INVESTMENT ENQUIRY

CONTACT DETAILS
Name*	Email*
Tel*	Company*

FINANCIAL
Specify the Fund you have an interest for:*
What type of investment do you need?*	How much investment do you need?*
How will the funding be used?*
Do you receive, or have received subsidies in the past?	Yes No
Do you receive, or have received grants from donor or loans at below market interest rates over the past 3 years?	Yes No

LEGAL
What is the legal structure of the entity?* (NGO vs. Corporation)
Does the company meet regulatory requirements, including registration with regulatory body?	Yes No
Who are the company's current shareholders?

GOVERNANCE
Does the company have a Board of Directors?	Yes No
Who sits on the Board?

STAGE SIZE
How long has the company being operating for?*	How many clients does the company have?*
What is the breakdown between savings and credit business by number of clients?
How many branches does the company have?*

COUNTRY
Which country do you operate in?*

*Enter the letters as they appear in the image above: Reload Image