Skip to form
Energy Investment Village
Cleantech 2023 Application Form -
CLOSED
APPLICATIONS ARE NOW CLOSED
NO NEW APPLICATIONS WILL BE CONSIDERED
SECTION 1: GENERAL INFORMATION
First name
*
Last name
*
Email
*
Date of Birth
*
Day
/
Month
/
Year
Phone number
*
Title/Role in Business
*
Please Select
CEO
COO
CTO
Founder/Co-Founder
Other
City
*
Country
*
Please Select
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Asia/Pacific Region
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Caribbean Netherlands
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Europe
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia (FYROM)
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar (Burma)
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
U.S. Virgin Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Gender
*
What inspired you to become an entrepreneur?
*
Max 50 Words
Accolades, recognition, media mentions, and special achievements worth noting?
Max 100 Words
How did you find out about us?
*
Please Select
Social Media
Search Engine
Media
Email
Word of Mouth
Other
SECTION 2: SOCIAL MEDIA LINKS
Facebook
Instagram
LinkedIn
Twitter
Company Website
SECTION 3: GENERAL START-UP INFORMATION
Business name
*
When was your business founded?
*
Please Select
Few months ago
1 year ago
2-5 years ago
5+ years ago
What is your business stage?
*
Please Select
Prototype (Ideation, Conceptual)
Start-Up (Registered and trading/Research and development)
Pre-Growth (Registered and trading/Break-even)
Growth (Registered and trading/ Profitable)
Other
If you selected "Other" above, please specify.
How many founders are you?
*
Please Select
1
2
3
4
5+
How have you made income?
*
Please Select
Revenue
Shareholder Funding
External Funding
None of the Above
Please provide a summary/elevator pitch for your business
*
Max 100 Words
What problem is your business tackling?
*
Max 200 Words
How does your business solve this problem?
*
Max 200 Words
Is your business/company linked to an academic institution, industry association or significant partner?
*
Please Select
Yes
No
If yes above, please provide the institution, association or partner
SECTION 4: IMPACT
On what SDGs does your business impact? (Multiple pick list)
*
No Poverty
Zero Hunger
Good Health and Well-being
Quality Education
Gender Equality
Clean Water & Sanitation
Affordable & Clean Energy
Decent Work & Economic Growth
Industry, Innovation and Infrastructure
Reduced Inequalities
Sustainable Cities and Communities
Responsible Consumption and Production
Climate Action
Life Below Water
Life on Land
Peace, Justice and Strong Institutions
Partnerships for The Goals
What single SDG does your company mainly address?
*
Please Select
No Poverty
Zero Hunger
Good Health and Well-being
Gender Equality
Clean Water & Sanitation
Affordable & Clean Energy
Decent Work & Economic Growth
Reduced Inequalities
Industry, Innovation and Infrastructur
Sustainable Cities & Communities
Responsible Consumption & Production
Climate Action
Life Below Water
Life on Land
Partnerships for the Goals
Peace, Justice & Strong Institutions
Please provide a description of the intended impact of the business on creating jobs, skills, training etc.
Max 100 Words
How do you plan to measure the impact of your business?
*
Max 100 Words
SECTION 5: MARKET
Please describe your market size (Total addressable market, service obtainable market etc.) in dollar currency
*
Max 100 Words
How would you describe your main customers/segmentation?
*
Max 100 Words
Can you describe the target market for your business and explain why it is attractive?
Max 100 Words
SECTION 6: BUSINESS MODEL
What is your intended business model?
*
What is your projected annual revenue/income over the coming three years, per year?
*
(2022: $XXXXX, 2023:$XXXXX etc.)
Please unpack your unit economics.
*
(For example: price per unit, margin per unit, expense per unit)
Max 200 Words
What is your traction to date?
*
Max 100 Words
How do you plan on scaling your business going forward?
Max 100 Words
SECTION 7: FUNDING
What is the start-up funding to date? ($)
*
What type of funding have you received?
*
Please Select
Bootstrapping
Crowdfunding
Venture Capital
Seed Funding
Other
If you selected other above, please specify
Are you fundraising at the time of your application or within the coming 6 months?
*
Please Select
Yes, right now
Yes, in 6 months
No
What is your current funding request? ($)
How do you plan to use the investment you are currently seeking, should you be successful in raising the funds?
Max 100 Words
SECTION 8: COMPETITION
Who are your key competitors?
*
Max 50 Words
How do you differentiate yourself from them? What is your competitive advantage or USP?
*
Max 100 Words
Is your USP based on registered intellectual property? If so, how?
*
Max 100 Words
SECTION 9: TEAM
What is the size of your team? (full-time employees)
*
Please Select
1-5
6-10
11-20
20-50
50+
Please share about the key members of your team
*
Background field, Years industry experience, Role
Max 200 Words
SECTION 10: BUSINESS SUPPORT EXPERIENCE
Have you participated in previous pitching competitions?
*
Please Select
Yes
No
If yes to above, which pitching competitions have you completed?
Have you completed and/or are completing an acceleration programme?
*
Please Select
Yes
No
If yes to above, which acceleration programmes have you completed?
What are your main challenges to overcome for the business in the coming 12 months?
*
Max 100 Words
What is the support you require right now in order to grow?
*
Finance or Grant Funding
Equity Partners
Marketing
Offtake Agreements
Legal Assistance
Accounting Services
Technical Support
Mentorship and Coaching
Incubation Programme
Demonstrate Pilot/Prove Technology
Other
SECTION 11: ATTACHMENTS
Please attach your business profile or pitch deck (PDF)
*
Please attach your company/organisation's logo
*
Please provide an optional link to a video regarding your company/organization (e.g., YouTube or Vimeo)
Terms and Conditions
Qualifying criteria
Project needs to be within the Energy sector.
Project must be founded, based and operated in Africa.
Project must be ready for market (with prototype already demonstrated).
Project must ideally contribute to the goals of a cleaner and decarbonised energy landscape.
The following terms and conditions apply
Submissions close on Friday, 12 May 2023, midnight (CAT).
The shortlist of start-ups will be announced on Monday, 12 June 2023.
The project must be a clean energy project. No other projects will be considered.
The project must be located within Africa.
The shortlisted project teams must be able to attend the Energy Investment Village, to be held in Cape Town on 11 October 2023 at the CTICC.
The 2.5-month online pitch training programme will be free of charge and the applicant must agree to attend the full training programme.
The shortlisted project teams will be responsible for all travel and visa costs associated with travelling to and from Cape Town, South Africa, to attend the pitching event, including accommodation and related expenses.
While the pitching event enables the opportunity for investor exposure, it does not guarantee project investment.
All project information submitted will be deemed private and confidential to the organiser and its partners.
I agree to the terms and conditions
*
Submit