How and from whom/where did you hear about the subsidy programme covering business advisory services:

Business or company’s name:

City:

Province:

Postal Code:

Last name*:

First name*:

Job position:

Phone:

Email:

Website:

Mobile Phone:

Agriculture/Agricultural Inputs & ServicesAuto parts & servicesBeauty & Personal CareBuilding Materials & ConstructionEducationEnergyEnvironment & Natural Resource ManagementFinance & InsuranceFood Processing & Manufacturing of Food ProductsGeneral Repair ServicesHandicraftsHotel, Restaurant & CaféInformation Technology, Computers, Peripherals & SoftwareLeather & Leather GoodsMedical, dental, optical & other health products/servicesMetalworking, & metal productsPharmaceuticalsReal EstateRetail & e-CommerceTextile & Ready-made GarmentsTourism, Leisure, & EntertainmentTransportation, Storage & LogisticsWaste managementWholesale & DistributionWood furniture & wood products

Limited Liability CorporationIndividual Entrepreneur CertificatePatentNot yet registered (but willing to legally register as a condition of receiving BAS support)

Year when business began commercial
activity

Year when business
was registered, if applicable

Note: Please attach a copy of the I.D. of each of the owners and main officers.
For returning migrants* please attach a copy of the Passport pages that show the Passport stamp(s) with the dates of return within the last 2 years.
*A returning labour migrant has returned to his/her native country (Kyrgyzstan or Tajikistan) within the last 2 years.

1) Name:

Position:

Ownership %:

Gender:

MaleFemale

Age:

Are you a returning labour migrant:

yesno

2) Name:

Position:

Ownership %:

Gender:

MaleFemale

Age:

Are you a returning labour migrant:

yesno

3) Name:

Position:

Ownership %:

Gender:

MaleFemale

Age:

Are you a returning labour migrant:

yesno

Did the company introduce any good
practices or innovative business models*
in the last 12 months?
*Examples of good practices or innovative business models may include: good business management practices (e.g., computerized management of products/services, computerized accounting system or income/expenses tracker, use of software applications that connect with clients, etc.); entering new online sales market (including via social media, e-commerce website, etc); use of energy efficiency/savings practices in business operations (eg. use of solar energy); application of new technologies to increase efficiencies and productivity to save time and resources (i.e. using modernized machinery or new processes); introduction of new services or products
Please check all that apply:

Yes, new or significantly improved product (good or service)Yes, new or significantly improved business modelYes, new or significantly improved business operations and processesNo new good practices or innovative business models have been introduced

Do you have ideas for new/improved products or services or new/improved processes or methods which you would like to introduce?

YesNo

Have you ever used the services of an
external Business Advisor in the past?

YesNo

Last Name:

First Name:

Company Name, if applicable:

City:

Province:

Phone:

Email:

Total number of workers* :
*Total number of workers includes all workers whether formal/informal, temporary, seasonal, or contract workers

No. of female workers:

No. of youth* workers:
*Youth are aged 18-28 years in Kyrgyzstan / 18-30 years in Tajikistan.

No. of returning migrant workers*:
*A returning labour migrant has returned to his/her native country (Kyrgyzstan or Tajikistan) within the last 2 years.

No. of workers with disability:

Company’s annual sales for 2019

0 – 200,000 KGS200,001 – 4 mil KGS4,1 mil – 8 mil KGS8,1 mil – 30 mil KGS>30,1 mil KGS

National (domestic) sales %:

Indirect exports (sold domestically to third party that exports) :

Direct exports:

Attachments
The following documents should be attached: 1)copy of the Patent/ Certificate 2) Passport, 3) Signed Self-Declaration(download), 4) Tax Identification number 5) Passport stamps for migrants