Questionnaire

Please fill in to the best of your ability, so we can begin compiling your business plan

Full Name

Phone

Company Name

Total Capital Requirement

Company Registration Number

Your investment:

Stock

Equipment

Property/Building

Fixtures and Furniture

Vehicles

Working Capital

Other

Is your company a:

Start-up

Expansion

Buying an existing business

If you are purchasing an existing business, why is it being sold?

Shareholder/s Information

Shareholder 1 Name

Shareholder 1 ID Number

Shareholder 2 Name

Shareholder 2 ID Number

Shareholder 3 Name

Shareholder 3 ID Number

Explain your products or services you want to offer:

What is/will be your businesses location/address? If you don’t have an address, what area do you want to operate in?

Is/will the building be

Leased

Owned

Please provide a simple price list for your products/services:

Product/Service Offered

Selling Price

Cost Price

Do you need any permits or licences?

Please fill in the table below with your different employee types, number of employees and their monthly salary:

Average MONTHYLY salary or wage

Number of Employees

Employee Types

Who are your customers?

What are/will be your MONTHLY expenses:

Accounting/Auditors Fees

Bank Charges

Cleaning Expenses

Insurance

Oil & Fuel

Electricity & Water

Marketing

Repairs & Maintenance

Printing, Stationery & Postage

Security

Travelling

Internet

Rental (Property)

Telephone, Cell & Fax

Website Hosting

Licenses

Any additional information about your company we should know?

Thanks for submitting!