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Applicant Information

First Name*

Last Name*

Personal Email Address

Work Email Address*

Phone Number*

Company Name*

Job Title

Country*

State/Province

City

Street Address

Website*

Business Information

Type of business*

Industry*

Year established*

no of employees*

Annual revenue

business registration number

Reference and previous partnerships

List of key clients or partner

previous partnership experiences

additional information

partnership proposal

Type of partnership sought

project type

Description of Partnership Proposal

Products/Services Offered

Target Market/Audience

Competitive Advantage

Expected Outcomes

financial information

Investment or Financial Commitment

Proposed Revenue Sharing or Profit Split

Terms and Agreement

I, the undersigned, declare that the information provided in this application is accurate and complete to the best of my knowledge. I understand that providing false information may result in the rejection of this application or termination of any resulting partnership