Form cover
Page 1 of 8

Ventures Pass

SECTION 1 — Applicant's Profile

1.1. Full name

1.2. Email

1.3. LinkedIn URL

1.4. Role at the venture

SECTION 2 — Venture's Overview

2.1. Company name

2.2. Company website

2.3. One sentences description of what your venture does

2.4. Country of incorporation

2.5. Countries where you primarily operate

2.6. Venture stage

2.7. Capital raised to date

A
B
C
D
E
F

2.8. In what currency do you operate? This will applied across your OS view

2.9 Approximate total raised in your selected currency

2.9.1. Does your venture have paying customers or signed Letters Of Iintents (LOIs)?

A
B
C

2.10. Has your venture participated or is currently participating in any support program?

SECTION 3 — Field & use cases

3.1. How many distinct use cases or applications are you actively pursuing?