Business Capital Name Date Gender - None -MaleFemale Nationality - None -AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua & BarbudaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia & HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCanary IslandsCape VerdeCaribbean NetherlandsCayman IslandsCentral African RepublicCeuta & MelillaChadChileChinaChristmas IslandClipperton IslandCocos (Keeling) IslandsColombiaComorosCongo - BrazzavilleCongo - KinshasaCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d’IvoireDenmarkDiego GarciaDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard & McDonald IslandsHondurasHong Kong SAR ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SAR ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmar (Burma)NamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorth MacedoniaNorwayOmanOutlying OceaniaPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia & South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSt. BarthélemySt. HelenaSt. Kitts & NevisSt. LuciaSt. MartinSt. Pierre & MiquelonSt. Vincent & GrenadinesSudanSurinameSvalbard & Jan MayenSwedenSwitzerlandSyriaSão Tomé & PríncipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad & TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks & Caicos IslandsTuvaluU.S. Outlying IslandsU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis & FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Address - None -AmmanIrbidAjlounJerashAl-MafraqZarqaBalqaMadabaAl-KarakAt-TafilaMa'anAqaba Email Address Mobile App Project/ Business Description Please answer all of the following : Yes No Is the company a Small/Medium Enterprise (SME) Yes No Has the company been generating reasonable levels of revenue for at least 2 years including current year (if applicable) Yes No Will the company demonstrate a minimum increase in turnover over the next two years Yes No Does the company employ 5 or more employees (both Jordanian and non-Jordanian Yes No Will the company create a minimum of 3 new jobs as part of this proposal (both Jordanian and non-Jordanian Yes No Confirm that the company will not displace existing jobs to create new jobs Yes No Confirm that the company will maintain the existing jobs plus the new jobs for a minimum period 3 years? Yes No Does your company employ non-Jordanians? Yes No Are you willing to employ Refugees and non-Jordanians in your enterprise? Yes No Do you have a business model Yes No Does your business model produce recurring revenues? Yes No Does your business model provide built-in protection from competition? Yes No Is the product/service scalable? Yes No Is the scalability achievable at low cost/resource intensity? Yes No Are there many substitutes available in the market at a similar/lower price point? Yes No Do you have a customer base? Yes No Are the cash flow projections in the financial plan robust and well defined Yes No Is there a clear customer segment that the business is targeting? Yes No Is the product/service innovative and affordable? Yes No Are there barriers to market entry? Yes No Does the amount business vary from season to season? Yes No Is its uniqueness easy to explain to the customer? Yes No Is it easy for the customer to try? Yes No Does it have the required potential in turnover and profits? Yes No Will the product/service serve a gap in the market? Yes No
