XceleRise Program Form

Company Overview

Entrepreneur Overview

Financial Data

Business Plan

*Please note that all information provided in this form will be confidential

Company Name* Year of Establishment*

Country*

City*

Company Address* Tax Registration Number* Primary Business Sector* Attach Commercial Registry & tax cards *

Max file size is 10M

Business Description* Current Number Of Employees (2023)*

% of female employees*

Number of full-time employees*

Number of part-time employees*

Website Link* Main Products/Services* Licenses/Awards (If any)

Please list the Awards and Distinctions that your company has received, mentioning the organizer, the calendar year, the category and type of award in less than 3,500 characters. Please indicate if you have not received any Awards or Distinctions.

Attach company deck here*

Max file size is 10M

Entrepreneur

First Name* Last Name* Date of Birth* Email* Phone number* Job Title*

Highest Education Level Attained University Name* Do you own shares in the company?YesNo Entrepreneur Bio* Number of prior ventures* Linkedin Profile*

Annualized Revenues 2023 (EGP)* Actual Revenues 2022 (EGP)* Actual Revenues 2021 (EGP)* Actual Revenues 2020 (EGP)*

CAGR* Have you received external financing (e.g. private equity funds, family offices, strategic investors VC)?YesNo

How much was the investment ($)

Investor Name

What is your strategy for the next 3-5 years?* What are the challenges you are currently facing with expansion?* What are the main takeaways that you expect from the program?*

In which of the following areas are you facing the most challenges?*

Participation in the Program

Please describe the reasons, for which you would like to participate in the program*

Once selected, companies are expected to pay a commitment fee of $1000 paid in Egyptian Pounds

XceleRise Program Form

*Please note that all information provided in this form will be confidential

Entrepreneur

Participation in the Program

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