CreditProm-Capital - Project preliminary analysis form

Has your project in base scientifically-practical development, which is protected (can be protected) by patent according to the Law of Ukraine? *

Internal features of the investment project (additional questions)
Have you undertaken earlier attempts to attract financing to your product/technology through other sources (venture funds)?*
How do you value your project?*	New decision (unique, breakthrough technology, invention) Improvement existing decisions
On what stage of the development is found your product/technology?*	Initial stage (idea) Model Prototype Marketed technology
what time is output of your product/technology on market possible?*	Less than through 1 year Through 1-2 years More than through 2 years
What time will your product/technology begin to bring profit?*	Less than through 1 year through 1-5 years More than through 5 years I don’t know
What kinds of investments do you need to obtain self-sufficiency and profitable of your project?*	to $2 millions. from $2 millions to $4 millions from $4 millions to $6 millions More than $6 millions
What is main directivity of your project?*	Decrease of self-cost New quality New markets
On what segment of market is your project oriented?*	Information technologies Machine building Energy New materials Telecommunications Building materials Construction and real estate Other
Does your product/technology have potential rivals?*	I don’t know
Does your product/technology have decided advantages in comparison with your rivals?*	I don’t know
Does your product/technology have advantages in prices in comparison with analogues?*	I don’t know
Does your product/technology have technological advantages, protecting from overtaking output on market rivals (patent protection for time, which is necessary to enter the market)?*
Will your rivals be able to create similar product/technology on base of your product/technology?*
Do you have technological reserves for improvement your technology for the reason conservations advantages in case of appearance of the rival’s analogues?*
How long will you be able to save your advantages over rivals?*	Less 2 years from 2 to 5 years More than 5 years
Can you describe risks connected with realization of the project?*
Does your product belong to technologies of the double using?*	I don’t know
Do you see some difficulties, connected with rights of the intellectual property?*	No, there aren’t questions in accordance with rights of the intellectual property in the project
Estimation of market, on which is expected to promote results of the project
How do you estimate the current state of the market for your product/technology?*	Exists and develops Exists, but is already saturated Doesn’t exist, but is expected Doesn’t exist
How do you estimate volume of market for your category of the products?*	Less $10 millions from $10 to $100 millions More than $100 millions
Who will be a consumer of your product/technology?*	Basically enterprises Basically private sector Both sectors
Can You name concrete potential consumers?*	I don’t know
Where are basically found consumers of your product or technology?*	In Ukraine CIS countries Foreign countries Everywhere
Description of the project
What share of property will you pretend, if new company is established specially for this project?*	Controlling block of shares Minority interest
Do you know, who will be her potential buyer, if the company is bought in the following?*
Do you have business plan of project?*

Company Name and short description of the company (if there is registered company)
Project* Short description of business-idea (product or technology) Readiness stage: confirmation of main principles, model, laboratory or sub commercial sample, low-volume product, mass production
Necessity for investments* Estimation of the required volume investment
Goals of project Results, which are planned to reach for realization of the project to account attracted investment
Technology Description of the technology or product, its uniqueness and advantages in comparison with rival’s technologies and products
Market General belief about market: volume market, segmenting on consumer, on geography Being in demand of product and reason for such conclusions Main consumers and rivals
Status of project* " The Description already reached results and executed stages of the work (for example, researches, models, prototypes, testing, production, the first sale and etc.)”
Intellectual property Presence patents, author's certificates, know-how, trademarks or industrial samples
Strategy of the achievement profitability Vision of organization operating activity of the company Description of key moments in operating activity of the project
Team Qualification of developers, their history experience, publications CV of owners and managers
Sources of income Description of the subject of the sale (for example, sale licenses, products, equipments) and principles of the pricing
Financial forecast Forecast incomes, expenses, investments, profit and cash flow on 5 years Sensitivity analysis of the financial forecast (for example, on different scenarios)
Risks Main categories of risk Possible ways to minimization risk
Way out Form of the output from investment for bank (for instance, sale to strategic investor, ransom by management or other shareholders, initial placement on stock exchange) In case of sale to strategic investor, who will be supposed buyer?

Sphere of activity*

Goal of the expansion*

What capital are you ready to invest in project? (thousand u.e.)*

What assets are you ready to invest in project? (Means of production, technology, the real estate, etc.)

For analysis acting business we need the following information:

	2006	2005	2004
non-current assets
current assets
Property assets
Long-term liability
Current liability
Net profit
Gross income

Do you have business-plan of expansion?*

Financial factors of the project (NPV, IRR, Period of the realization of the project, Period of recoupment of the project)

Short description of the project*

Sphere of activity*

Goal of reorganization*

Achievement to financial efficiency
Achievement strategic goals (not financial)

What capital are you ready to invest in reorganization? (Thousand u.e.)*

Are owners of the enterprise ready to change management?*

Do you have strategy of reorganization?*

For analysis acting business we need the following information:

	2006	2005	2004
non-current assets
current assets
Property assets
Long-term liability
Current liability
Net profit
Gross income

Do you have business-plan of reorganization?*

Short description of main problems of enterprise*

* Fields are obligatory for filling.