Shuraako Concept Note Form Shuraako is a self-funded, non-profit initiative working to encourage further investment into promising businesses

in Somaliland, Puntland and South Central Somalia. Shuraako seeks to foster a thriving business sector that generates financial and social revenues.The Shuraako program is about connections: We act as a neutral broker to help connect you to investors working in Somalia.

Notes for Applicants Completing and submitting a mandatory step of Shuraakos application. You must complete a Concept Note in Englishusing this form.This form should be completed in accordance with the guidance notes within the form itself. Ensure that all applicable fields are completed before you submit the form. If you have any questions related to this form (Concept Note), or any difficulties completing thisform, contact Abdikarim Gole (for Somaliland and Puntland based businesses) at agole@shuraako.org, Michele Cesari (for South Central based businesses) at mcesari@shuraako.org.

1. Cover Sheet 1.1 Business/Project Details Business Project Name Investment Request Owners Contribution

2. Applicant and authorized representative Name of Applicant/Lead Applicant Gender Male Female

Telephone Telephone Email Email

Authorized representative name Telephone Telephone Email

3. Business/Project Description 3.1 Your business/project is either an existing business or a start-up (new business). Startup This is in essence a new business created from scratch- one that has not previously existed. Existing Business This is a business that is already in existence but seeks investment for some type of expansion New Project within an Existing Business This is a new business or enterprise, from and already existing business. 3.2 Location Somaliland Puntland South Central

3.3 Business registration information Please provide the registration information for the existing business below. Copies of registration documentation must also be sent with the concept note. Registration must be complete for a start-up if loan is to be given.

Registration Authority

Issuing Date

Registration Number

3.2 Sector and other license/permits Please provide all information for applicable licenses below. Copies of licenses must also be sent with the concept note. All necessary licenses must be in hand for a start-up if loan is to be given. License/permit required Issuing Authority Date issued or expected

3.3 Existing Business Financials

Please provide financial data for the last 2-3 years of the existing business that can be verified by accounts other official documentation. (If available, please send income statements, balance sheets, for the previous 2 years). If you do not have exact figures, enter best estimates. You will need to fill in the year. Year 20 Number of employees Current revenue (USD) Current profit/loss profit (USD) Current total equity value The cash flow projection statement must also be completed and sent together with the concept note. The cash flow projection statement allows us to predict whether your business will have enough cash to meet its obligations. Please see link to template for the Cash flow projection statement 20 20

3.4 Management Team List the names, positions and contact information (email and telephone) of key members responsible for implementing the project/ or running the business. If CV/Resumes of bios can be provided, please send these with the concept note. Name Position Contact Info

3.5 Ownership List all those who have an ownership stake in the business. Name Email Name Name Email Email

4. Business/Project 4.1 Overview Your product (goods or services) Please tell us what your business does, its products. How does it solve the problems or address the needs of the customers you want to target? This field should not exceed 1,000 words

Your Production process (goods) or service delivery system What is the production process of the good or service? This field should not exceed 1,000 words

Your market Who is your target market?Be as specific as possible. Among these, please identify also your early adopters, those who will buy first your product/service. Examples of segmentation criteria include demographic (age, sex, income, occupation, education, ethnic origin), geographic (where they are) and behavioral (what they do and what they need). This field should not exceed 1,000 words

Your Competition What are the existing alternatives to your product/service? In other words, who are your competitors and what are they offering? This field should not exceed 1,000 words

Your Competitive Advantages What is your advantage compared to the product/service offerings of your competitors? This field should not exceed 1,000 words

4.3 Business/Project Milestones Please introduce the project activities and their sequence, with an indication of the timeframe (For example, items to buy, shipping, installation, set up of new machinery and training, etc.). No 1 2 3 4 5 Milestone Number of Days from Start Date

5. The investment 5.1 Investment Request Describe in a few sentences why you are looking for investment and what do you plan to do with it.

5.2 Assets needed Specify the equipment you will need No Item 1 2 3 4 5 6

Amount (USD)

5.3 Contributed assets Describe all the assets you intend to contribute to the project No Item 1 2 3 4 5 6

Amount (USD)

5.4Total Business/Project Cost This is the total amount that the business will cost. Source of finance Assets contributed to project Own cash contribution to project Bank or other debt for project Other investor finance Investment Request Total Cost

Amount (USD)

5.5 Expected Revenue What is the projected revenue for year one, two and three? How is it going to be generated?

6. Development Impact 6.1 Impact of Enterprise Tell us how your proposed business/project is strategic. What will your business/project result in? This field should not exceed 500 words

How many will be employed if you proceed with your project and manage to secure an investment? Item Number Direct Jobs Types of jobs to be created % women % youth Indirect jobs

Season jobs

6.2 Impact on Market How will your business/project will address a major constraint in the sector, and how improve the market This field should not exceed 500 words

Producer and Suppliers Describe how the people who supply you inputs (upstream) are going to gain from your business/project. Producers/Suppliers Description

The consumers of your product How are consumers going to benefit from your project? Item Description and Value Lower Price Higher quality More variety Other Total Once completed, send your concept note together with accompanying documents to Mr. Abdikarim Gole at agole@shuraako.orgresponsible for businesses and projects in Somaliland and Puntland, or Mr. Michele Cesari at mcesari@shuraako.org responsible for business and projects in South Central. If you have not received any acknowledgement from us within 10 business day email us immediately. Additionally, you can also get in touch with Ms. Theresa Musumhi at tmusumhi@shuraako.org or Ms. Alexandria Wise at awise@shuraako.org.

Once received and reviewed, members of the Shuraako team will identify the projects /businesses that are most feasible for potential investors to invest in based on scalability, repetition, job creation, profitability, and sustainability of the business. We will keep you updated with regard to the status of your proposal.