Shuraako Concept Note Form_lite (1)

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Shuraako Concept Note FormShuraako is a self-funded, non-profit initiative working to encourage further investment into promising businesses in Somaliland, Puntland and South Central Somalia. Shuraako seeks to foster a thriving business sector that generates financial and social revenues.The Shuraako program is about connections: We act as a neutral broker to help connect you to investors working in Somalia.

Notes for ApplicantsCompleting and submitting a mandatory step of Shuraakos application. You must complete a Concept Note in Englishusing this form.This form should be completed in accordance with the guidance notes within the form itself. Ensure that all applicable fields are completed before you submit the form. If you have any questions related to this form (Concept Note), or any difficulties completing thisform, contact Abdikarim Gole (for Somaliland and Puntland based businesses) at [email protected], Michele Cesari (for South Central based businesses) at [email protected].

1. Cover Sheet1.1 Business/Project DetailsBusiness Project Name

Investment Request

Owners Contribution

2. Applicant and authorized representativeName of Applicant/Lead Applicant

Gender Male Female

Telephone

Telephone

Email

Email

Authorized representative name

Telephone

Telephone

Email

3. Business/Project Description3.1 Your business/project is either an existing business or a start-up (new business). StartupThis is in essence a new business created from scratch- one that has not previously existed.

Existing BusinessThis is a business that is already in existence but seeks investment for some type of expansion

New Project within an Existing BusinessThis is a new business or enterprise, from and already existing business. 3.2 Location Somaliland Puntland South Central

3.3 Business registration informationPlease provide the registration information for the existing business below. Copies of registration documentation must also be sent with the concept note. Registration must be complete for a start-up if loan is to be given.

Registration AuthorityIssuing DateRegistration Number

3.2 Sector and other license/permitsPlease provide all information for applicable licenses below. Copies of licenses must also be sent with the concept note. All necessary licenses must be in hand for a start-up if loan is to be given.

License/permit requiredIssuing AuthorityDate issued or expected

3.3 Existing Business FinancialsPlease provide financial data for the last 2-3 years of the existing business that can be verified by accounts other official documentation. (If available, please send income statements, balance sheets, for the previous 2 years). If you do not have exact figures, enter best estimates. You will need to fill in the year.

Year

202020

Number of employees

Current revenue (USD)

Current profit/loss profit (USD)

Current total equity value

The cash flow projection statement must also be completed and sent together with the concept note. The cash flow projection statement allows us to predict whether your business will have enough cash to meet its obligations. Please see link to template for the Cash flow projection statement

3.4 Management TeamList the names, positions and contact information (email and telephone) of key members responsible for implementing the project/ or running the business. If CV/Resumes of bios can be provided, please send these with the concept note.

NamePosition Contact Info

3.5 OwnershipList all those who have an ownership stake in the business.Name

Email

Name

Email

Name

Email

4. Business/Project4.1 OverviewYour product (goods or services)Please tell us what your business does, its products. How does it solve the problems or address the needs of the customers you want to target?

This field should not exceed 1,000 words

Your Production process (goods) or service delivery systemWhat is the production process of the good or service?This field should not exceed 1,000 words

Your marketWho is your target market?Be as specific as possible. Among these, please identify also your early adopters, those who will buy first your product/service. Examples of segmentation criteria include demographic (age, sex, income, occupation, education, ethnic origin), geographic (where they are) and behavioral (what they do and what they need).

This field should not exceed 1,000 words

Your CompetitionWhat are the existing alternatives to your product/service? In other words, who are your competitors and what are they offering? This field should not exceed 1,000 words

Your Competitive AdvantagesWhat is your advantage compared to the product/service offerings of your competitors?This field should not exceed 1,000 words

4.3 Business/Project MilestonesPlease introduce the project activities and their sequence, with an indication of the timeframe (For example, items to buy, shipping, installation, set up of new machinery and training, etc.).

NoMilestoneNumber of Days from Start Date

1

2

3

4

5

5. The investment5.1 Investment RequestDescribe in a few sentences why you are looking for investment and what do you plan to do with it.

5.2 Assets neededSpecify the equipment you will needNoItemAmount (USD)

1

2

3

4

5

6

5.3 Contributed assetsDescribe all the assets you intend to contribute to the projectNoItemAmount (USD)

1

2

3

4

5

6

5.4Total Business/Project CostThis is the total amount that the business will cost.Source of finance

Amount (USD)

Assets contributed to project

Own cash contribution to project

Bank or other debt for project

Other investor finance

Investment Request

Total Cost

5.5 Expected RevenueWhat is the projected revenue for year one, two and three? How is it going to be generated?

6. Development Impact6.1 Impact of EnterpriseTell us how your proposed business/project is strategic. What will your business/project result in?This field should not exceed 500 words

How many will be employed if you proceed with your project and manage to secure an investment?Item Number

Direct Jobs

Types of jobs to be created

% women

% youth

Indirect jobs

Season jobs

6.2 Impact on MarketHow will your business/project will address a major constraint in the sector, and how improve the marketThis field should not exceed 500 words

Producer and SuppliersDescribe how the people who supply you inputs (upstream) are going to gain from your business/project.Producers/SuppliersDescription

The consumers of your productHow are consumers going to benefit from your project?ItemDescription and Value

Lower Price

Higher quality

More variety

Other

Total

Once completed, send your concept note together with accompanying documents to Mr. Abdikarim Gole at [email protected] for businesses and projects in Somaliland and Puntland, or Mr. Michele Cesari at [email protected] responsible for business and projects in South Central. If you have not received any acknowledgement from us within 10 business day email us immediately. Additionally, you can also get in touch with Ms. Theresa Musumhi at [email protected] or Ms. Alexandria Wise at [email protected].

Once received and reviewed, members of the Shuraako team will identify the projects /businesses that are most feasible for potential investors to invest in based on scalability, repetition, job creation, profitability, and sustainability of the business.

We will keep you updated with regard to the status of your proposal.