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Little British Battler Day Company Registration November 2015
Thank you for your interest in participating in the
TechMarketView Little British Battler
Day
, in association with MXC Capital, in London on Thursday 12th November 2015.
Please complete this pre-qualification form.
We aim to notify successful applicants by the end of October.
If you have any further queries please contact lbb@techmarketview.com.
COMPANY INFORMATION
Company name
*
(Company name)
Company number
*
(Company number as registered at Companies House)
Company address
*
(Address for company headquarters)
Company phone
(Switchboard number)
Website
*
(Company website)
Twitter handle
(Company Twitter handle)
LinkedIn page
(Company LinkedIn page)
Year founded
*
(Year company founded )
Company description
*
(Brief description of your company's products and/or services)
Number of employees
*
(full-time equivalent)
0-5
6-10
11-25
26-50
50-100
100-250
250+
Primary revenue source
*
(Please identify from which of the following activities your company derives the largest proportion of its revenues)
Please select a value
Software (On-premise and/or SaaS)
Infrastructure-related services
Application-related services
Systems Integration
Business process-related services
Other (please specify below)
Other primary revenue source
(If you specified 'Other' above, please briefly explain)
Is this the first time your company has applied to participate in an LBB Day?
Please select a value
Yes
No
Don't know
COMPANY LEADERSHIP/OWNERSHIP
Public company?
*
(Are the company's shares traded on any public or over-the-counter market?)
Please select a value
Yes
No
Key management
*
(Please list 'top team' names and roles)
Major shareholders
(Please list significant individual or institutional shareholders and aproximate holding e.g. John Smith (20%))
Founder involved?
*
(Is the company founder still involved with the business either operationally or as a shareholder?)
Please select a value
Yes
No
Company funding
*
(Has the company received any external funding i.e. from sources outside of the founders, management, employees and their families and friends?)
Please select a value
Yes
No
If yes please explain.
COMPANY OPERATIONS
Company geographies
*
(Please tick all geographies in which your company currently has active operations such as sales offices, development labs, support centres, partners, etc)
UK
Western Europe
Central/Eastern Europe
Middle East
South Africa
Rest of Africa
US
Canada
Brazil
Rest of Latin America
Russia
India
China
Japan
Rest of Asia
Australia/New Zealand
Strategic partners
(Please list any partner organisations that are directly or indirectly responsible for more than 10% of your revenues)
Client geographies
*
(Select up to the top 3 geographies (by revenue contribution) in which you currently have clients.)
UK
Western Europe
Central/Eastern Europe
Middle East
South Africa
Rest of Africa
US
Canada
Brazil
Rest of Latin America
Russia
India
China
Japan
Rest of Asia
Australia/New Zealand
Client sectors
*
(Select up to the top 3 sectors (by revenue contribution) in which you currently have clients.)
Banking/Financial Services/Insurance
Manufacturing
Retail/Wholesale
Energy/Utilities
Telecoms/Media/Technology
Transport/Logistics
Business Services
Central Government
Local Government
Defence
Healthcare
Education
Police
Leisure Services
If other please specify.
Other
Notable clients
(Please feel free to name notable clients)
Company turnover
*
(Please indicate your company's turnover in its most recent financial year.)
Please select a value
Pre-revenue
Under £1m
£1-5m
£5-10m
£10-20m
£20-50m
Over £50m
Revenue growth
*
(By what percentage did revenues change in the last twelve months?)
Company EBITDA
(Please indicate your company's EBITDA in its most recent financial year)
Please select a value
Negative
<£100k
£100k-£250k
£250k-£500k
£500k-£1m
£1m-£2m
£2m-£5m
Over £5m
Non-UK turnover
*
(What proportion of your turnover comes from clients outside of the UK?)
Please select a value
None
<25%
25-50%
50-75%
>75%
All
What percentage of your revenues do you consider to be 'recurring', i.e. regular, periodic, contracted?
(Approximate %)
Please select a value
None
<10%
10-25%
25-50%
50-75%
More than 75%
What percentage of your revenues derives directly from your proprietary intellectual capital?
(Approximate %)
Please select a value
None
<10%
10-25%
25-50%
50-75%
More than 75%
Which, if any, of the following themes do you believe your products/services play to?
*
(Select all that apply.)
Analytics & Big Data
Cyber security
Internet of Things
Mobility
Robotics/Artificial Intelligence
Cloud
Social Media
Next Big Thing
If you checked any of the themes in the previous question, please briefly explain how your product/service plays to the theme.
In which ways does your company assist its clients with their digital transformation journey?
*
(Select all that apply)
Business process design
User interface design
Application design and development
Technology selection
Technology integration
Processing services
If other please specify.
Other
Thinking about a recent digital transformation project you completed for a customer, did you work alongside any partner organisations?
*
(Please specify:)
Please select a value
No, we did it all ourselves
Yes, we were the prime contractor
Yes, we were a subcontractor
If you answered Yes above, how would you best describe the main partner you worked with?
(Please specify)
Please select a value
They were a major IT company/integrator/outsource
They were an SME IT company like us
They were not an IT company (please explain below)
Explain if not an IT company
If you worked with a partner, what were the 2-3 things that worked well and the 2-3 things that really didn’t work as well as hoped for?
Why do you think your company should be selected to participate in the LBB day?
RESPONDENT INFORMATION
Forename
*
Surname
*
Position
*
(Role within company)
Contact phone
(Your contact phone number)
Email
*
Where did you hear about TechMarketViews' LBB Programme?
(Please specify)
Please select a value
UKHotViews
Twitter
LinkedIn
Other (please state below)
Other
The information in this form will be used by TechMarketView and MXC Capital to assist in the selection of applicants to participate in the Little British Battler programme. TechMarketView and MXC Capital may also contact applicant companies to apprise them of their respective services. Applicant information will not be passed to third party organisations for any purpose without first requesting and obtaining the express written permission of the applicant company.
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