Application 1 COMPANY INFORMATION2 ABOUT YOUR BUSINESS3 LEGAL4 FINALISING YOUR APPLICATION Company Name*Company URL (Website) How would you describe your Company? (Max 100 words)*Which category best describes your company?*BlockchainHealthFintecheCommerceAgricTechHealthAIInsuranceFashionPowerHardwareLogisticsOtherCategory*Whats the official Contact number for your company?*What country is the Company based?*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua & BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamas, TheBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia & HerzegovinaBotswanaBrazilBritish Virgin Is.BruneiBulgariaBurkina FasoBurmaBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African Rep.ChadChileChinaColombiaComorosCongo, Dem. Rep.Congo, Repub. of theCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaGabonGambia, TheGaza StripGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Fed. St.MoldovaMonacoMongoliaMontserratMoroccoMozambiqueNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaN. Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint HelenaSaint Kitts & NevisSaint LuciaSt Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTurks & Caicos IsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin IslandsWallis and FutunaWest BankWestern SaharaYemenZambiaZimbabweState*Abia StateAbuja Federal Capital TerritoryAdamawa StateAkwa Ibom StateAnambra StateBauchi StateBayelsa StateBenue StateBorno StateCross River StateDelta StateEbonyi StateEdo StateEkiti StateEnugu StateGombe StateImo StateJigawa StateKaduna StateKano StateKatsina StateKebbi StateKogi StateKwara StateLagos StateNasarawa StateNiger StateOgun StateOndo StateOsun StateOyo StatePlateau StateRivers StateSokoto StateTaraba StateYobe StateZamfara StateWhat state/Province is the company based?Kindly provide the names and contact details of the founders of the companyFull Name*Email* Phone*Full NameEmail PhoneFull NameEmail PhoneFor each of the founder mentioned above, tell us more about their Educational/Work experiences*How long have the founders known each other?*Less than a year1 - 3 years3 - 5 yearsMore than 5 yearsIf you have a demo, whats the URL? ( for non-software, demo can be a video)Kindly attach your business presentation*Accepted file types: pdf, doc, docx, ppt, pptx.Acceptable file format (pdf, doc, docx, ppt, pptx) Save and Continue Later What problem are you addressing? (Max 200 words)*What is your proposed solution? (Max 200 words)*What is your competitive advantage/ differentiating factor from other players in the same space? (Max 100 words)*What are the current alternatives to your solution? How are people currently solving the same problem? (Max 100 words)*Who are your competitors? (Max 100 words)*Describe your revenue model (How do you intend to make money?) (Max 100 words)*How long have you been operational?*Less than 1 year1 - 3 years3 - 5 yearsMore than 5 yearsWhich of the following best describes your progress?*IdeationPrivate BetaMVPFull LaunchHow many users do you have?*Do you have any revenue?*YesNoHow much revenue? (Revenue should be in USD)*What is your monthly growth rate ( in users or revenue or both) Save and Continue Later Are you already incorporated?*YesNoWhat is your registration Number?*Kindly attach your incorporation document* Drop files here or Accepted file types: pdf, jpg, png. Acceptable file format (png, jpg, pdf)Please describe the breakdown of the equity ownership in percentages among founders, employees and other equity holders*If you have had previous funding, kindly provide the amount raised, the pre-money valuation/Valuation Cap and the type of security sold (Convertible notes, Safes or stocks)If you not already inccorporated, Please list the percent of the company you plan to give to each founder, and anyone else you plan to give stock to.* Save and Continue Later Why did you apply to the Itanna Accelerator Program?*How did you hear about Itanna?*From a friendTwitterFacebookNewsletterOnline AdOtherHow did you hear about Itanna*Tell us about your involvement with similar clubs, or any accelerator and incubators (if any) I would like to receive emails from Itanna and other Itanna related marketing materials? * The founders commit to participating for the entire length of the Accelerator Programme * I have read and agree to the Terms and Conditions NameThis field is for validation purposes and should be left unchanged. 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