Step 1: General Information

• Name*
  Last name *
  
• Personal ID *
    Gender *
  -- Please select -- Male Female
• Date of birth *
  Profession *
  -- Please select --   Agronomist   Electrician   Farmer   Adviser/Consultant   Information Technology Technician/Programmer   Cook/Chef   Heavy Equipment operator   Cleaning Services   Babysitter   Nurse   Hairdresser   Lawyer/Attorney at Law   Accountant   Translator/Interpreter   Construction Worker   Tourism Guide   Carpenter   Locksmith   Blacksmith   Metal work/Welder   Food Processing Technician   Handicraftsman/Artisan   Goldsmith/Jeweller   Auto-mechanic   Installer (air conditioner, heating, etc)   Assembler    Journalist   Salesman   Butcher   Baker/ Confectioner   Physiotherapist  Psychologist   Plumber  Teacher  Trainer  Doctor  Tailor  Architect  Receptionist   Secretary   Biochemist/Lab Tester   Potter Other
• Place of Residence / Municipality*
    -- Please select -- Deçan / Decane Skenderaj / Srbica Obiliq / Obilic Rahovec / Orahovec Pejë / Pec Novobërdë / Novo Brdo Shtërpcë / Strpce Viti / Vitina Vushtrri / Vucitrn Podujevë / Podujevo Zubin Potok Prishtinë / Pristina Istog / Istok Zveçan / Zvecane Prizren Dragash / Dragas Drenas / Glogovac Suharekë / Suvareka Ferizaj / Urosevac Malishevë / Malisevo Gjakovë / Djakovica Gjilan / Gnjilane Kaçanik / Kacanik Mitrovicë / Mitrovica Fushë Kosovë / Kosovo Polje Mamushë / Mamusa Ranillug / Ranilug Kamenicë / Kamenica Leposaviq / Leposavic Klinë / Klina Lipjan / Lipljane Kllokot / Klokot Shtime / Stimlje Graçanica / Gracanica Junik Hani i Elezit / General Jankovic Partesh / Partes Ethnicity *
  -- Please select -- Albanian Serb Bosnian Turkish RAE Other
• Phone No *
  Email Address *
  
• Highest Level of Education *
  -- Please select -- Primary Secondary BA/BSc Degree MA/MSc Degree Completion Year *
   
• Have you completed entrepreneurship training *
  -- Please select -- No Yes Enter the name of Organization providing the Training*
  -- Please select -- Kosvet 6 BSCK Mercy Corps USAID MDA GTZ Swiss Contact Kultur Kontakt Expik AUK Other

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Step 2: Company Details

• Company name *
  Is your company registered? *
  -- Please select -- In progress No Yes
• Company legal status *
  -- Please select -- Limited Liability Company Sole Proprietor General Partnership Limited Partnership Not Registered Joint Stock Company Foreign Owned Company Socially Owned Company Publically Owned Company Agricultural Cooperative Other
• Partners in the company 
   
• Company address *
  
  Municipality/Region *
  -- Please select -- Deçan / Decane Skenderaj / Srbica Obiliq / Obilic Rahovec / Orahovec Pejë / Pec Novobërdë / Novo Brdo Shtërpcë / Strpce Viti / Vitina Vushtrri / Vucitrn Podujevë / Podujevo Zubin Potok Prishtinë / Pristina Istog / Istok Zveçan / Zvecane Prizren Dragash / Dragas Drenas / Glogovac Suharekë / Suvareka Ferizaj / Urosevac Malishevë / Malisevo Gjakovë / Djakovica Gjilan / Gnjilane Kaçanik / Kacanik Mitrovicë / Mitrovica Fushë Kosovë / Kosovo Polje Mamushë / Mamusa Ranillug / Ranilug Kamenicë / Kamenica Leposaviq / Leposavic Klinë / Klina Lipjan / Lipljane Kllokot / Klokot Shtime / Stimlje Graçanica / Gracanica Junik Hani i Elezit / General Jankovic Partesh / Partes   Prishtinë / Pristina Gjilan / Gnjilane Ferizaj / Urosevac Mitrovicë / Mitrovica Pejë / Pec Prizren
• Village
  Bank name/Account Number  
   
• Authorised person *
  

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Step 3: Business Activities

• Business Type*
  -- Please select -- Agriculture Poultry Livestock Information Technology Construction Wood processing Metal work Handcrafts Retail Bakery/Confectionary Entertainment Medical services Kindergarden Farmacy Hair/beauty saloon Textiles Electician Fishery Marketing/Promotion services Consulting services Toursim Recycling Food Processing Auto-mechanics Whole sales Hotel/Restaurant Hydro- installing Education/Training Cleaning services Other
• From 4 groups indicate all areas that are relevent to your business idea or company. More than one may be relevent!

• Group I
• Group II
• Group III
• Group IV

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Step 4: Business Description

• Describe your business idea* (Describe what your business will do. Describe who you think your typical customer(s) is. Give reasons why your business will pay to do what you do)
  
• Describe the products you (will) make or sell, or the services you (will) provide. * (Describe the features of your products or services, why they are different from others, and explain your pricing policy.)
  
• Who are your customers?* (If your target market is divided into smaller groups, describe these groups. What is the appeal of your product(s) or service(s) to them? What do you think, how much are they willing to pay for your product(s) or service(s)? How much will they consume? Is there a specific segment(s) you should focus more than others? Why?)
  
• Geographical area of operations * (Indicate where are you going to sell your products or services.)
  
• Who are your competitors? * (Indicate at least 1 competitor in your area of operations. Give details of your main competitors, their strengths and weaknesses)
• Name of Competitor(s) * Their Strengths * Their Weaknesses *
  
• Describe how you will advertise/promote your business. * (Marketing plan of your products/services and places where you will advertise them.)
  

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Step 5: Organizational Structure

• Describe the organizational structure of the company * (Indicate the number of full and part-time employees, interns that you employed or you are going to employ etc.)
• Full time employees *
   
• Part-time employees Interns
     
• Management Structure
• 1. Name*
  Position*
  
• 2. Name
  Position
  
• 3. Name
  Position
  
• 4. Name
  Position
  
• 5. Name
  Position
  

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Step 6: Financial Resource

• Have you received any funds from other sources? *
  -- Please select -- In progress No Yes
• 1. Funder’s Name *
  Amount Awarded (€)*
  Date *
  
   
• 2. Funder’s Name
  Amount Awarded (€)
  Date
  
   
• 3. Funder’s Name
  Amount Awarded (€)
  Date
  
   
• 
  
  Have you been approved for a loan? *
  -- Please select -- No Yes
• 1. Name of the bank/finance institution*
  Amount of the loan approved (€) *
   
• Repayment period start date *
  Repayment period end date *
  
• 
  
  2. Name of the bank/finance institution
  
  
  Amount of the loan approved (€)
   
• Repayment period start date
  Repayment period end date
  
• 
  
  3. Name of the bank/finance institution
  
  
  Amount of the loan approved (€)
   
• Repayment period start date
  Repayment period end date
  
• Investment Plan (please indicate the financial resources that you are planning to invest to implement your business plan)
  

  Financial Source	Amount in Euros
  Own Capital
  Bank Loan
  Grants/Subventions
  Other(specify)

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Step 7: Upload Required Documents Please attach identification document (ID or Passport)

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