Soonicorn Collective Application Form
This is the application form for CEOs to participate in the Soonicorn Collective Platform
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1. Name of Applicant
2. Designation 
(This program is only for CEOs and C-Level Founders)
3. Mobile Number
4. Email Address (official email)
4.1 GMAIL Email Address
email that end with xx@gmail.com - to be added into Classroom to access learning materials
5. CEO/Founder LinkedIn Profile
(N/A if none)
6. CEO's Nationality
7. Company Name 
8. Company Registration Number
9. Date of Incorporation
MM
/
DD
/
YYYY
10. Country of Incorporation
11. Company Address
12. Company Website
13. Company Digital Presence 
(LinkedIn / Facebook / Instagram, etc.)
14. Brand Name 
(If not applicable, please indicate N/A)
15. Which industry are you in?
16. Did you receive an investment via a VC/PE or ECF?
17. Name of VC Fund that invested
(N/A, if not applicable)
18. Name of Corporate Fund that invested
(N/A, if not applicable)
19. If ECF, which ECF Platform
(N/A, if not applicable)
20. Amount Raised in Total ECF and/or VC as applicable (in RM)
21. Name of Person in Charge of your company at the VC Fund or ECF Platform
(If both, then provide person at VC Fund)
22. Mobile number of the person in charge 
23. Are you a Penjana Kapital portfolio company?
Yes or No.  If yes, please add your fund name after Yes (e.g. "Yes - Fund Name"
24. What is your last 12 months or calendar year 2023 total revenue (in RM)
25. What is your last 12 months or calendar year 2023 total export sales (in RM)
26. Please provide a short description of your product and your business
27. Insert a link to a video or anything else that will help us understand your product / business better
(If none, state N/A)
28. Why do you want to join Soonicorn Collective platform?
End of Application
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