Intake form

Help us serve you better

Name *

Email address *

Type of business engaged

Business registration documents (originals only)

Amount of funding requested (in TShs or USD)

Overview of your business plan

Do you have an operational bank account?

Names of all active directors/founders

Concise statement on future vision (5-10 years)

Valuation of the startup (in TShs)

Details of existing assets

Evidence of funds in bank account

What industry does your startup operate in?

Please select at least one option.

Technology

Food and Beverage

Retail

Healthcare

Finance

Education

Transportation

Real Estate

Additional questions or comments

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Bongo Prosperity Partners