Business Mentoring Form

NAME*

ADDRESS*

PLACE*

ZIP/PIN*

MOBILE NUMBER*

EMAIL*

BUSINESS NAME*

INDUSTRY*
---IT & TelecomEngineeringFMCG & Consumer DurablesFinancial ServicesEnergy & EnvironmentSocial Entrepreneurs & NGOAgroECom & RetailEducationOthers

COMPANY IDENTIFICATION NUMBER (GOVT. REGN. #)*

NUMBER OF PROMOTORS/DIRECTORS*
---01-56-10>10

WORKING CAPITAL/PROPOSED*
---US $500 - 1,000US $1,001 - 5,000US $5,001 - 10,000US $10,001 - 50,000US $50,001 - 100,000US $1 Million - 5 MillionUS $5 Million - 10 MillionUS $10 Million +

PRESENT INVESTMENTS*
---US $500 - 1,000US $1,001 - 5,000US $5,001 - 10,000US $10,001 - 50,000US $50,001 - 100,000US $1 Million - 5 MillionUS $5 Million - 10 MillionUS $10 Million +

BUSINESS DESCRIPTION*

ISSUES SEEKING MENTORING*

AVENUES SEEKING MENTORING*
Mind PowerBusiness StabilityBusiness EconomicsFuture ReadyHuman ResourcesLean ManagementLegality & Corporate LawEmerging Markets ConsultingTurnaround ConsultingOthers

CONFIRMATION*
Yes, I would require your mentoring assistance.

SUBMIT