Form KI | PMV

1. Basic information about your company

Name of your company or of the company being set up:

Contact person:*

Address:

Phone number:

Mobile:

E-mail:*

Website address of your enterprise:

Does your application concern a:

Who is/are the managers of your enterprise? Please attach their CV(s):

Date when established or if it concerns a start-up the start date for the provision of childcare facilities:

Why are you applying for financing from KidsInvest:

top

2. Childcare organisation

The childcare is organised by:

Legal entity (NV, BVBA, VZW, etc ...):

Name:

Address:

Is the childcare organised by a school?:

Is the enterprise already registered with the Crossroads Bank for Enterprises?:

Enterprise number:

top

3. What does your company do and what are your plans?

Are you:

Have you already registered your enterprise with Kind en Gezin?:

Have you applied for a Certificate of Supervision?:

Have you been granted a Certificate of Supervision?:

Current number of childcare places:

If you are expanding, number of childcare places following expansion:

Opening hours:

Complete the number of places you can offer for each childcare option:

Childcare rate per day:

Do you work with parents on a fixed monthly payment contract?:

Has the manager previously been involved in childcare activities?:

If you answered yes (cross out what does not apply):

top

4. What is your finance requirement?

How much finance do you need?:

What financing instruments are you considering using for this?:

What will you actually use these new funds for?:

top

5. Other questions

We would appreciate it if you would send us the CV(s) of the entrepreneur(s). You can upload them here.

CV file 1:

CV file 2:

If you have extra documentation on your company, you can add it here:

Company documentation file 1:

Company documentation file 2:

Company documentation file 3:

Please indicate whether the following documents are available by checking the boxes below:

A complete written business plan

A complete business plan in figures

The annual accounts of the past three financial years

Your company’s Articles of Association

(Application for) Certificate of Supervision

Many thanks!

If all your details have been correctly entered, click "send" to submit your application.

You will be sent a confirmation of receipt by e-mail. If you have not received anything after one week, please call us on 02/229 52 30.

The information you provide to KidsInvest will only be used to assess your Investment Application. If it is considered eligible an advisor from Flanders Enterprise will contact you to assist you in formulating your business and financial plans. PMV and Flanders Enterprise will not disclose your details to third parties under any circumstances. Your application will remain strictly confidential.

* fields with an asterisk must be completed.