Octopus Ventures Ltd 8 Angel Court • London • EC2R 7HP
 

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Personal Details All fields marked with an asterisk (*) are mandatory.
Title   If 'other' please specify   Forenames*   Surname*
     
Membership of Octopus is available to those over 18.
Please enter your date of birth (dd / mm / yyyy)*		   Nationality    
   
 
Contact Details (Business)
Business address, line1*   Business address, line2
 
Town/City   County*   Postcode*   Country*
     
Work phone number*   Mobile   Fax
       
Contact Details (Home)  
Contact Email*   Confirm Email*
 
Home address, line1*   Home address, line2
 
Town/City   County*   Postcode*   Country*
     
Home phone number*   Mobile   Fax
     
Your Curriculum Vitae
Please copy and paste your CV into the field below from an editable application such as Word do not include any images.

Once a member you will have the option to allow other members to view your CV and in turn will be able to view other members' CVs who have agreed for theirs to be shared also.
 
Are you prepared to share your details with other members?  

yes  no 

Are you prepared to offer your time and expertise to current and prospective investee companies?  

yes  no 

Your Income and Planned Investment
Is your annual income greater than £100k p.a.?   yes  no 
Do you have net assets greater than £300k excluding your prime residence?   yes  no 
Total amount available for investment* (max £99m)  
 
What stage of private equity investment are you interested in (please tick as many as apply):
Start-up
Early Stage
Development Capital
Management buy in / out
Are you interested in investing to obtain EIS tax relief?   yes  no 
In which sectors do you have some expertise?
Aerospace / Defence
Automotive
Biotech / Medical
Business Services
Distribution
Engineering
Financial Services
Fast Consumer Product (FCP)
 		 

Household Goods / Textiles
Information Technology
Leisure / Entertainment
Media
Property
Retail
Telecommunications
Transport
What is your area of functional expertise?

Finance
Sales and Marketing
General Management
HR

   Production
Logistics
IT
Investment History
Are you, or have you been, the director of any companies?*   yes  no 
If yes please enter the name of the company   Multiple entries with commas
Have you invested in private companies before?*   yes  no 
If yes please enter the name of the company   Multiple entries with commas
Please enter average size of transaction £k
Are you aware that investment in private equity opportunities can be very risky and could involve losing all of your invested capital?*   yes  no 
Have you invested in listed markets?*   yes  no 

- If yes: On average how often do you invest in the listed markets each year?*

   1-3
4-6
Greater than 6

- If yes:Over what period have you been investing in listed markets?

   0-2 years
3-6 years
Greater than 6 years
Over what period have you been investing in private companies?   0-2 years
3-6 years
Greater than 6 years

Please enter the average size of a transaction  
Money Laundering Identification
Can you provide a certified copy of your passport to prove proof of your identity?*   yes  no 
Can you provide two original utility bills to prove proof of your residence in the UK?*   yes  no 
How did you find out about Octopus Ventures?
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terms and conditions of membership
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