REGISTRATION FORM

Company Name / Registered Business Name

Address *
Line 1
Line 2
Email *
Website
Proof of Registration (Company or Business Name)
no file selected
Max file size: 20MB
Planning Institute of Jamaica
First Last
Designation * Contact Name *
Town / City *
Phone Number *
Parish *
Fax
- -
How long has your business been in operation? *
less than 1 year
1 - 3 years
4 - 6 years
7 - 9 years
10 - 12 years
13 - 15
More than 15 years
Please indicate your annual sales *
Do you have a business model or plan? *
Yes
Sector of Business (Please tick one)
Other (Please specify)
Submit
Up to J $3m
J $3m - J $10m
J $11m - J $20m
J $21 - J $35m
J $36 - J $50m
J $51 - J $100m
Above J $100m
How is the business capitalized? *
Loan financing
Percentage Equity in Business *
Manufacturing
Tourism
Agriculture
ICT
Energy
Creative Industries
Construction
Financial
Distributive Trades
Give a short description of your business *
NOTE: There is a non-refundable Financial
Matchmaking Registration Fee of J$5,000.00
Registration is deemed provisional until confirmation of the receipt of funds by
the Planning Institute of J amaica
Are you interested in pitching your business model / plan
to potential financiers with a view to attracting additional
funding for the business? *
Yes
No
I confirm that I am willing and have the authority to legally
share all pertininent facts related to the business with a
Review Panel as well as with potential financiers *
Agree
Do not agree
Name * Signature * Position *
Yes
Loan financing