Funding Application Form -

Business Overview

Company Name*

Year Established (YYYY)*

Country of Registration*

City / Location*

Number of Employees

Legal Structure

Business Description*

Primary Contact

Contact Name*

Title*

Contact Email*

Contact Phone*

Ownership & Governance

Ownership Breakdown*

Do you have a formal Board or advisory board?

Yes No

Key Board Members / Advisors

Management Team Experience*

Financial Snapshot & Market Fit

Annual Revenue (Last Year, USD)*

Net Profit/Loss (Last Year, USD)

Total Assets (USD)

Total Equity (USD)

Total Debt (USD)

Industry Sector*

Geographic Market(s)*

Market Traction*

Competition & Differentiation*

Use of Funds & Impact

Exit Potential & Supporting Documents

Preferred Exit Strategy*

Expected Exit Timeline (Years)

Business Registration Certificate (PDF, DOC, DOCX, max 5MB)

Financial Statements (PDF, DOC, DOCX, max 5MB)

Business Plan/Feasibility Studies (PDF, DOC, DOCX, max 5MB)

Shareholder/Ownership Documents (PDF, DOC, DOCX, max 5MB)

Optional Documents (PDF, DOC, DOCX, max 5MB)

Declaration & Consent

I, the undersigned, hereby declare that the information provided in this application is true and correct to the best of my knowledge. I understand that this application is for preliminary assessment only and does not constitute a commitment by Astute Business Consulting or its funding partners. I further consent to Astute Business Consulting (or its designees) contacting me and conducting any necessary due diligence or verification of the provided information.

I agree to the above declaration and consent.*

Name (Authorized Representative)*

Title / Position*

Company Name*

Signature (Type Your Name)*

Date*