Special event - registration form | Bank al Etihad

Section 1: Applicant's Details

First Name

Last Name

Date of birth

Gender

Male

Female

Telephone (Personal)

Phone

Full Address (personal)

Email address

Applicant’s Initial share of the Business %.

Applicant’s Current share of the Business%.

Applicant’s Involvement in other businesses

Highest Level of Education Achieved by the Applicant

Select

Section 2: Business Details

Registered Name

Trade Name (If different from Registered Name)

Commercial Register Number

Legal Form of the Business

Telephone

Phone

Fax

Full Address (If multiple Addresses please list them all)

Website

Registration Date

Start Date of Business

Sector

Select

Awards Previously Received

Yes

Names of Partners/Shareholders and Breakdown by Gender and Percentage of Ownership.

Yes

Names of Board Members and breakdown by gender (if Applicable).

Name

Gender

Male

Female

Has the Company Raised or Received funds from a Venture capital or Private Equity fund?

Yes

What type of clients does the Business serve?

Consumers

Other SMEs

Large corporations

No. of clients for the Business?

Does the Business Export to Markets Outside Jordan?

Yes

Section 3: Financials

Has the Company Merged with another company within the past 3 years?

Yes

If necessary, please explain any unusual trends in the financial data provided and analyse any changes in the company’s revenue streams from year to year.

Section 4: Employment and Decision-Making

Number of employees, as of

31/12/2020

31/12/2021

31/12/2022

30/06/2023

Please provide a breakdown of your employees by position and gender in 2023:

Position

Number of males

Number of females

Please explain how decisions are made in the company

Section 5: Distinguishing Factors

1. Environmental Commitment

1.1 Does your company offer any green products and/or services? If yes:

Yes

1.2 Has your company taken any steps to monitor and reduce its consumption of energy, water, and/or other resources? If yes:

Yes

1.3 Does your company use any renewable energy?

Yes

1.4 Has your company taken any steps to reduce pollution and/or waste generation from its own products and/or operations? Please explain.Examples include: reducing and/or recycling waste generated from administrative activities and/or production processes; sharing, reusing, repairing and/or recycling existing materials; and encouraging the recycling of your company’s own products, among other measures.

1.5 Has your company taken any other steps to demonstrate its commitment to sustainability? Please explain. Examples include: obtaining green certification for your company’s products and/or operations; raising knowledge and awareness of environmental issues among your company’s employees, clients, and other stakeholders; producing and publishing sustainability reports; and applying green procurement guidelines, among other measures.

1.6 What are your company’s future plans to further lower its carbon footprint and contribute to a greener Jordan? Please explain.

2. Business Continuity and Growth

2.1 How did your business get started? For example, did you start the business from scratch, expand a family business, or acquire an existing business? Please explain.

2.2 What are the management structure and succession plan of your business? Please explain.

2.3 Do your products and/or services offer something new or solve a problem in the market? What makes them stand out from your competition? Please explain.

2.4 What business continuity challenges do you face, and how do you mitigate these challenges? Please explain.

2.5 What are your plans to ensure the overall future growth of your business? You may describe plans related to management, marketing, technical know-how, product/service delivery, operations, processes, etc.

How did you Learn about the Bank Al Etihad SME Awards?

Select

Business’s Name

Applicant’s Name

Date

Required Documents

Please choose a file to upload. Allowed file types: JPG, JPEG, PNG, PDF, CSV, DOC, DOCX, XLS. Maximum file size: 20MB.

Personal biography and CV of applicant

Copy of applicant’s passport or Jordanian national ID card

High-resolution personal photo of applicant

Company profile

Company registration certificate (Jordanian Ministry of Industry and Trade)

Audited or self-prepared financial statements for the years 2020, 2021 and 2022

Trial balance for the period 1/1/2023 – 30/6/2023

Company bank account statement for the last 12 months

Additional documents of your choice (e.g. product/service descriptions, marketing materials, product images, green certifications, energy audits, sustainability reports, etc.)

By checking this box, you acknowledge and accept the terms and conditions for the Small and Medium Business Award, presented by Bank al Etihad. These terms outline the rules and criteria governing your participation in this award program. Please take a moment to review them before proceeding.

I Accept Terms & condition