USAID CATALYZE PSD - MSME Funding Readiness Program Registration Form

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USAID CATALYZE PSD - MSME Funding Readiness Program Registration Form

Estimated time for completion of survey: 5 minutes.

Thank you for your interest in the services and support provided by USAID CATALYZE Sri Lanka Private Sector Development (PSD) Activity Sri Lanka. To learn more, please visit: USAID CATALYZE Sri Lanka Private Sector Development Activity

Please complete all necessary fields to confirm and validate your interest and intent to participate in our program. To learn more about the MSME funding readiness program, please refer the FAQ or mail us directly for clarifications on SriLankaPSD.Inquiry@thepalladiumgroup.com.

The information provided through the survey will be strictly confidential and utilized only for the intended purpose stated above and will NOT be shared with third parties without the EXPRESS consent of the participant for the intended purpose stated above.

Company Name *

Please provide your company name.

Owner - First Name *

Please state the owner's FIRST name.

Owner - Last Name *

Please state the owner's LAST name.

District of Operation
*

Please state your company's primary base of operations.

Nature of Business *

Please state the primary industry and sector your company operates in.

Agribusiness (including Agricultural, Food Processing, Fisheries, Livestock etc.)

Information, Communication & Technology

Tourism

Apparel

Other:

Company Registration Status *

Is the Company legally registered in Sri Lanka?

Yes

Registration Details *

If you are a registered entity, please provide your business registration number.

If unregistered, please provide your NIC.

Full Time Employees *

What is your current number of full-time employees?

Full Time Employees (Female) *

What is your current number of full-time FEMALE employees?

Is the business Women-owned or led? *

Please select one or two of the provided options.

A. Women Owned: A business is Women-owned IF it meets all of the following:

(1) Ownership Test: One or more women must have 51% ownership.

(2) Control Test: The management and daily business operations must be controlled by one or more women.

(3) Management Test: The woman must hold the highest officer position, manage it on a full-time basis and devote full time to the business concern during the normal working hours of the business concern in the same or similar line of business.

B. Women Led: A business is Women-led IF the business cannot meet one or more test described in the women-owned business test.

Women Owned

Women Led

N/A

Required

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