocumentLayoutName of CompanyContact PersonRegistered Office AddressLayoutPhoneEmailNextSave and Resume LaterNumber of years in OperationNumber of FoundersLayoutNumber of Founders (Women)Number of StaffWhat is your primary sector?Agriculture/AgribusinessFinance/FintechHealthcareEducationEnergyMobility and LogisticsWater and SanitationManufacturingConsumer GoodsOthers (please state)Please state otherWhat is your secondary sector?Agriculture/AgribusinessFinance/FintechHealthcareEducationEnergyMobility and LogisticsWater and SanitationManufacturingConsumer GoodsOthers (please state)Please state otherWhat problem is your business solving? How is it doing so?What product/services do you offer?Revenue for the most recent financial year? [State in local currency]What state is the company currently in?Seed and Development (business has been conceptualised, model is still in development)Start Up (Product-market fit has been achieved, team is being put together, revenue is un predictable)Scale Up (Positive unit economics, expanding team and markets)Growth (Predictable revenues, self-sustaining)PreviousNextSave and Resume LaterLayoutHow much capital are you currently having?What portion of this is equity? [Enter amount]What portion of this is debt? [Enter amount]What is the pre-money evaluation for your business?What is the primary use of funds?Purchase of fixed assetsRepayment of loansGuaranteeWorking CapitalTeam ExpansionOtherState otherWhat is the secondary use of funds?Purchase fixed assetsRepayment of loansGuaranteeWorking CapitalTeam ExpansionOtherState otherPreviousNextSave and Resume LaterWhich of the following 2030 Sustainable Development Goals does your business contribute towards achieving?No PovertyZero HungerGood Health and Well-beingQuality EducationGender EqualityClean Water and SanitationAffordable and Clean EnergyDecent Work and Economic GrowthIndustry, Innovation and InfrastructureReducing inequalitySustainable Cities and CommunitiesResponsible Consumption and ProductionClimate ActionLife Below WaterLife on LandPeace, Justice, and Strong InstitutionsPartnerships for the goalsPreviousNextSave and Resume LaterPlease submit your pitch deck Click or drag files to this area to upload. You can upload up to 5 files. SubmitSave and Resume Later6873497726 Your form entry has been saved and a unique link has been created which you can access to resume this form. Enter your email address to receive the link via email. Alternatively, you can copy and save the link below. Please note, this link should not be shared and will expire in 30 days, afterwards your form entry will be deleted. Copy Link Email * Send Link 97726