BPC Application Form - test only - British Patient Capital

Key Details

Name of fund:

Name of manager:

Contact details:

Phone

Please enter your number as (44)01234567890

Email

What size of commitment is the fund requesting from BPC?

How did you first hear about BPC?

If, BPC/BBB Contact or, Others, please mention the details

Please upload your fund presentation:

Max. file size: 120 MB.

Fund Strategy

What is the target stage for investments?

Pre-seed

Seed

Series A

Series B

Series C

Later Growth

What equity stakes will the fund typically take in companies?

Which sectors will the fund target?

Which geographies will the fund target?

UK Investment Focus

Does the manager have a UK office?

Yes

No

How much of the fund will be invested in the UK ?

Has the manager made significant investments in the UK to date?

Fund Structure

What is the fund structure?

GP/LP

Listed Vehicle

Other

If answered “Other”, please specify:

What is the fund term?

What is the length of the investment period?

Where is the manager located?

Where will the fund be domiciled?

UK (Onshore)

Mainland Europe

Other

If answered “Other”, please specify the location:

Is the Manager FCA regulated?

Yes

No

If answered “No”, please specify regulatory approval regime

Track record

How many funds has the manager raised to date (including different strategies):

How many funds with this specific strategy has the manager raised to date:

Please upload your track record information, including breakdown by company

File

Max. file size: 120 MB.

Fundraising Information

What is the target size for the fund?

i. First close:

ii. Final close:

Has the fund held a first close?

Yes

No

If answered “Yes”, please confirm the size of the first close;

If answered “Yes”, please confirm the date of the first close

If answered “No”, amount of commitments already secured

Does the fund have other investors with preferential terms to those being proposed to BPC?

Does the fund have a cornerstone investor yet?

Yes

No

If answered “Yes”, who is the cornerstone investor?

If answered “Yes”, how much are they committing?

Will the fund receive public money?

Yes

No

If answered “Yes”, please confirm public commitments:

Terms

What is the proposed management fee (%)

i. Investment Period

ii. Post-Investment Period

What is the proposed carried interest (%)

What is the hurdle on the carry?

What is the calculation basis for the hurdle?

What is the proposed GP Commitment

Diversity and Inclusion

BBB is a signatory of the Investing in Women Code. Are you aware of this code?

Yes

We are a signatory

No

Do you have formal diversity and inclusion policies for your team and portfolio companies

Yes

No

Other

Sustainability

Do you consider sustainability in your investment process?

Yes

No

If answered “Yes”, please provide a brief description:

Application form

British Patient Capital Application Form

Key Details

Contact details:

Fund Strategy

UK Investment Focus

Fund Structure

Track record

Please upload your track record information, including breakdown by company

Fundraising Information

What is the target size for the fund?

Terms

Diversity and Inclusion

Sustainability