Shuraako Concept Note
DIRECTIONS: Completing and submitting the Concept Note is a mandatory first step in Shuraako’s application process. Ensure
that all questions are answered according to the guidelines stated throughout this form. The submission must be in English.
Once completed, submit the Concept Note (and accompanying documentation) to the appropriate regional representative: Mr.
Abdikarim Gole (agole@shuraako.org) responsible for Somaliland, or Mr. Mahad Awale (mawale@shuraako.org) responsible for
Puntland and South Central Somalia. If you have not received acknowledgement of submission within 10 business days, email
Shuraako immediately. If you have any questions pertaining to the Concept Note contact your regional representative. Once
received, Shuraako will review and identify candidates that are most appropriate for investment.
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1. Business/Project Details
Business Project Name
Investment Request
Owners Contribution
2. Applicant & Authorized Representative
Name of Applicant/Lead Applicant
Gender (Check the appropriate box)
☐ Male
☐ Female
Telephone
Telephone
Email
Email
Name of Authorized Representative
Telephone
Telephone
Email
3. Business/Project Description
3.1 Business Growth Stage
Check the appropriate box.
☐Startup: In essence a new business created from scratch (or one that has not previously
existed).
☐Existing Business: A business already in existence, but seeks investment for some type of
expansion.
☐New Project within an Existing Business: A new enterprise/project that is launching from an
already existing business.
☐Other: Explain,
3.2 Location
Check the appropriate box.
☐South Central
☐Puntland
☐Somaliland
3.3 Business Registration
Please provide the registration information, for the existing business, below. If a start-up, your
enterprise must be registered. Copies of registration documentation should be submitted along with
the Concept Note.
Registration Authority
Issuing Date
Registration Number
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3.4 Sector & Other Licenses/Permits
Please provide all information for applicable licenses below. Copies of licenses must be submitted
along with the Concept Note. All necessary licenses must be obtained for a start-up.
License/Permit Required
Issuing Authority
Date Issued or Expected
3.5 Financials
Please provide the financial data for the last 2-3 years (if you are an existing business). Update the
year for the corresponding data and submit exact figures (if exact figures are not available, use best
estimates). All financials should be verifiable by accounts or other official documentation. Please
submit Income Statements and Balance Sheets for the previous two years.
20–
Year
20–
20–
Number of Employees
Current Revenue (USD)
Current Profit/Loss Profit (USD)
Current Total Equity Value
The Cash Flow Projection should also be submitted with the Concept Note (ask a Shuraako
representative for this template).
3.6 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
submit those along with the Concept Note.
Name
Position
Contact Information
3.7 Ownership
List all those who have an ownership stake in the business.
Name
Email
Name
Name
Email
Email
4. Business/Project
4.1 Goods/Services
Describe the goods and/or service your business provides. How does it solve the problem or address
the needs of your target customers?
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This field should not exceed 1,000 words
4.2 Production Good Process or Service Delivery System
Describe the production process for your goods/service?
This field should not exceed 1,000 words
4.3 Market
Who is your target market? Be as specific as possible. Among these, please identify also your early
adopters (i.e., who will be the first to buy your product/service?). Examples of customer
segmentation include demographic categories (i.e., age, sex, income, occupation, education, ethnic
origin); geographic location; and behavioral characteristics (i.e., what they need, purchasing habits).
This field should not exceed 1,000 words
4.4 Competition
What are the existing alternatives to your product/service? Who are your competitors and what are
they offering?
This field should not exceed 1,000 words
4.5 Competitive Advantages
What is your advantage over your competitors and their product/service offerings?
This field should not exceed 1,000 words
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4.6 Business/Project Milestones
Please introduce the project activities (in chronological order) with an indication of the timeframe
(e.g., 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. Investment
5.1 Investment Request
Describe in a few sentences why you are seeking an investment and what do you plan to do with it.
5.2 Assets Needed
Specify the equipment you will need.
No
1
2
3
4
5
Item
Amount (USD)
5.3 Contributed Assets
Describe all the assets you intend to contribute to the project.
5
No
1
2
3
4
5
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Item
Amount (USD)
5.4 Total Business/Project Cost
Detail the total amount that the business/project 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
Amount (USD)
Total Cost
5.6 Expected Revenue
What is the projected revenue for year one, two and three? How will it 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
6.2 Employment Figures
How many will be employed if you proceed with your project and manage to secure an investment?
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Item
Number
Direct Jobs
Types of Jobs To Be Created
% Women
% Youth
Indirect Jobs
Seasonal Jobs
6.3 Impact on Market
How will your business/project address a major constraint in the sector, and how improve the
market?
This field should not exceed 500 words
6.4 Producer and Suppliers
Describe how your suppliers (upstream) will gain from your business/project.
Producers/Suppliers
Description
6.5 Consumers
Describe how your consumers (downstream) will benefit from your business/project.
Item
Description and Value
Lower Price
Higher quality
More variety
Other
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