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Please complete all relevant tables and open-ended questions below.
1. Founders & Top Management
Note: For all founders, board members, CEO, and CFO, complete the separate Bio Template. You can download the template and upload the completed versions in the Supporting Documents section at the end of this form, where you can also attach other supporting documents (e.g., cap table, ESOP policy).
2. Advisors, Mentors, and Partners
Note: Include universities, industry collaborations, clients with LoIs, and accelerator/incubator programs. Indicate whether there are formal agreements or just initial conversations.
3. Employee Turnover
In the last 12 months, how many employees (excluding founders) have left the company? Please explain if necessary.
4. Headcount
What is your current number of employees (excluding founders)? Please break down by function or department if possible.
5. Compensation Table
For each role category, please indicate how many people you currently employ and their average annual wage in euros.
Founders
Top Management
Other Employees
6. Share Options/Rewards
Describe your employee share option plan (ESOP) and which categories of employees are eligible.
7. Please describe your policies and approach to employee retention, including any initiatives on mental wellbeing.
Please complete all relevant tables and open-ended questions below. Attach supporting documents (TAM/SAM/SOM analysis, market studies, IP registrations, product materials, etc.) where available.
1. Market Opportunity & Size
Please estimate your market size at each level below (TAM, SAM, SOM), with the value in euros, your source or method, and any key assumptions.
Total Addressable Market (TAM)
Serviceable Available Market (SAM)
Serviceable Obtainable Market (SOM)
2. Target Market & Customer Profiles
3. Barriers, Challenges & Adaptability
Barriers to Entry
Major Business Challenges
4. Intellectual Property & Patents
IP / Patent Status
5. Unique Selling Proposition (USP)
6. Regulatory Approvals
7. Business Model & Product
Stage of Product Development
Competitors & Differentiation
1. Market Problem or Opportunity
2. Technology Overview
3. Development Roadmap
4. Revenue Model Explanation
5. Media, Recognition & Ecosystem Participation
Recognition Table
Media Feature
Award
Peer-Reviewed Publication
Incubation / Accelerator
Expos, Conferences, Events
6. Innovation & Benchmarking
7. Funding Raised to Date
Please complete all relevant tables and open-ended questions below. Attach supporting documents where available (e.g., use-of-funds breakdown, exit plans, Malta operations documentation).
1. Use of MVC Funds
Note: For each row, specify how the funds will be used, the amount allocated, and the impact (e.g., new hires, product development, debt repayment, expansion, etc.). Attach any supporting documentation (detailed budgets, project plans, etc.) if available.
2. Proposed Dividend Policy & Exit Plan
Dividend Policy
Preferred Exit Route(s)
Investor Return Strategy
Anticipated Exit Timeline
Note: Provide as much detail as possible in each field. Attach any board-approved exit strategy or relevant documents if available. Dividend Policy - Describe if and how dividends will be distributed (conditions, timing). Preferred Exit Route(s) - e.g., trade sale, IPO, secondary sale, management buyout. Anticipated Exit Timeline - Expected years to exit, target milestones, or events. Investor Return Strategy - Actions or plans to maximize investor returns.
3. Economic Nexus with Malta
1. Company Valuation
Current Pre-Money Valuation
Valuation Date
Future Valuation
2. Convertible / SAFE Notes
Instrument Type (Convertible / SAFE)
Total Amount Outstanding in €
Key Terms: Discount
Key Terms: Interest Rate
Key Terms: Maturity
Triggering Events for Conversion (detailed)
Conversion Valuation in €
Methodology / Calculation Used
Supporting Data / Comments
Note: If multiple instruments exist, use a separate column per instrument. Explain any special terms or nuances.
3. MVC Shareholding Scenarios
4. Private Investor(s) being Mirrored
5. Supporting Documents
Download the Bio Template
Download the Cap Table Template
Download the Financial Projections Template
By signing this application form, the undersigned, duly authorised to represent the applicant company, hereby declares and consents to the following: