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Ownership of Business -

(Number)

Type of Membership Applied for


WHAT IS THE BUSINESS?

Incl. Product /Service

..

[E.g. Product? Route to market? Method? Application?]

 

In developing this business/ business idea, have you sought the help of any of the following agencies?







From time to time we may share your contact & business sector details ONLY with other publicly funded business support organisations to enable them to communicate details of programmes and events that may be of interest to you.
Tick here to be included in these mailings.

This next part of the form will help us to find out more about whether we are providing a good level of service to all persons and help us avoid duplication with other service providers. You are not obliged to provide this information but if you are happy to do so please tick the boxes that describe you within each of the categories below

White

(please write in)

 

 

 

Black & Black British

(please write in)

 

 

 

Mixed

....

.............

Any other mixed race
(Please write in)

 

 

 

Asian & Asian British

Indian

Pakistan

Bangladeshi


(Please write in)

 

Chinese

.


Do you consider yourself to be a disabled person?

 

Sex:

 

Age

 


 




London Innovation Centre is a trading name of Kingston Innovation Centre (Properties) Limited. Registered in England under no. 4557707. Registered office: Lombard House, 2 Purley Way, Crydon CR0 3JP