Name of the Founder(s) *
Name of the CEO
Telephone *
Mobile *
Email *
Briefly describe the stage of your company (i.e., concept, development, prototype, alpha, beta, customers, revenues); one word is OK *
Do you have a Prototype *

Timeline to achieve the above revenue model *
Current revenue if any
Projection of Revenue after funding?
Current monthly burn rate (net cash outflow
Cash in bank
Cash funds invested in company so far -by team members -by outside investors (excluding this round)
Funding amount -at what valuation -what terms
Do you have investors already committed for this round -hard commitments $ amount/investors -soft commitments $ amount/investors
Are you in due diligence with private investors, investor groups or VCs- if possible give specifics

 

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