INVESTOR PROGRAMME APPLICATION
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Fund Name
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What country is your fund headquartered?
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- Please Select -
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua & Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Caribbean Netherlands
Cayman Islands
Central African Republic
Chad
Chagos Islands
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Democratic Republic of the Congo
Republic of the Congo
Cook Islands
Costa Rica
Cote d'Ivoire (Ivory Coast)
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
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Ethiopia
Falkland Islands
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Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Honduras
Hong Kong Special Administrative Region
Hungary
Iceland
India
Indonesia
Iran
Iraq
Republic of Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
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Korea, Democratic People's Republic of
Republic of Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
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Malaysia
Maldives
Mali
Malta
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Martinique
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Mauritius
Mayotte
Mexico
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Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts & Nevis
Saint Lucia
Saint Martin (France)
Saint Martin (Netherlands)
Saint Pierre & Miquelon
Saint Vincent and Grenadines
Samoa
San Marino
Sao Tome and Príncipe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syria
Taiwan Province, People’s Republic of China
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad & Tobago
Tunisia
Türkiye
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis & Futuna
Yemen
Zambia
Zimbabwe
Fund Type
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- Please select -
Venture Capital
Accelerator
Incubator
Corporate
Bank
Family Office
University Institution
Private Equity
Sovereign Wealth Fund
Hedge Fund
Asset Management
Lender / Debt Provider
Fund of Funds
Other
If you selected other, please clarify your fund type:
Fund Website (If you are an Angel Investor, please specify your LinkedIn Profile)
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Have you ever invested before?
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Yes
No
If you have, name your top 3 investments. If you haven't, put in NA
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First Name
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Last Name
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Email Address
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Country Code
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- Please Select -
1
7
20
27
30
31
32
33
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36
39
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41
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44
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51
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81
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98
211
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216
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420
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423
500
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670
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685
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692
850
852
853
855
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880
886
960
961
962
963
964
965
966
967
968
970
971
972
973
975
976
977
992
993
994
995
996
998
1-242
1-246
1-264
1-268
1-284
1-340
1-345
1-441
1-473
1-649
1-664
1-670
1-671
1-684
1-721
1-758
1-767
1-784
1-787
1-809
1-829
1-849
1-868
1-869
1-876
1-939
44-1481
44-1534
44-1624
972
974
Mobile Phone
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Job Title
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Nationality
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- Please Select -
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua & Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Caribbean Netherlands
Cayman Islands
Central African Republic
Chad
Chagos Islands
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo, Democratic Republic Of The
Congo, Republic of the
Cook Islands
Costa Rica
Cote d'Ivoire (Ivory Coast)
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Honduras
Hong Kong Special Administrative Region
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland, Republic of
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Republic Of
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau Special Administrative Zone
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts & Nevis
Saint Lucia
Saint Martin (France)
Saint Martin (Netherlands)
Saint Pierre & Miquelon
Saint Vincent and Grenadines
Samoa
San Marino
Sao Tome and Príncipe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syria
Taiwan Province, People’s Republic of China
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad & Tobago
Tunisia
Türkiye
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis & Futuna
Yemen
Zambia
Zimbabwe
Country Code
- Please Select -
1
7
20
27
30
31
32
33
34
36
39
40
41
43
44
45
46
47
48
49
51
52
53
54
55
56
57
58
60
61
62
63
64
65
66
81
82
84
86
90
91
92
93
94
95
98
211
212
213
216
218
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
248
249
250
251
252
253
254
255
256
257
258
260
261
262
263
264
265
266
267
268
269
290
291
297
298
299
334
350
351
352
353
354
355
356
357
358
359
370
371
372
373
374
375
376
377
378
379
380
381
382
383
385
386
387
389
420
421
423
500
501
502
503
504
505
506
507
508
509
590
591
592
593
594
595
596
597
598
599
670
672
673
674
675
676
677
678
679
680
681
682
683
685
686
687
688
689
690
691
692
850
852
853
855
856
880
886
960
961
962
963
964
965
966
967
968
970
971
972
973
975
976
977
992
993
994
995
996
998
1-242
1-246
1-264
1-268
1-284
1-340
1-345
1-441
1-473
1-649
1-664
1-670
1-671
1-684
1-721
1-758
1-767
1-784
1-787
1-809
1-829
1-849
1-868
1-869
1-876
1-939
44-1481
44-1534
44-1624
972
974
Business Phone
What stage of startups are you investing in? If you are an LP, put in NA
*
Idea Stage/Bootstrapping
Pre-Seed
Seed/Early
Series A
Series B
Series C
Series E+
IPO
NA
What is your fund’s average ticket size?
*
- Please Select -
Less than 10k$
Between 10-50k$
Between 50-100k$
Between 100-500k$
Between 500-1Mil$
1Mil-5Mil$
5Mil$ and above
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