Name of Idea, Project or Company Pay Off (core message of your idea, project or company) <picture> Define your product (technical, functional, quality, manageable, and unique selling points): Key Facts Contact Person E mail Phone Describe your market (geographical, client groups, client needs, buying power): Location Current Stage (e.g. idea, start up) Next Stage in Development Time to Market (months, years) Contribution to MDG 7 (planned) Potential to Scale Up Define your business model (organizational chart, revenue model, production proces, value chain): Protection of your idea (IPR) Year 1 Year 2 Year 3 Year 4 Turnover Net profit after tax Total Assets Equity Investments to be done: Year 1 Year 2 Year 3 Year 4 Total Financing Need How to be financed: Year 1 Year 2 Year 3 Year 4 Own Contribution Loans (debt) Product Affordability (Total Cost of Ownership, competitor analysis, willingness to pay): External Share Capital Grant(s) / Subsidies Bench Bench Total Cost of Ownership (TCO) Current Target Mark Mark Purchase Price (EUR / USD) Initial costs (EUR / USD) Operating Costs (EUR / USD p.y.) Maintenance (EUR / USD p.y.) Capacity (liters per year) TCO per liter Entrepreneur / Management Team / Strategic Partnerships: Current request for business development support: OUR DISCLAIMER: This material is for your information only. The document does not consistute an offer or invitation and contains information designed only to provide a Level of confidentiality of this information: broad overview for discussion purposes. As such, all information provided herein is sub Please only fill in X when applicable Y N Person Do you have experience as an entrepreneur? Do you have experience in the water sector? Do you have experience in the sanitation sector? Do you currently have a job? Do you have direct experience with your future clients Do you have any relevant experience Organization Is your organization involved in water projects? Is your organization involved in sanitation projects? Does your organization have a legal status? Does your organization have a specific mission? Does your organization have a clear governance? Any successes accomplished (water and sanitation)? Any financial results booked? Any people working with you?
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