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Business Name
*
Business address (as registered on Companies House)
*
Registered Company Number
*
Email
*
Phone
How did you hear about the Venture Forward Programme?
*
Please select an option...
Direct (Social Media/Email)
In person (Event etc.)
Lifted Ventures
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Enterprise City
HOST
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AccelerateMe
DISH
Start up Lending
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A2F
Masood enterprises
Other
Other - How did you hear about us?
Business Sector
*
Please select an option...
Advanced Manufacturing
Life Sciences
Net Zero
Tech & Digital
Other
Specific Advanced Manufacturing Industry
Please select an option...
Advanced Materials
Energy
Graphene
Manufacturing
Semi-Conductor
Other Advanced Manufacturing
Specific Life Sciences Industry
Please select an option...
BioTech
Health & Fitness
Wellness
Other Life Sciences
Specific Net Zero Industry
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
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
Please specify your sector
Total Investment Round (£GBP)
*
Pre-Money Valuation (£GBP)
Do you have any investment committed?
*
Yes
No
Amount Committed (£GBP)
From which Investors? Please list all investors by firm or individual name
Tax Relief Available for this Investment Round
*
Please select an option...
SEIS
EIS
Both SEIS & EIS
None
On what basis do you consider yourself to be an underrepresented founder?
*
(Please select an answer that is most applicable to you)
Please select an option...
Gender
Ethnicity/Race
Religion
Socio-Economic Factors
Education
Disability
Neurodivergent
Geographical Location
Number of Founders e.g. 3
What stage is the product/service at?
*
Please select an option...
Idea
Early research
Prototype
MVP
Early adopters
Mass market ready
What Stage is the Business?
*
Please select an option...
Pre-seed
Seed
Late-seed
Series A
Series B
Series C
Has the business received private investment prior to this raise?
*
Yes
No
How much has been raised in the last round? (£GBP)
When did that round close?
What was the post-money valuation of that round? (£GBP)
Please specify the names of the investors in that round
Has the business received grant funding?
*
Yes
No
How much Grant Funding? (£GBP)
Please specify the source of the grant
Is the Current Round matched by Grant Funding?
*
Yes
No
How Much? (£GBP)
Please specify the source of the grant
Please upload an investor deck (10 slides MAX).
*
File extensions allowed: .PDF ONLY.
Do not exceed 10mb
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