Application for funding Merci de compléter le formulaire ci-dessous en anglaisPlease fill in the form below in English « * » indique les champs nécessaires CommentsCe champ n’est utilisé qu’à des fins de validation et devrait rester inchangé.General informationFirst name*Last name*Email address*Team main location*What type of fund manager are you?* An emerging fund manager An established fund manager (established = raising fund 3 or more) Are you currently fundraising?* Yes No Investment fund name*What type of fund is it?* Early-stage SME fund Growth SME fund Debt fund VC fund Other Is it a 100% agri-specific or a generalist fund?* 100% agri-specific Generalist fund What is your target exposure to SMEs in the agricultural sector in Africa?*Is it an open-ended or closed-ended fund?* Open-ended Closed-ended What is the range of investment ticket sizes you are considering? (in $)*Which countries are within your investment scope?*Please list the specific countries you target. (one per line)Eligibility checksDoes the investment fund have a local presence in Africa, i.e. have at least one senior investment professional based, or with the intention to be based, in Africa within the fund closing period?*(Note: Senior investment professional refers to the following positions: Chief Investment Officer, Investment Director, Credit Director) Yes No An SME investment fund (i.e. channeling at least 75% of its capital to SMEs) that provides initial investment ticket sizes ranging from $15K to $5M?* Yes No Does the investment fund deploy at least 30% of its investable capital in agri-SMEs in Africa?* Yes No Does the fund exclude SMEs which activities are in the IFC exclusion list?*Click here to see Yes No Are you committed to implementing FASA’s minimum ESG and impact practices?*(Including an ESG policy, an IMM framework, a reporting policy in line with FASA’s framework, a climate policy, a gender policy, a SEAH policy and the appointment of an ESG and impact referee) Yes No Are you committed to participating in FASA’s learning agenda?* Yes No Is the fund aligned with FASA's gender requirements?*(The investment fund must commit to ensuring that 30% of the initially invested companies (or 50% of the companies in the portfolio by the end of the fund’s lifetime) meet the 2X criteria. In the case of an open-ended fund, the fund must commit to ensuring that 50% of the existing portfolio meets the 2X criteria within five years of the first investment. Please visit www.2xchallenge.org for more information.) Yes No Do you commit to maintaining an accessible data room containing key information about the fund (including the fund presentation, financial model, legal structure, investment pipeline, existing portfolio, governance, team member bios, ESG & Impact policy, and market research)?* Yes No More about the investment fundPlease describe your investment and impact thesis (including your target financial return and target impact KPIs).*Please describe your investment strategy (ticket size, instrument, maturity, currency, countries, sectors).*Please describe your value-add strategy, if any.Fundraising statusWhat is your target fund size? (in M$)*Have you already reached the first close?* Yes No Veuillez indiquer le montant en $*When is the next closing date for your fund?* MM slash JJ slash AAAA What is the target amount for the next close (in M$)*What is your funding ask from FASA? (in M$)*Fund deckPlease attach your fund deck*highlighting your strategy, your exposure to agriculture in Africa, your team, the fund structure and governance, as well as your current portfolio and/or pipeline examples.Taille max. des fichiers : 10 MB. Non-Disclosure AgreementCould you please upload the following NDA after downloading and signing it on your end? Download the NDANDA*Upload the NDA hereTaille max. des fichiers : 10 MB. Consent* I acknowledge that I have read and understood the conditions of confidentiality applicable to this form, and consent to the use of the information provided in connection with the evaluation of my fund and the FASA programme.*
