Registration Form

This short form is designed to give us all the information we need to help you on your journey - whether this be setting up a business or solving any challenges you may be facing.

First name

Last name

Phone

Email

Postcode

Residential London Borough

Gender

Male

Female

Other

Prefer not to say

Do you have a disability, or a health condition as defined in the Disability Discrimination Act 1995? (Physical or mental impairment with ‘substantial long-term’ negative effect on ability to do normal daily activities)

No

Yes

Prefer not to say

Are you in receipt of any state benefits e.g Universal credit, housing benefits, Job seekers allowance (We ask because we may be able to refer you to additional support)

Yes

No

If you have registered your business as either a sole trader or Ltd company, please upload proof below:

Business sector

Business stage

Do you have a Business name yet? (Please type N/A if not applicable)

Explain your business or business idea (Please explain in as much detail as possible)

Do you have a business plan yet? If yes, please upload this below.

Business Plan

Don't worry if you don't have one yet, as we'll show you a super easy way to create a simple plan at one of our FREE, regular start-up workshops.

If you live in the Royal Borough of Kensington & Chelsea, we also require a recent proof of your address (dated in the last six months). We accept electricity / gas bills, a council tax bill, or a bank statement; this is simply to ensure that you are able to benefit from the free appointments available to you as a local resident. Once you have submitted the completed form AND sent us the proof of address, we will get in touch with you to book an initial telephone call – this will be a phone call.

File upload

Do you have an online presence

Yes

No

If you already sell online please enter your website or selling platform e.g. Etsy

Have you set up any social media accounts for your business? E.g. Instagram, Facebook, TikTok)

Have you done any market research?

Yes

No

Have you considered any of the following?

Who your target customer is?

How will you sell to your target customer?

How often will your customers buy from you?

Who are your most relevant competitors?

None of the above

Have you considered the initial start-up costs for your business

Yes

I have some idea

No, not really

I have an existing business

Please explain, in as much detail as possible, the advice you need

Have you received any grants or support from any publicly-funded body, e.g. any local, regional or national government or an enterprise agency, within the last 3 years?

Yes

No

If Yes, what was the amount received or estimated value of the support?

Have you accessed PBC resources before or a new client? (e.g NKC event, Courses, Webinars, 1-2-1 sessions)

Returning Client

New Client

Referred from

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Consent to Receive Appointment Reminders

I agree to receive text message reminders 24 hours before my scheduled appointments.

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Registration Form

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