INVESTORS
* field mandatory
NAME *:  
FIRST NAME :*  
ORGANIZATION: *  
EMAIL *  
COUNTRY * 
PHONE 
INVESTOR ORGANIZATION 
Business Angel
Venture Capital Fund
Family Office
Sovereign wealth Fund
Institutional Investor
Other
INVESTMENT FORCAST HORIZON 
Less than 1 year
1 To 3 Years
3 To 5 Years
5 Years and More
COMPANY DEVELOPMENT STAGE:
At what development stage is the company you are looking for ? :
Pre-seed / Idea :
Seed / Prototype
Early stage / Product on the Market
Early stage / Growth - Expansion
Mature / Late stage Funding
Mature / Distressed and turnaround Funding
Mature / LBO/MBI Funding
YOUR TOLERANCE TO RISK 
1 2 3 4 5
AREA INVESTMENT
Where are you commonly investing ?
North America
Europe
Asia
South America
Oceania
Africa
INVOLVEMENT AND SUPPORT
Yes, I want to be activily involved
Yes, but on an occasional basis
No, I orecfer to be a passuve investor
Beyond financial contributional, what additional support could you provide ?
Strategic Advice
Access to a network of contacts
Sector Expertise
Operational support
Other
YOUR INVESTMENT GOALS AND STRATEGY
What is your main motivations for investing in companies ? 
High Groth potential
Positive social or Environmental
Short-term Financial return
Long-term Financial return
Technological Development
Technological Development
Other
What is your common target on Investment: (ROI) 
CONCLUSION:
Do you have any additional questions or comments you'd like to share with us ? 
ENCLOSE FILE (Cv, Project, ....):
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