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Company Name*
Industry / Sector*
Registered Office*
Full Name*
Phone No.*
Email*
Date of Incorporation*
Brief description of product/service (2-3 sentences):*
Revenue Breakdown:
Product / Service*
Revenue (NPR)*
% of Total*
Product / Service
Revenue (NPR)
% of Total
Other
Add More Remove
EBITDA (NPR)*
Net Profit (NPR)*
Total Debt (NPR) - if any*
Currently profitable?* YesNo
Investment amount needed (NPR)*
Equity stake offered (%)*
Pre-money valuation (NPR)*
Post-money valuation (NPR)*
Currently profitable?* Growth / ExpansionWorking CapitalCapexDebt ReductionOther
Key Promoters / Founders
Name*
Title*
Current Shareholding (%)*
Name
Title
Current Shareholding (%)
Other key promoters
Key Management
Designation*
Experience (Years)*
Designation
Experience (Years)
Other key management
Total Employees*
Expected revenue in 3 years (NPR)*
Primary market served* NepalExportBoth
Key customers (top 3-5)*
Audited financials available?*
Any ongoing litigation or regulatory issues?* NepalExportBoth
Company Act filings up to date?*
We confirm that the information provided is true and correct to the best of our knowledge.
Date*
*Signature Upload*
