Name:      

Address:      

Person responsible/ Director:       

Website:      

Is your company/ organisation registered? 

If so, since when and where?      

Your comments: 
     

	
When did you commence operations? 
For how long have you been operating your company/ organisation?      

	
Do you already have a business plan or concept?

 yes		 no

If so, please attach the document.

Your comments: 
     

	
Have you already participated in a startup or small business program?

 yes		 no

If so, which one? What were the results? 
     

	
Which steps/ measures have been taken since the foundation? 
What were the results?
     

	
Did you already generate revenues? 

 yes		 no

If so, how much approximately?      

	
What funds are available?      

Your comments: 
     

	
Do you have professional experience in this sector/ in this area?

 yes		 no

ALD rfaanl e 1809

Do you have professional experience in other areas?

 yes		 no

Please, describe your professional experience:
     

	
	
Are you in contact with an SES Representative? 

If so, which SES Representative?                 

Location/ date:                Name in block letters           Signature/ seal