To submit your application please fill out the form below. Company name* Project or company website (if applicable) Name of Contact Person* First name Last name Telephone or mobile number*Email* Physical address* Address City State/Region Postcode AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Has the company been established?*YesNoHow long ago did you start your company?<1 year<3 years3-5 years6-8 years9-11 years>11 yearsDate of incorporation MM slash DD slash YYYY How many founders does your company have?1234>4How large is your team today?<66-2021-5051-100101-250>250What is your company’s turnover (in Euros)?<50k50k-100k101k-200k201k-500k501k-1M1M-2M2M-5M>5MHave you gone through an ignition programme (incubator/ accelerator)?YesNoExecutive Summary (brief description of the product/service, competition and the market)* What was your last funding round?*no external fundingpre-seedseries seedseries Aseries B or laterWhat are the project’s total funding needs? (in euros)*How much are you asking Portugal Ventures to invest in this project? (in euros)*How much are the Founders willing to invest in the project? (in euros)*How much and how are the other investors available to invest in this project as well as other ongoing fundraising processes (loans, incentives or others)? Who are these investors? (Amounts in euros). What is your gender?*malefemaleHow old are you?*<2626-3031-3536-4041-4546-50>50What is your nationality?* Do you live in Portugal?*YesNoWhat is the most important criteria that made you choose Portugal Ventures?*Team expertise and Track recordVC track recordNetwork connectionsPublic statusFirm’s brandSupport servicesAbility to fund companyPlease include a PowerPoint presentation of the project (or in pdf format) Topics to address:a. Founders/ Team b. Solution and value proposition c. Relevance of the project to Autonomous Region of Azores d. Target market and positioning in the value chain e. Competition and differentiation f. Business Plan g. Go to market plan h. Funding Plan and Milestones i. ExitAccepted file types: pdf, powerpoint, Max. file size: 60 MB.Please include a detailed Budget (P&L) with the estimated lifespan for the nest 5 years Drop files here or Select files Accepted file types: pdf, powerpoint, excel, word, Max. file size: 60 MB. Please include a YouTube link to a short video (max 5 minutes) with the description of the project and the team. Please include a short résumé for each of the Founders (max. 1 page per member of the team) a. Name, Age, Professional Position, Education, Professional Experience and E-mail; b. Have any of the Founders previously submitted any application to Portugal Ventures? Who? c. Are the Founders going to work exclusively on the project? d. Identify possible management requirements that the team of promoters may not be able to meet. Drop files here or Select files Accepted file types: pdf, powerpoint, word, Max. file size: 60 MB. submitting application related to already established companies, please include:The company’s historical financial statements; b. Tax and social security clearance certificate; c. Access to current permanent certificate; d. Any relevant Shareholder information. Drop files here or Select files Accepted file types: pdf, powerpoint, word, excel, Max. file size: 60 MB. Please include a detailed competitive analysis, according to the template provided (as template below) Drop files here or Select files Accepted file types: pdf, powerpoint, word, Max. file size: 60 MB. Other documents that you considered relevant for project analysis. Drop files here or Select files Accepted file types: pdf, powerpoint, word, Max. file size: 60 MB.