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Little British Battler Day Company Registration
Thank you for your interest in participating in the
TechMarketView Little British Battler
Day
, in association with MXC Capital, in London on Wednesday 23rd April 2014.
Unfortunately the application process has now closed and it's too late to be considered for this round of our LBB programme. Please do keep an eye out on UKHotViews for information on future Little British Battler events.
COMPANY INFORMATION
Company name
*
(Company name)
Please enter a value
Company number
*
(Company number as registered at Companies House)
Please enter a value
Company address
*
(Address for company headquarters)
Please enter a value
Company phone
(Switchboard number)
Website
*
(Company website)
Please enter a value
Year founded
*
(Year company founded )
Please enter a value
Company description
*
(Brief description of your company's products and/or services)
Please enter a value
Number of employees
*
(full-time equivalent)
0-5
6-10
11-25
26-50
50 plus
* You must select at least one option
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
Business process-related services
Other (please specify below)
Please select a value
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
Please select a value
Key management
*
(Please list 'top team' names and roles)
Please enter a value
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
Please select a value
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
Please select a value
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
Europe (EU countries)
Europe (non-EU countries)
Middle East
South Africa
Rest of Africa
US
Canada
Brazil
Rest of Latin America
Russia
India
China
Japan
Rest of Asia
Australia/New Zealand
* You must select at least one option
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
Europe (EU countries)
Europe (non-EU countries)
Middle East
South Africa
Rest of Africa
US
Canada
Brazil
Rest of Latin America
Russia
India
China
Japan
Rest of Asia
Australia/New Zealand
* You must select at least one option
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
Other
* You must select at least one option
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
Under £1m
£1-5m
£5-10m
£10-20m
£20-50m
Over £50m
Please select a value
Revenue growth
*
(By what percentage did revenues change in the last twelve months?)
Please enter a value
Company EBITDA margin
(Please indicate your company's EBITDA margin in its most recent financial year)
Please select a value
Negative
0% to 5%
5% to 10%
10% to 20%
20% to 30%
30% to 40%
40% to 50%
Over 50%
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
Please select a value
RACE FOR CHANGE
How have you embraced technological change in your own business to disrupt established players?
How are your products and services helping your customers disrupt established players in their market?
What percentage of your revenues currently derives from products and/or services that are in 'general availability' (i.e. post-beta/pilot)?
(Approximate %)
What percentage of your revenues do you think will derive in three years' time from products and services not currently in general availability?
(Approximate %)
Why do you think your company should be selected to participate in the LBB day?
RESPONDENT INFORMATION
Forename
*
Please enter a value
Surname
*
Please enter a value
Position
*
(Role within company)
Please enter a value
Contact phone
(Your contact phone number)
Email
*
Please enter a value
* Please enter a valid email address
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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