BizAP

Personal Information

CID *

Mr / Mrs / Ms *

Name *

Date of Birth *

Mobile No *

EMail*

Current Address

Primary Source of Income

Employment

Private Business

Others

Please Specify if Others

Name of Business

Business Location *

Business Type*

Description of business (maximum of 250 words)

Select the sector that your business currently operating

Agriculture and Forestry

Construction and Real Estate

Consumer packaged goods

Dairy and / or cooperatives

Education

Environmental Services

Financial Services

Food and culinary

Health

Information Technology

Paper / Packaging

Transportation

Textiles

Tourism

Waste Management and Sanitation

Others

Please Specify if Others

Explain the specific problem or opportunity your business was created to address (Maximum of 250 words)

What stage is your business activity / service in?

Research

Proven Concept

Initial prototype / early market testing

Advanced prototype / Obtained market testing results

Testing and certification completed for commercial use

Being sold in the market

What is the status of your business? (You can select more than One)

Already in the market (obtained business license)

Expect to commercially launch in the next 6 months

Expect to commercially launch in 7-12 Months

Expect to commercially launch more than 12 months

Not Yet Decided

Additional Information about your business

What is your revenue for the last three months (in Ngulturm)?

Who is your current customer target segment?

Number of current customers

When did you start your company (specify date)?

How much money have you already invested in your business so far?

How did you raise finance for your business?

How many employees have you hired?

Who is on your team? (You can select more than one)

Accountant

Marketing and sales expert

Technical Expert

Others

Please Specify if Others

What is the biggest challenge you are currently facing to the successful commercialization of your business? (Maximum of 150 words)

What specific resources do you require in order to expand / grow your business? (Maximum 150 words)

Is there anything else you would like us to know about your business opportunity? (Maximum 150 words)

Declaration

By submitting this application, I affirm that the information provided are true and complete to the best of my knowledge. Any false statements, omission of any fact and misrepresentation in my resume, application or any other material, may result in my immediate dismissal from the DHI funding Process.
I hereby authorize DHI to verify the above information.

Attach the following

Passport size Photo*

CV*

CID*

Business License*

CIB Report*

Security clearance*

Professional Recommendation*

Business Proposal* Use This Business Proposal Template

Tax Clearance*

Application for DHI Business Acceleration Fund