Incubation - SEC ePortal

Unique Company Number

Please enter the unique company number provided to you during the SEC Initial Assessment Program.

Unique Company Number

RC Number

Company Name

Current Company Address

Official Email Address

Alternate Email Address

Website

Accepted formats are http://google.com or https://google.com

Trading Name

Country of Incorporation^*

Principal place of Business^*

Details of financial position^*

Details of funds raised and/or to be raised^*

Evidence of a Management Account/Statement of affairs or similar document showing financial position^*

Any Referenced Appendix^*

Unique Company Number

You can use this unique number anytime to continue filling your form.

Describe fully the business and the proposed innovative FinTech product, service or business model^*

Describe the technology and/or methodology that will be used to offer your product, solution or service.^*

What are the objectives and parameters for the incubation period^*

Describe the implementation plan to include timelines and key milestones for deployment^*

Describe the existing customers and/or the type of investors targeted to participate in the Regulatory Incubation?^*

Describe the procedure for holding and controlling client assets^*

Describe the Risk Management Framework, clearly stating key risks such as insurance cover, money laundering, terrorism financing and technology risks and how they will be controlled and mitigated^*

Describe how customers will be made to be fully aware of the risks^*

Describe how communications with customers will be handled before and during the regulatory incubation period including how queries, feedback and complaints will be dealt with^*

Describe your next steps (transition plan) at the expiration of the regulatory incubation period^*

Provide a description of a clear exit plan to include how obligations to customers will be fulfilled as well as how the business would be wound-up, in the event that the proposed financial service/product has to be discontinued or registration is not achieved^*

Describe any financial resources, including any venture funding or potential funding used to develop the proposed product, service, or solution^*

Any other information^*

Detailed Explanation (in prose) of the proposed capital market novel product/service or solution to be demonstrated in the Regulatory Incubation^*

Full Schematic illustration (with notes) of the proposed business model (End-end Schematic illustration)^*

Attach Exit Plan Strategy^*

Attach Risk Management Framework^*

Attach profile of company (It should include among others brief history of the company, organizational and shareholding structure, principal offers as well as details of past and current activities)^*

Full Implementation Plan^*

Evidence of Financial resources including any venture funding or potential funding used to develop the proposed product, service, or solution.^*

Attach any referenced Appendix here^*

Add Details about the Promoters/Partners

You need at least 2 referees and 2 contact person

Unique Company Number

Persons

Confirmation

Kindly confirm that the form has been filed correctly as you would be unable to edit any information after payment is made.

Unique Company Number

You can use this unique number anytime to continue filling your form.

Email^*

Last Name^*

First Name^*

Phone^*

Payment for	Amount
SEC Regulatory Incubation Processing Fee for	200000

Please note that your form will automatically be rejected for any wrong information or misleading statement.

Unique Company Number

You can use this unique number anytime to continue filling your form.

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Submitted By^*

Email Address^*

I/We hereby attest that the information provided is correct and would be liable for any misrepresentation whatsoever.

I/We agree to be bound by and comply with the provisions of the Investments and Securities Act 2007, and the Rules and Regulation of the SEC.^*