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Incubation Application Form
ENTREPRENEUR APPLICATION FORM TO JOIN SMARTXCHANGE
PLEASE COMPLETE THE FOLLOWING INFORMATION AND DELIVER TO SMARTXCHANGE TOGETHER WITH THE REQUIRED ENCLOSURES
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Step
1
of 3
Company Details
Name of Business
*
Legal Status
*
Income Tax Reference Number
*
Vat Registration Number
*
Street Address
*
Postal Address
*
Telephone Number
*
Facsimile Number
*
Start Date of Business
*
Nature of Business
*
Next
SHAREHOLDING DETAILS
Name of Member(s)
*
Identity Number(s)
*
% Ownership
*
Citizenship
*
BANK ACCOUNT DETAILS
Name of Bank
*
Account Number
*
Branch Code
*
Type of account (e.g Current Account)
*
CONTACT PERSON DETAILS
Name of Contact Person
*
Cell Phone Number
*
Email
*
Do you agree to credit checks being undertaken on your company and its shareholders?
*
Select Below
Yes
No
Next
COMPANY OPERATION
Number of Employees at present?
*
Do you intend increasing your staff compliment in the near future?(if so by how many)
*
List your main annuity income clients Company name and approximately annual spend
*
List your major supplier
*
Please provide 3 trade references fro Credit Evaluation(Name of Company, Contact Person and Contact Details)
*
Please be advised the the following must accompany your application
Please be advised the the following must accompany your application
Copy of Income Tax Registration
Tax Clearance Certificate
Copy of company regsitration documents (if applicable)
Copy of Idednty document of all shareholders
A business plan that clearly demonstrates your company's future plans
A Cirriculum Vitae of all the owners and senior management (if applicable)
Latest Signed annial financial statements (if applicable)
latest management accounts (if applicable)
letter of motivation as to why you wish to join smartXchange and how this will benefit your company
File Upload
Click or drag files to this area to upload.
You can upload up to 10 files.
I agree to the following:
To accept the decision regarding my application by the management of SmartXchange as final.
The management of SmartXchange is allowed to conduct credit checks with reference to my application on my company and all its shareholders and directors.
Provide with this application form a copy of the latest signed annual financial statements(if any), latest management accounts (if any) a business plan (3 year projections).
Agree to our Terms & Conditions
*
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