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Application Form

Q1: Contact Information

Company name:

Location Address

Street:
Suburb:
State:
Postcode:

Postal Address

(if different from Location)

Street:
Suburb:
State:
Postcode:

Website

Url:

Contact Details

Contact name:
Contact position:
Contact e-mail:
Contact phone:

Q2: Sector, Origin of Enquiry

Which sector do you identify with?
If 'other' please specify
How did you hear about OneVentures?
If a referral, name the company that referred you
If a referral, name the person who referred you

Q3: About Your Technology/Product/Service

Please provide a one-sentence description of your technology/product/service offering. (30 words or less)

 

Briefly describe your technology/product/service offering. (200 words or less)

  From where did it originate?

Are any formal intellectual property protection mechanisms in place (e.g. Patents)?

Q4: About the Market You Service

What is your target market? (200 words or less)

What is the market size, and what are its historical and projected growth rates? (200 words or less)

What need do you meet in this market? (200 words or less)

How is this need currently being met? (200 words or less)

What evidence do you have of this need (e.g. Primary and secondary market research)? (200 words or less)

Do you currently have any key contracts for your technology, product or service? (200 words or less)

Q5: Competitive Advantage

How do you plan to compete in your market? (200 words or less)

How do you plan to sustain your competitive advantage over time? (200 words or less)

Who are your competitors? (200 words or less)

Q6: Personnel

Headcount (FTEs)

CEO name
CEO qualifications
CEO relevant experience (200 words or less)

CFO/Financial controller name
CFO/Financial controller qualifications
CFO/Financial controller relevant experience (200 words or less)

CTO name
CTO qualifications
CTO relevant experience (200 words or less)

Sales Exec name
Sales Exec qualifications
Sales Exec relevant experience (200 words or less)

Q7: Financials

Revenue financial year most recently concluded (AUD)
EBITDA financial year most recently concluded (AUD)
Forecast revenue next financial year (AUD)
Please provide summary financials: including revenue, cash flows

List your key assumptions e.g. regarding business model, market penetration

Q8: Funding

Who are your current investors and how much funding have you received to date?

Have you received any government grant funding and if so how much?

How much funding are you seeking in this round? (AUD)

What will this funding be used for (be specific)? (200 words or less)

Are you seeking additional funding beyond this round and if so how much?

Q9: Attachments

(It is not necessary to provide attachments but if you do please complete this section so we can keep track.)

Are summary financials attached provided?

Is a business plan provided?

Any other attachments?