Innovation Office Form

Contact
Company Details
Services
Final

Contact

First Name

Last Name

Email Address

Phone Number

Company Profile

Company Name

Date of incorporation

Registration Number

Company Head Office And Address

Phone number

Company website

Is your business currently registered / licensed / supervised by any other regulatory Authority in Zimbabwe?

Yes No

Company size / scale (for existing operations)

Annual turnover (USD equivalent)

Annual Income (USD equivalent)

Total staff complement and breakdown

Founders / Key Management Details

Shareholder details

Services

Name

Nature

Type of customers / investors you are targeting

How is your service, product plan or solution innovative

Explain associated benefits to the market / investors (e.g efficiency, risk management etc)

Explain any potential risks to the market / investors and proposed mitigants

Describe the technology and/or methodology that you are planning to use in offering your product, solution or service to the market.

Where does the IT infrastructure reside

How are you planning to deploy the product, service or solution to the market

Attach your Business Plan (pdf only)

Choose a file

Max. size: 512.0 MB

Final

Are you in / planning to collaborate with any existing financial institution

Yes No

Provide details of the nature and arrangement of the collaboration (e.g. outsourcing of service, equity stake participation, joint venture etc.)

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