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Business Name
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Email
*
Phone
How did you hear about us?
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Please select an option...
Direct (Social Media/Email)
In person (Event etc.)
Lifted Ventures
NatWest
Innovation Factory - UoM
Enterprise City
HOST
Brewin Dolphin
AccelerateMe
DISH
Start up Lending
BruntWood
A2F
Masood enterprises
Other
Other - How did you hear about us?
Business Location
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Manchester
Bolton
Bury
Oldham
Rochdale
Salford
Stockport
Tameside
Trafford
Wigan
Lancashire
Merseyside
Cheshire
Cumbria
Other
Other - Location
Business Sector
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Advanced Manufacturing
Life Sciences
Net Zero
Tech & Digital
Other
Specific Advanced Manufacturing Industry
*
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Advanced Materials
Energy
Graphene
Manufacturing
Semi-Conductor
Other Advanced Manufacturing
Specific Life Sciences Industry
*
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BioTech
Health & Fitness
Wellness
Other Life Sciences
Specific Net Zero Industry
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Please select an option...
AgTech
AR/VR/AI
Blockchain
Carbon Reduction
Circular Economy
Energy
FinTech
Food & Drink
Graphene
Hardware
Semi-Conductor
Tech Platform
Other Net Zero
Specific Tech & Digital Industry
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Please select an option...
AgTech
AR/VR/AI
Blockchain
Cyber Security
E-Commerce
EdTech
FinTech
Gaming
Hardware
LawTech
Net Zero
PropTech
Telecoms
Tech Platform
Other Tech & Digital
Other Industry
*
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Creative
Investment
Food & Drink
Marketing
Recruitment
Retail
Social Media
Professional Services
Other
Total Investment Round e.g. 500,000
*
Post Money Valuation e.g. 1,000,000
Do you have any investment committed?
*
Yes
No
Amount Committed e.g. 100,000
From which Investors? e.g. Hatch, Angel 1
Tax Relief Available for this Investment Round
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SEIS
EIS
None
Founder Gender
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Male
Female
Mixed Founder Team
Non-binary
Prefer not to say
Ethnicity
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Asian / Asian British / Other Asian
Black / African / Caribbean / Black British
Mixed / Multiple Ethnic Group
White
Other Ethnic Group
Prefer Not to Say
Number of Founders e.g. 3
Do you have Advisors?
*
Yes
No
Are you Using any Advanced Technology?
*
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Advanced Computing
Advanced Materials
AI / ML
AR / VR
Data Analysis
Diagnostics
Genomics
Other
No
What stage is the product/service at?
*
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Idea
Early research
Prototype
MVP
Early adopters
Mass market ready
What Stage is the Business?
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Pre-seed
Seed
Late-seed
Series A
Series B
Series C
Has the business previously claimed an R&D tax credit?
*
Yes
No
Has the business received grant funding?
*
Yes
No
How much Grant Funding? Please enter value e.g. 100,000
Is the Current Round matched by Grant Funding?
*
Yes
No
What is the value of the Matched Grant? Please use a number e.g. 100,000
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