Application Results
From:
Application
Entrepreneur/Personal
Information
Ownership Information
Education Information
Entrepreneur
Information
Business Profile
How did he/she learn about the AIC
Firstname
Lastname
Gender
Date of Birth
Phone Number
Email
Home Address
Nationality
Language
Name of the business
Position (title) in this
business
Date in which this business
start
Number of owners of this
business
Names of owners/founders
Percentage of the business
he/she own
Highest level of education
Field or area of study
Are you currently enrolled
in any degree or
certification program?
Number of years of work
experience before starting
this business
Currently or in the past,
have you owned any other
business aside from the
business that brings you to
the AIC?
Business's address
Phone number for this
business
Does your business have a
business license?
Does your business have a
Tax Identification Number?
Does your business have a
registration certificate?
1
Business Registration
Business Description
Business Information
2
Legal entity or structure for
this business
Business registration date
Business registration
number.
Country which this business
registered
Is this a family business?
Number of physical
locations (branches,
factories, buildings, etc.)
which this business have,
Include the main office or
headquarters.
Number of full-time, formal
employees do you have right
now (including all owners)
Number of full-time, formal
employees are women
(including all owners)
Do you have a business plan
for your business?
Does your business
currently do any marketing?
If yes, please describe your
marketing
approach/strategy.
Does your business have a
website?
If your business has a
website, enter the website
address here.
Have you ever received any
technical assistance,
training, mentoring, or
other business development
services?
Business Development
Services
Product Development
Product Distribution
Sales
Product Information
Product Inputs
Who provided the technical
assistance, training, or
mentoring?
In what year did you receive
technical assistance,
training, or mentoring from
that service provider?
What topics were covered in
the business development
services? Check all that
apply.
If you have received other business development services, please provide
information onthose other services here. If not, leave blank and continue with
the application.
Who provided the technical
assistance, training, or
mentoring?
In what year did you receive
technical assistance,
training, or mentoring from
that service provider?
What topics were covered in
the business development
services? Check all that
apply.
Briefly describe your
business and what you do
How many products does
your business produce?
Please list all of the
products you currently
produce
Who are your targeted
customers? Select all that
apply
What is your sales approach
for generating revenue?
Select all that apply
Do you sell directly to end
users (customers)?
How many sales outlets do
you have?
Who are your competitors?
Please list the names of
your competitor firms.
Do your facilities meet all
required food safety
standards (TFDA)?
Do your products meet all
required food safety
standards (TFDA)?
Which certifications your
business has received? If
none, select "Not
Applicable".
Where do you get your
inputs from? Select all that
apply
3
Business Contracts
Past Financials
4
Do you currently have any
contracts or purchase
orders?
Which of the following do
you currently have contracts
or orders with? Check all
that apply.
What is the total value of
contracts that you have
secured? Please provide the
total amount of all contracts
and orders in Tanzanian
Shillings. Enter "0" if no
contracts secured.
Please enter the start of
your business's fiscal year
Please enter the end of your
business's fiscal year.
Please select your local
currency. This is the
currency you will use when
answering all financial
questions
The following questions relate to your business's finances for the last two
completed fiscal years. If your business did not exist in this period, or if you
had no revenues or profits for any of these years, please enter "0" as
applicable.
Last Fiscal Year:
Please provide your total annual revenue and profits for the last completed
fiscal year (the fiscal year before this current one). Enter "0" if applicable.
Total annual revenue.
Total annual profits. If
profits were negative,
include a "-" sign.
Two Fiscal Years Ago :
Please provide your total annual revenue and profits for two fiscal years ago
(the fiscal year before the one you just reported on). Enter "0" if applicable.
Total annual revenue
Total annual profits. If
profits were negative,
include a "-" sign
Current Financials
Funding
Funding Secured
Fiscal Year to Date (Actuals) :
Please provide information on your current year financials, up to today. If your
business has had no revenues or profits this year, please enter "0" as
applicable.
Total (gross) revenue this
fiscal year, to date. Enter
"0" if no revenue.
Total profits this fiscal year,
to date. If profits were
negative, please include a "" sign.
Next Fiscal Year (Projected):
Please provide your projections for next fiscal year.
Projected total (gross)
revenues. Enter "0" if
applicable.
Projected profits. Enter "0"
if applicable. If profits are
projected to be negative,
please include a "-" sign
How much personal money
have you and any other
business owners invested in
this business? Please enter
in Tanzanian Shillings.
Have you ever applied for
any loans or grants for this
business
Have you ever spoken with
or been approached by any
potential investors in your
business?
Have you already secured
any funding for this
business from external
sources? Only include
funding that does NOT
come from you and any
other business owners.
Where did you receive
funding from?
In what year did you secure
this funding for your
business
How much funding did you
secure from that source, in
Tanzanian Shillings
What was the instrument
used for that funding
Date for grants
If the funding was in the
form of debt (loans), what
was the interest rate?
Was collateral required to
secure the funding
If collateral was required,
what was the value, in
Tanzanian Shillings, of the
collateral you provided
5
Funding Needed
6
Where did you receive
funding from?
What is the name of the
institution or individual who
provided the funding
In what year did you secure
this funding for your
business?
How much funding did you
secure from that source, in
Tanzanian Shillings?
What was the instrument
used for that funding?
Date for grants
If the funding was in the
form of debt (loans), what
was the interest rate?
Was collateral required to
secure the funding?
If collateral was required,
what was the value, in
Tanzanian Shillings, of the
collateral you provided?
If you have secured funding from another source, please complete the
following questions. If not applicable, continue to the next section.
Where did you receive
funding from?
What is the name of the
institution or individual who
provided the funding?
In what year did you secure
this funding for your
business?
How much funding did you
secure from that source, in
Tanzanian Shillings?
What was the instrument
used for that funding?
Date for grants
If the funding was in the
form of debt (loans), what
was the interest rate?
Was collateral required to
secure the funding?
If collateral was required,
what was the value, in
Tanzanian Shillings, of the
collateral you provided?
Are you looking to raise
funding for your business?
How much funding do you
seek to raise, in Tanzanian
Shillings?
What would be the primary
use of any funding secured?
Only select one.
Entrepreneurial Support For each statement, select
how much you agree or
disagree.
Final Comments
Answers
I have professional goals.
I revise my goals
periodically.
If I don't reach a goal in the
way I wanted to, I try again.
I prefer talking about
solutions, not problems.
I think the government
should give me
opportunities.
I have to reach some goals
to feel satisfied.
I am excited about
opportunities that lie ahead
of me in my enterprise.
What areas of support
would you like to receive
from the AIC? Please select
the three primary services
you would like to receive.
Is there anything else you
would like us to know about
you or your business?
Please add any information
you think should be
considered with your
application
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