BUSINESS NAME* Please complete your company name
COMPANY REGISTRATION NUMBER Please provide CAC registration number if available/span>
IS YOUR COMPANY LISTED ON THE NIGERIAN STOCK EXCHANGE? YesNo
NUMBER OF STAFF
WEBSITE Please complete your company name
DO YOU HAVE A BUSINESS PITCH? YesNo
BUSINESS ADDRESS*
Please complete your personal details
PERSONAL DETAILS
Title* Mr.Ms.Mrs.Dr.
First Name*
Last Name*
POSITION IN ORGANISATION*
PHONE NUMBER*
EMAIL ADDRESS*
PREFERRED CONTACT METHOD PhoneEmail
REASON FOR SOURCING FUND* Please in your own words tell us what your business will use the funds for. i.e new project or upscaling or new machinary
ESTIMATED AMOUNT REQUIRED* Please indicate estimated amount needed $5M - $10M$10M-$30M$40M and aboveOther
WILL NEED FUNDING IN* How soon do you need the funding? Immediately1-3 months3-6 months6-12 months12 months+
CONSENT* I give my consent for a Financial Consultant from Nigeria Investment Gateway to contact me.
